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Home My WebLink About238286 10/21/14 �°._CAHgI \.� CITY OF CARMEL, INDIANA VENDOR: 366015 ® �l ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $*******212.67* r. a CARMEL, INDIANA 46032 Po Box 6293 CHECK NUMBER: 238286 9�;,�TON�. CAROL STREAM IL 60197-6293 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 38278741 212.67 0496-00-138002-1 Invoice Statement INVOICE NUMBER: 38278741 ® 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 30 SEP-30-2014 OCT-24-2014 212.67 j0. E ; ACTIVITY DESCRIPTION ROiE81iS PAYMENTS/CREDITS .2ta3 :': PAYMENT THANK YOU 149.39 . <iSEP3}3E3�'4 >: FUEL PURCHASESN. >`:` 12T REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL T THE E ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE CE STUB. Submitted To OCT 4 01 0 2 Clerk Treasurer .......... 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 =NEW BA CE_ 149.39 149.39 212.67 0.00 0.00 0.00 212.67 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 % 26.99 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. 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.wextools.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,you 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 1-866-5444715,or • Fax to 1-800-395-0809,or • Mail to P.O.Box 639, Portland,ME 04104 Be sure to include your account number on all correspondence. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 SEP-01-2014 TO SEP-30-2014 Purchase Activity Report PAGE1 OF 2 RIP :ail�i f�:Sf ::><::<::.... ... lRty.N.. 1( llGl .t A5S£. uH1L .pESr" 0006 JEFF BARNES IN DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL! . OTHER EXEMPT NET$ REPORTED EXC. MM-DD INFO CODE UNIT $: TAX TAX CODES PREVIOUS ODOMETER 2,340 08-29 05:04 545 S Range Line Carmel IN 1 Driver OP 2,340 SUP 17.250 3.919 67,61 3.16- 64.45 6.85- 09-09 11:28 545 S Range Line Carmel IN 1 Driver OP 2,340 SUP 19.630 3.859 75.79 3.59- 72.20 7.50- 09-17 11:30 545 S Range Line Carmel IN 1 Driver OP 2,340 UNL 23.340 3.439 80.29 . 4.27- 76.02 8.91- ::::i::i::%YiXYi::i':::i::::i?i::ii:iif:S:iiii':ii:+v:'n':i d� ii? .p. Ji i:?>iiiii:: `1fy'G1:; :5>s'> .3.8 .. :r>:<::<:?:::z::<:s::::>::».....::>::>:z::::<::::::::<::::::::.::::».. :: ::»::>::::>>:«:»::»>::>:<::<:::»::>::>594$ft:::»::>::::>::::>:::::<:>::>::»::::::>::>::::::>:'2'2$7>$+3:::::>::>::r>is::>::>:::::::.....1 G.,$6.............. :: ::::.................................................................................................................................................................................................................. PERIOD AVERAGE:PPU "'`" 3.715 YTD AVERAGE:PPU """ 3.752 TO ENSURE MORE AC CURAT MILEAGE REPOR ING,VEHICLE DISTANCE 3TATISTICS A E NOT CALCULATED WHEN KEY C DOME1 ER READIIN GS ARE MOT WITHIN N ACCEPTA BLE RANGE. i i i TRANSACTION CODES: OF=Outdoor Payment Terminal This page is intentionally left-blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 SEP-01-2014 TO SEP-30-2014 Financial Summa PAGE OF 2 _ DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES& QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES ACCOUNT TOTALS Unleaded Super 143.40 6.75- 136.65 Unleaded Regular 80.29 4.27- 76.02 X. PERIOLY................1. .................................................................. t10........................223£sg....:..:.......................... ..........................................................6.... ...................................... XXXXI,xxx; >'>>2'l0 1 ?' ACCOUNTS RECEIVA 3LE SUMMARY-Invoice 382 8741 PREVIOUS BALANCE 149.39 PAYMENTS 149.39- PURCHASES 212.67 DEBITS 0.00 CREDITS 0.00 ANCILLARIES 0.00 ------------- AMOUNT DUE 212.67 I This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 0 SEP-01-2014 TO SEP-30-2014 Site Summa PAGE OF 2 BRAND ADDRESS CITY STATE/ POSTAL NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$ PROVINCE CODE TRANS TAX SHELL 545 S Range Line Rd Carmel IN 46032 3 60.220 223.69 11.02- 212.67 i::::::::ii::::i::::: ::i: :::: ::': 3i<S<::i::j ::::i::::::::::::i::::i<::::i:l::iiia:�ria ................ ........:..... .................�lS4Kk4�l........ ........ A?� ... Yi44. 1.1fa�A ...........i.. i+ .. MOO r This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: NO City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 SEP-01-2014 TO SEP-30-2014 Tax Summary PAGE OF 2 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE FEDERAL 356000972 JUN-18-2012 -4.27 Federal Excise Gasoline 23.340 80.29 0.18300 -6.75 Federal Excise .G...a..s..o..l.i.n..e...U..n..b...le..n..d..e..d..............................36i.880: 143..40 0.18300 E::::::::: E : :...Q :T. E........... : IN 356000972 JUN-18-2012 -4.20 State Excise Gasoline 23.340 80.29 0.18000 -6.64 State Excise Gasoline Unblended 36.880 143.40 0.18000 -4.71 State Sales Gasoline 23.340 80.29 0.20200 -3.97 State Sales Gasoline Unblended 19.630 75.79 0.20200 -3.74 State Sales Gasoline Unblended 17.250 67.61 0.21700 N:ST/kEt13lA"::::.<::ii:5< :«ii:iiE::>: .:>###>:j ::..........:::::<`<::i:::::::i::i:::::::>:::>::::::i::ii:::i::::>:::i:::i::::::isii»»3?E:><:>isisii:::is :::.,::.:iiiiiiz:i>i: ::>:::<::i:::i>::::::i::i::i: <:>:il:XESE:::: isi«>i<iiia:> s:i:i:::i:::::i»':::iii< ii:i:::i:::i::::::i::<:<#"•`i':<::i>::iii:::::is::::::::::::::i: 326.................................................................. ....... ............................ .... ......... ............................................................ ACCOUNT TOTALS -11.02 -23.26 I This page is intentionally left, blank. i VOUCHER NO. WARRANT NO. ALLOWED 20 -Fiezt'5eralees IN SUM OF$ PO Box 6293 v i Carol Stream, IL 60197-6293 $212.67 ON ACCOUNT OF APPROPRIATION FOR i Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 38278741 I 42-314.00 I $212.67 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, October 20, 2014 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)) 09/30/14 38278741 $212.67 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