HomeMy WebLinkAbout211608 08/14/2012 ".f CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WRIGHT EXPRESS FSC
' CARMEL INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $630.85
,
CAROL STREAM IL 60197-6293 CHECK NUMBER: 211608
Groh co
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 30153803 630 . 85 0496-00-138012-0
I nvoi oe Statement
INVOICE NUMBER: 30153803
190, 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 3,400.00 31 1 JUL-31-2012 AUG-24-2012 630.85
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
JUL-10-2012 PAYMENT-THANK YOU 1,437.04
JUL-31-2012 FUEL PURCHASES 630.85
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
1437.04 1437.04 630.85 0.00 0.00 0.00 630.85
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-TEAR AT PERFORATI ON AND—1 NCLUDE BOTTOM_PORTI ON WITH YOUR PAYM ENT.
*.9 �.
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
Wright Express, FSG Purchase Order No.
PO OX 6293 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07 3 aso ine -Util Uept .
07131112 30153803 Gasoline - Fire Dept $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
3gnaterials or services itemized thereon for
which charge is made were ordered and
111C 3014270 314 $296.1 teceived except
112 314 .85
'8
igAtu
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund