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Home My WebLink About232698 05/20/14 CITY OF CARMEL, INDIANA VENDOR: 366015 ® ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******483.31 ?� CARMEL, INDIANA 46032 PO Box 6293 CHECK NUMBER: 232698 CAROL STREAM IL 60197-6293 CHECK DATE: 05/20/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 36638542 483.31 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 36638542 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE I OF I ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8100.0030 04-30-201 05-23-2014 483.311 »:>:i?........ ......... 'T ACTIVITY DESCRIPTION PAYMENTS/CREDITS ....... .. .. . .... .... .................... ..................... ........ ............. ......... ................. THANK YOU PAYMENT RECEIVED RETAIL FUEL PURCHASES MONTHLY CARD CHG .... . .............. ................... ...... ..................................... ...... .... YOUR SAVINGS FROM DISCOUNTS THIS PERIOD $1.49 ...... ................. ..................... REMINDER ........... ......... . .. ............... PLEASE BE SURE TO IN REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT ...... .... PORTION OF THE REMITTANCE STUB. ..................... ............. ............... *1.. ............................ X .............................. ........... ........................ .............................. .............. .............................. ............... .......... .................. .......... .......... ... . ........ .......................... .............. .............%..................... .............. ................................. ................................. ............. ............... ....... . ..... .... ..... . . .... ........... ........... ........ ................. ............ ........ ................ ................ x ...... .............................. ....................................... .. ........... ......... .............................. ......... ...................................... ............................... ............................................. ..........*"***'*..... ................. :::::1.x::::-:.................... .......................... . ......... ....... . .. .......... ......... . .......... ........... ......... . . .... ... ........................... . ....... .. ..................... ........................ ....................... ........................... ................. .......... .................................. ............ x................ ................. ......... ....................... ................................ .......... ...................... ................................. ........................... ...................... ........... ............ ....................... .............. .................................. ...................................... . .. . ........................... ....................................... .................................... ......... ............... ........ .................................... . ........ . .... ... ............................. . ............ ................ . ............................... ........................................... PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT PREVIOUS BALANCE (-)PAYMENTS (+)PURCHASES (+)DEBITS (-)CREDITS (+)LATE FEE I (=)NEW BALANCE 618.401 618.401 461.311 22.001 0.001 0.001 483.31 $39.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonline.com CALL CUSTOMER SERVICE TO PAY BY PHONE The Late Fee is determined by Which is an ANNUAL To the Balance subject to late FEDERAL TAX ID: 84-1425616 applying a monthly periodic rate of PERCENTAGE RATE of fee for this period which is 2.249 % 26.99 % 0.00 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. TO ENSURE PROPER CREDIT,TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT— Balance Subject to Late Fee Payment Options The late fee will be calculated by determining the total balance Mail due on the date your account becomes delinquent,as follows: Be sure to include bottom portion of invoice with your payment. adding the total amount due on your Account on the payment due Write your account number or invoice number on the check to help date together with any purchases posted to your Account from avoid delays in payment processing if the check and remit stub the end of the last billing cycle through the payment due date,and become separated. subtracting from that amount of any payments and/or credits entered during that period.The total balance due will then be multiplied Allow 10 business days prior to the due date for mailing to help by the applicable periodic rate to determine your late fee.If your avoid late fees. payment is not received and posted by the invoice payment due date,you may be charged a late fee or other fees in accordance Online with the terms in your Business Charge Card Account Agreement. Authorized users can elect to receive an email notification when an invoice is ready for online viewing and payment.Log in or register to How to Dispute Your Invoice set up an online account at www.wexonline.com. Charges must be disputed in writing no later than sixty(60) Online payments scheduled by 3:00 PM ET(on business days) days from the billing date or they will be considered final are credited to your account on the same day.There is no fee for and binding. online payments. Phone Card Issuer Call Customer Service and select the menu option for Billing The card is issued and payable to WEX Bank under a Business -_—Inquiries.—In-addition to-scheduling a_payment,youu_can_also__, Charge Account Agreement with the cardholder named on the check your balance. reverse. Payments scheduled by 3:00 PM ET(on business days) are credited to your account on the same day. Customer Service Be prepared with your fleet card account number and a sample For account inquiries and correspondence regarding account check to enter your bank account number and routing number. service or billing: There is no fee for phone payments. • Call 1-888-387-5665, or Automated Clearing House(ACH) • Fax to 1-800-395-0809, or To make a one-time electronic payment go to: hftp://www.e-fleet.com • Mail to P.O.Box 639, Portland, ME 04104 ACH payments scheduled by 2:30 PM ET(on business days)are Be sure to include your account number on all correspondence. credited to your account on the same day.There is a fee for each ACH payment. i ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 04-30-2014 FLEET SERVICES ACCOUNT NO: 0453-00-794629-6 DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 46032-2584 Tax Summary TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 xxx -27.23 0.00 FEDERAL E85 148.830 520.76 0.18300 r3 afT:r:.orA s::>:::>:::»»<:><::::>::::>::: <:>:>:<:>::>::::>:::;>::::>:::>::>::::>::::»»> ::>::::»:::<:<:>:<::<::>:::>::zr :::>::::::>:<>::::>;::::«:>:>::>:;::::> :::> ::>;:::>: >::>:<::::<:»>::>::>:<::s o r ..........:..........:»::: ........................................................................................................................................................................................................................................................................................................................................................ IN 356000972 0.00 23.81 STATE EXCISE E85 148.830 520.76. 0.16000 -30.73 0.00 STATE SALES E85 148.830 520.76 0.07000 j{ij%::STAT 1Qi `> ><? 2%G is2 < ?< ::E;;;; <:>' ?> > ::%::.;'3 % » > .............'' s > >` ><`zs > »: ::» >s3 >::>:>;:»3> ><` > >: :»::>:;: %%%"<?#?«?`•%%' ''> s > >> > > I+ .�o� ...........................zss1................:.................... .......................:............ ................................................................ ACCOUNT TOTALS -57.96 23.81 I (c)WEX INC.20141 PAGE 1 I FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 36638542 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT I DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 1. 0453-00-794629 8,100.00 30 04-30-2014 05-23-2014 483.31 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ DISCOUNT ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0004 MH 001 074 04-03-2014 17:55 HABOUSH,DAVE 4Q946 E85 21.550 3.489 -0.22 75.18 75.18 MH 001 074 04-09-2014 11:12 HABOUSH,DAVE 41,045 E85 8.860 3.490 -0.09 30.92 30.92 MH 001 074 04-22-2014 16:21 HABOUSH,DAVE 41,776 E85 22.240 3.489 -0.22 77.59 77.59 CARD SUBTOTALS 52.650 -0.53 183.69 0007 MH 001 074 04-03-2014 14:00 SMITH,KEITH 30,574 E85 24.520 3.489 -0.25 85.54 85.54 MH 001 074 04-08-2014 20:34 SMITH,KEITH 3Q 820 E85 23.250 3.489 -0.23 81.13 81.13 MH 001 074 04-14-2014 15:12 SMITH,KEITH 31,082 E85 23.090 3.489 -0.23 80.55 80.55 MH 001 074 04-27-2014 20:47 SMITH,KEITH 31,335 E85 25.320 3.490 -0.25 88.36 88.36 CARD SUBTOTALS 96.180 -0.96 335.58 TOTAL PURCHASES 148.830 -1.49 519.27 Y-T-D PURCHASES 795.590 -7.97 2,541.91 SITES USED THIS MONTH NO.PURCHASES TOTAL AMOUNT Location No. Brand Street City State Zip MH 001 074 MEIJER 1426 W CARMEL DR CARMEL IN 46032 7 519.27 PRODUCTS: E85=ETHANL85 SAN FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank IN SUM OF$ P.O. Box 6293 Carol Stream, IL 60197 $483.31 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 36638542 42-314.00 $483.31 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 H-AY 19 2014 Fire Chief Title i 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)) 36638542 $483.31 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