218742 04/09/2013 a CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1
ONE CIVIC SQUARE FLEET SERVICES
CARMEL, INDIANA 46032 PO Box 6296 CHECK AMOUNT: $332.61
CAROL STREAM IL 60197 CHECK NUMBER: 218742
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 32524079 332 . 61 0496-00-138002-1
nvoioe Statement
INVOICE NUMBER: 32524079
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
0496400-138002-1 1 550.00 31 MAR-31-2013 APR-26 2013 332.61
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
MAR-15-2013 PAYMENT-THANK YOU 308.47
MAR-29-2013 FUEL PURCHASES 332.61
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
APR 0 8 2013 I
By
PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BI LLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE PAYMENTS (+)PURCHASES (,)DEBITS CREDITS + LATE FE = NEW BALANCE
308.47 308.47 332.61 0.00 0.00 0.00 332.61
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 monthlv 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 PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMFNT-
1
VOUCHER NO. WARRANT NO.
Fleet Services ALLOWED 20
IN SUM OF $
PO Box 6293
Carol Stream, IL 60197-6293
$332.61
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 32524079 t42-314.00 1 $332.61 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
Wednesd y, April 03, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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))
03/31/13 32524079 $332.61
I
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