209894 06/19/2012 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WRIGHT EXPRESS FSC
CARMEL, INDIANA 46032 PO Box 6293 CHECK AMOUNT: $34.51
CAROL STREAM IL 60197 -6293
CHECK NUMBER: 209894
CHECK DATE: 6/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 29579773 34.51 0496 -00- 138007 -0
I nvoi cue Statement
M10 INVOICE NUMBER: 29557411
ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496-00.138012 -0 3400.00 31 MAY -31 -2012 JUN 26-2012 1129.29
DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS
MAY -14 -2012 PAYMENT THANK YOU 777.39
MAY -31 -2012 FUEL PURCHASES 1,129.29
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
Qa
D JUN 0 6 2012 I
ay
PURCHASE$ RETURNSAND PAYMENTSMADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (,)PURCHASES )DEBITS CREDITS LATE FE =NEW BALANCE
777.39 777.39 1129.29 0.00 0.00 0.00 1129.29
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.08 24.99 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
'rn CAICI IOC 130n=D r DCnIT TCAD AT OCDCnD ATIllA1 AKIM IKit`I I IrIC Dr'lTTr%RA DrI 171nKI %A /ITL! Vni ID DAVRACAIT
I nvoi lm Statement
INVOICE NUMBER: 29574656
ACCOUNT NAME: City of Carmel Admin.
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496 -00- 138002 -1 550.00 31 MAY -31 -2012 JUN -26- 2012 461.36
DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS
MAY -14 -2012 PAYMENT THANK YOU 196.13
MAY -31 -2012 FUEL PURCHASES 461.36
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
D
JUN 0 6 2012
By
PURCHASES, RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (,)PURCHASES )DEBITS CREDITS (,)LATE FE )NEW BALANCE
196.13 196.13 461.36 0.00 0.00 0.00 461.36
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.08 24.99 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS
TO ENSURE PROPER CREDIT. TEA AT P ORION A ND INQLIZQE BOT 0M WITH YQQ
ERF R PAYMENT.
I nvoi ce Statement
INVOICE NUMBER: 29579773
ACCOUNT NAME: City of Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496 00 138007 0 2100.00 31 MAY 31 2012 JUN 26 2012 34.51
DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS
MAY -31 -2012 FUEL PURCHASES 165.73
MAY -31 -2012 CARD REPLACEMENT FEE 2.00
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
D Q
JUN 0 6 2012
By
PURCHASES, RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (,)PURCHASES (,)DEBITS CREDITS )LATE FE )NEW BALANCE
133.22 0.00 165.73 2.00 0.00 0.00 34.51
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.08 24.99 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
TQ EN$QRE PR_QPER CREDI T-TEAR PERFORATI9N AND 1 NDLUDE B T-OM_PQRTI QN WI TFL YQUR PAYM ENT.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
�A right Express, FSG1_1 Purchase Order No.
OX 6293 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05 0 1712 29557411 Gasoline Fire Uept
!?Qrn7Q77'1 Police Dept $3451
$1,625.16
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
06/06/12
ALLOWED 20
Wright Express, FSC
IN SUM OF
PO Box 6293
Carol Stream, IL 60197 -6293
$1,625.16
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
Board Members
PO# or DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
2 rterials or services itemized thereon for
which charge is made were ordered and
12 031 2957465 314 $461.36eceived except
4.51
20
Signat`Gr
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund