HomeMy WebLinkAbout213297 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WRIGHT EXPRESS FSC CHECK AMOUNT: $6,042.50
CARMEL, INDIANA 46032 PO BOX 6293
CAROL STREAM IL 60197-6293 CHECK NUMBER: 213297
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 307601717 6, 042 . 50 0496-00-138007-0
I nvoi oe Statement
INVOICE NUMBER: 30760717
ACCOUNT NAME: City of Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
049&00-138007-0 9,0 30 SEP-30 2012 OCT-26 2012 6 042.50
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
SEP-13-2012 PAYMENT-THANK YOU 5,521.87
SEP-28-2012 FUEL PURCHASES 6,066.17
SEP-28-2012 REBATE 25.67
SEP-28-2012 CARD REPLACEMENT FEE 2.00
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
PURCHASE$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
5,521.871 5,521.871 6,066.171 2.00 25.67 0.00 6.042
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 PROPFR CREDIT TEAR AT PEREDRATI17)M ANTI IN('I I InF ROTTr)M POPTl(1N\AIITf I Vlll IR PAYKAFNT
VOUCHER NO. WARRANT NO.
ALLOWED 20
Wright Express FSC
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197-6293
$6,042.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 30760717 I 42-314.00 I $6,042.50 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, October 04, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No 201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/30/12 30760717 gasoline $6,042.50
1 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