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Home My WebLink About237094 09/16/14 CITY OF CARMEL, INDIANA VENDOR: 366015 ® i ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $**" *'*530.49• CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 237094 CAROL STREAM IL 60197.6293 CHECK DATE: 09/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 37955768 530.49 GASOLINE FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 37955768 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-79462M 8,100.00 31 0 09-26-2014 530.49 . ......... ACTIVITY DESCRIPTION ....9". " PAYMENTS/CREDITS...... .............. .... ..... ................. 805.86 PAYMENT RECEIVED-THANK YOU RETAIL FUEL PURCHASES MONTHLY CARD CHG ...... ... ...... YOUR SAVINGS FROM DISCOUNTS THIS PERIOD $1.88 .... ..... ...... .... ...... ..... ....... .... ....... ..... ...... .... REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. ............... ................ .... .......... .......... PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT PREVIOUS BALANCE (-)PAYMENTS (+)PURCHASES (+)DEBITS (-)CREDITS I (+)LATE FEE I (=)NEW BALANCE 805.861 805.861 508.491 22.001 0.001 0.001 530.49 $39.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonline.com CALL CUSTOMER SERVICETOPAY 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 B0170M PORTION V41TH 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.menri option for Billing The.card isissued and payable to_WEX Bank under.a Business inquiries.In addition to scheduling a payment,yoy 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 • Fax to 1-800-395-0809,or • Mail to P.O.Box 639, Portland,ME 04104 Be sure to includ+ your account number on all correspondence. ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 08-31-2014 FLEET SERVICES ACCOUNT NO: 0453-00-794629-6 I 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 -34.43 0.00 FEDERAL E85 188.160 585.63 0.18300 HE13E1giA ' >'�At:;3.:::>::::>::::>::::>::::>::::>::»>::»%s::::::::::::::s::::::.....::::<::<>::::<::>»::>::::::::>::>::>:z::::::::•`:::::::'>::: ;#3:::;:::> :::z::::: ::::::::>::>:�t<00:>:::>::>::::><::'>::::>:X.<:>::>:'>::::>:::>:<:;:::::;::::::::<::>::>::::<:>::::»:::<zs»::»:s::>:'>::»::::>::::::::::>:<:::::»::::>::>:::::::::>'::: t►:>:z:<:»>::::s:::55x83::<::::>::? >:>:::<':<><::>:: .........................................................................................................................................................:......................:.............................:.::::..................................::..................::........................................................................ IN 356000972 0.00 30.11 STATE EXCISE E85 188.160 585.63 0.16000 -40.83 0.00 STATE SALES E85 188.160 585.63 0.21700 a'3' # `>..' '%% :tl'<s'1;? ''.' r'''`%%#'.'• :' E `•? i% < ::: '. : '<YE z%% i? ::: `:: r % ..:..:................:..............:..........:......:....:::..:.................:....... > ':> '>>: ><:`:•`:> >:?`:> >'.>'>: >> »»: >>?»i» ::> ..........................:... .. ......... ................. ........ ..........................................................::::: ........ ... :..:::............ ACCOUNT TOTALS -75.26 30.11 s- N®R i (c)WEX INC.2014 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 37955768 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-0 8100.00 31 08-01 2014 09-26 2014 530.49 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ DISCOUNT ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0004 MH 001 095 08-05-2014 15:57 HABOUSH,DAVE 47,510 E85 24.130 3.088 -0.24 74.52 74.52 MH 001 076 08-17-2014 12:36 HABOUSH,DAVE 47,682 E85 17.070 3.088 -0.17 52.72 52.72 MH 001 095 08-21-2014 08:14 HABOUSH,DAVE 47,943 E85 23.890 3.089 -0.24 73.79 73.79 CARD SUBTOTALS 65.090 --0.65 201.03 0007 MH 001 074 08-04-2014 11:14 SMITH,KEITH 35,494 E85 25.730 3.188 -0.26 82.04 82.04 MH 001 095 08-08-2014 15:16 SMITH,KEITH 35,779 E85 24.940 3.089 -0.25 77.03 77.03 MH 001 074 08-16-2014 13:32 SMITH,KEITH 36,029 E85 24.130 3.090 -0.24 74.55 74.55 MH 001 074 08-20-2014 13:10 SMITH,KEITH 36,290 E85 24.040 3.089 -0.24 74.25 74.25 MH 001 074 08-25-2014 08:18 SMITH,KEITH 36,528 E85 24.230 3.089 -0.24 74.83 74.85 CARD SUBTOTALS 123.070 -1.23 382.72 TOTAL PURCHASES 188.160 -1.88 583.75 Y T-D PURCHASES 1,637.043 -15.51 5,263.15 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 4 305.69 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 3 225.34 MH 001 076 MEIJER 72 N SR 135 GREENWOOD IN 46142 1 5272 PRODUCTS: E85=ETHANL85 FLEET SERVICES This page is intentionally left blank. i VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank IN SUM OF$ P.O. Box 6293 Carol Stream, IL 60197 $530.49 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 37955768 42-314.00 $530.49 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 E-P 1 5 9-11 , Fire Chief Title Cost distribution ledger classification if i claim paid motor vehicle highway fund L 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)) 37955768 $530.49 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