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Home My WebLink About233673 06/18/14 �Fix v`% � CITY OF CARMEL, INDIANA VENDOR: 366015 • ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******891.39* vy ?�: CARMEL, INDIANA 46032 PO BOX 6293 CAROL STREAM IL 60197-6293 CHECK NUMBER: 233673 �:on�O' CHECK DATE: 06/18/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 36960945 891.39 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 36960945 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8,100.00 31 0531-2014 06-26-2014 891.39 ACTIVITY DESCRIPTION PAYMENTS/CREDITS ........... ................................ ................... ............. X. PAYMENT RECEIVED THANK YOU 483.31 Xx X,*: ........ RETAIL FUEL PURCHASES ....... ................... ..... xxx, MONTHLY CARD CHG ..........................X.......... .... ... . ... ...... ............................. ............ ................. YOUR SAVINGS FROM DISCOUNTS THIS PERIOD $0.98 I... ....... ...... ............. ................ ... ................X-X-X.X-:-:-: ........................ .................... .......... REMINDER .............. ......... ...... PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH ...................................... .................................. ......... PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT ......................... ................................. PORTION OF THE REMITTANCE STUB. ................... ................................... ....................... ...... .................... .................. .............. ................................. ... ........... .......... ... ....... ................. .......... .............................. .............................. x ............ ........... ........... X., ........... .................................. ................. .............................. ....... ................................. ....... ..................... ... .......................... .......................... ... ......... ............ ........ ......... ......... .............. x.............. ...... ....................................... ....... ....................................... ...... ...... ................ ............. ... ................ .X.:.X:::.......................*-."'*".*- .................................. ............................ ................. --PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE-MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT PREVIOUS BALANCE I (-)PAYMENTS I (+)PURCHASES I (+)DEBITS I MCREDITS I (+)LATE FEE I (=)NEW BALANCE 483.311 483.311 830.391 22.001 0.001 39.001 891,391 $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 Tothe Balance subjecttolate FEDERAL TAX ID: 84-1425616 applying a monVy periodic rate of PERCENTAGE RATE of fee for this period which is 2.249 % 26.99 % 1,238.69 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. -------- TO ENSURE PROPER CREDIT TWITH YOUR PAYMENT ,_T9AR AT PERFORATION AND INCLUDE BOTOM PORTION----------------------- 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 online payments. and binding. 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; -u--an�tso _^ — 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) To make a one-time electronic payment go to: • Fax to 1-800-395-0809,or http://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. J ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 05-31-2014 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 -17.89 0.00 FEDERAL E85 97.720 322.38 0.18300 -30.170.00 FEDERAL GASOLINE 164.832 575.95 0.18300 . .. :. ' .�...I.....EE.:.?.i. ' 5 <7E' i E $ E ' ` . .i i ii E ' . ` .. . • .3 ..: . ...........i i E .............................. ... .... . .... < . $ ........i.i..`. .. IN 356000972 0.00 15.64 STATE EXCISE E85 97.720 322.38 0.16000 —18.90 0.00 STATE SALES E85 97.720 322.38 0.07000 :::.:•::;:.:..:.:::..:.:::...;..:.,;....:: : :::::;:: ::::::::::::::::::::::::::::::i:::;:::::::::::::::::::;::;:i::::'5:::::i<::. :::.:;:::::::::;::::::::;::::::;::;::;....;•.:..: .:::::::::;:........::::::::;::::::;:::;::;::;::;::::::;;::;;::;;::;:::;:;::::::;::;:::;:: ::;::;;::::;::;::;::;::;;::;::;::iS:;::::::::::::::::::::::;ii::s::::::::::::::>:::::::::::::::::::::'i::k:;:;::::::: :;:::::;;::: #AL.�i.>:>;:>;»»»::>:<:»»»»»::>::»:..........................:>::»::>::»::>::>::::::::>:::.........1.$..BD:::>::::>::>::>::>::>::>::>::>:::<:»:::f5i 4::::<:::>::>::»::>:<:»:::::>: ::::::::::::»::>::>::>::>:z<z:s:<::<::<:>::>::>::>::::»::>:::<:»:<:>:«:::::<:::>::>:«:>:<:>:<::>.:::>:.....:>::>:>::<:::;»>:....:>::>::....»;:.;>s»::»;::s»::>::>:::;:>::»:<:>::»::>::>: ........................................................................................................................................................................................................................................................................................................................................................ ACCOUNT TOTALS -66.96 15.64 I • (c)WFX INC.2014 PAGE 1 MAQ i FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 36960945 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE OF 2 ACCOUNT NUMBER CREDIT LIMIT I DAYS THIS PERIOD I BILL CLOSING DATE I PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8100.00 31 0S-31-2014 06-26-2014 891.39 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ DISCOUNT ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0004 NQ 005 404 05-07-2014 06:34 HABOUSH,DAVE 42,928 UNL 15.282 3.599 55.00 55.00 IL 002433 05-07-2014 10:05 HABOUSH,DAVE 43,129 UNL 12.436 3.459 43.02 43.02 IL 002 424 05-10-2014 01:42 HABOUSH,DAVE 43,505 UNL 22.855 3.369 77.00 77.00 IP 099 660 05-10-2014 07:32 HABOUSH,DAVE 43,867 UNL 21.000 3.400 71.40 71.40 IP 098 717 05-10-2014 11:33 HABOUSH,DAVE 44,102 UNL 15.530 3.580 55.60 55.60 CARD SUBTOTALS 87.103 302.02 0007 MH 001 074 05-02-2014 08:39 SMITH,KEITH 31,567 E85 21.920 3.289 -0.22 72.10 72.10 MH 001 074 05-10-2014 17:49 SMITH,KEITH 31,846 E85 25.010 3.289 -0.25 82.25 82.25 MH 001 074 05-18-2014 17:25 SMITH,KEITH 32,080 E85 24.790 3.289 -0.25 81.53 81.53 MH 001 074 05-27-2014 16:51 SMITH,KEITH 32,336 E85 26.000 3.289 -0.26 85.52 85.52 CARD SUBTOTALS 97.720 -0.98 321.40 4551 NQ 005 404 05-07-2014 06:34 VANVOORST,BOB 29,749 UNL 17.027 3.599 61.28 61.28 IL 002433 05-07-2014 10:05 VANVOORST,BOB 29,939 UNL 12.728 3.459 44.03 44.03 97 069 235 05-10-2014 08:15 VANVOORST,BOB 30,229 UNL 20.185 3.399 68.61 68.61 97 068 243 05-10-2014 15:11 VANVOORST,BOB 30,687 UNL 27.789 3.599 100.01 100.01 CARD SUBTOTALS 77.729 273.93 TOTAL PURCHASES 262.552 -0.98 897.35 Y-T-D PURCHASES 1,066.731 -8.95 3,466.83 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 4 321.40 NQ 005 404 BP 408 HWY 149 N EARLE AR 72331 2 116.28 97 068 243 EXXONMOB 4701 W KEISER ST OSCEOLA AR 72370 1 100.01 IL 002433 LOVES 116 RON HERROD RD PRESCOTT AR 71857 2 87.05 IL 002424 LOVES 1811 S MISSISSIPPI ATOKA OK 74525 1 77.00 IP 099 660 SHELL 26075 HIGHWAY 17 WAYNESVILLE MO 65583 1 71.40 97 069 235 EXXONMOB 2105 S GOLIAD ST ROCKWALL TX 75032 1 66.61 IP 098 717 SHELL 1702 W EVERGREEN AVE EFFINGHAM IL 62401 1 55.60 PRODUCTS: E85=ETHANL85 UNL=UNLEADED FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank �f,6p15 IN SUM OF $ i P.O. Box 6293 Carol Stream, IL 60197 $891.39 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 36960945 42-314.00 $891.39 ,I I hereby certify that the attached invoice(s), or 04k-_ bill(s) is.(are)true and correct and that the o0—7111bZR-j(� materials or services itemized thereon for which charge is made were ordered and received except JUN 16 2014 I Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 36960945 $891.39 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 5-11-10-1.6 120 Clerk-Treasurer