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Home My WebLink About212017 08/15/2012 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WRIGHT EXPRESS FSC CARMEL, INDIANA 46032 PO Box 6293 CHECK AMOUNT: $296.11 CAROL STREAM IL 60197-6293 CHECK NUMBER: 212017 CHECK DATE: 8/1512012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 30142708 296 . 11 0496-00-1380007-0 I nvoi©e Statement 190 INVOICE NUMBER: 30142708 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 049600-138007-0 2,100.00 31 1 JUL-31-2012 AUG-24 2012 296.11 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS JUL-10-2012 PAYMENT-THANK YOU 137.68 JUL-31-2012 FUEL PURCHASES 296.11 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. PURCHASES,RETURNSAND 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 137.68 137.68 296.11 0.00 0.00 0.00 296.11 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 CBEDIT,TEAR AT PERFORATION AND I NCLUDE BOTTOM_PORTION WITH YOUR PAYMENT. 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 Purchase Order No. PO OX 6293 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 07T3TTfT 30137172 Gasoline -Util Uept . 07/31/12 30142708 N ne - Police Dept $296.11 07131112 30153803 Gasoline - Fire nept $630.85 07/31/12 30195776 Gasoline - Admin Dept $287.18 $1,318.52 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. 08/14/12 ALLOWED 20 Wright Express, FSC IN SUM OF $ PO Box 6293 Carol Stream, IL 60197-6293 $ $1 ,318.52 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 04.3 which or services itemized thereon for 'wv'4 30 13717 1 which charge is made were ordered and 111C 30142708 314 $296.1 feceived except 112 314 .85 ,g .20 Ig tU Cost distribution ledger classification if Title claim paid motor vehicle highway fund