HomeMy WebLinkAbout220501 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WEX BANK
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $247.79
PO BOX 6293
CAROL STREAM IL 60197-6293 CHECK NUMBER: 220501
4,no io•
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 33114796 247 . 79 GASOLINE
I nvoi ce Statement
INVOICE NUMBER: 33114796
c� 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 1550.00 31 1 MAY-31-2013 JUN-262013 247.79
DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS
-MAY-20-2013 PAYMENT-THANK YOU 241.20
MAY-31=2013 FUEL PURCHASES 247.79
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
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D
JUN 0 3 2013
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By
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
241.20 241.20 247.79 0.00 0.00 0.00 7.79
CALL CUS TOMER 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.
T!1 CNCI 1PP PPr)PCP f'.PPnlT TPAP AT 9>CPCf1P AT nKI ANTI IAIf`I 1 Ir1C Rl1TTnRA DnPTI nKI\A/I TLJ Vni 10 PAVIIA CHIT
VOUCHER NO. WARRANT NO.
ALLOWED 20
174eet-Ser-v+ee9- f
IN SUM OF $
PO Box 6293
Carol Stream, IL 60197-6293
$247.79
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 33114796 I 42-314.00 I $247.79 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
Monday, June 03, 2013
�h
Director, Administrati
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))
05/31/13 33114796 $247.79
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