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HomeMy WebLinkAbout226578 12/02/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK f CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $214.69 CAROL STREAM IL 60197-6293 CHECK NUMBER: 226578 CHECK DATE: 12/2/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 34974639 214 . 69 0496-00-138002-1 I nvoi ce Ratement INVOICE NUMBER: 34974639 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 1,550 30 NOV-30-2013 DEC-,6 2013 214.69 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS NOV-18-2013 - PAYMENT-THANK YOU 261.85 NOV=29-2013 FUEL PURCHASES 214.69 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT, MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. 'J D DEC 022013 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 BALANCE 261.85 261.85 214.69 0.00 0.00 0.00 214.69 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 2.249 °10 26.99 % 0.00 SEE REVERSE SIDE FOR I M PORTANT I NFORMATI ON AND TERMS. t .,.. F RF EAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT. VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF $ PO Box 6293 Carol Stream, IL 60197-6293 $214.69 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1205 I 34974639 I 42-314.00 I $214.69 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, December 02, 2013 Director, Administration 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)) 11/30/13 34974639 $214.69 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