The URL can be used to link to this page

Home My WebLink About183176 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 4 ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $737.14 j CARMEL, INDIANA 46032 0453 -00- 7946296 TON PO BOX 6293 CHECK NUMBER: 183176 CAROL STREAM IL 60197 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 1120 4231400 22256444 737.14 GASOLINE _SLEET SERVICES INVOICE /STATEMENT INVOICE NUMBER: 22256444 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 6,000.00 28 02 -28 -2010 03 -26- 2010 737.14 DATE", *v ACTIVITY DESCRIPTION CHARGESIDEBITS PAYMENTSICREDITS Q2 X 19 -2010 PAYMENT RECEIVED THANK YOU 709.75 02 26 2010 0 RETAIL FUEL PURCHASES 72314' 02 26 -2010 MONTHLY CARD CHG 1400 REMINDER' PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT w a PORTION OF THE REMITTANCE STUB. X effxxx..• .1.s ..............f ..f.f. xxx.............. ARE YOU RECEIVING OUR CUSTOMER EMAIL UPDATES GO TO WWW.MYFLEETEMAIL.COM TO ENTER YOUR EMAIL ADDRESS GET IMPORTANT ACCOUNT NOTIFICATIONS, NEW PRODUCT AND SERVICE ANNOUNCEMENTS, EXCLUSIVE OFFERS, AND MORE. R ''ta q m4 WWW.MYFLEETEMAIL.COM W. k R3 ray? dE Fp t jTx d x2 'd=. PURCHASES. RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT PREVIOUS BALANCE )PAYMENTS +)PURCHASES +)DEBITS I )CREDITS I +)LATE FE }NEW BALANCE 709.75 709.75 723.14 14.00 0.00 0.00 737.14 $10.00 MINIMUM LATE FEE PAY ONLINE AT::±nrtww,exCrline.Com FEDERAL TAX ID: 84- 1425616 The Late Fee is determined by Which is an ANNUAL To the Balance subject to late a f i no a monthly eriodic rate of PERCENTAGE RATE of fee for this period which is 0 .00 Balance Subject to Late Fee Payment Options The fate 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 any payments andlor 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. In the avoid late fees. Mail payments to: event that the calculated late fee is less than ten dollar4- ($10.00), Fleet Services a minimum late fee of ten dollars ($10.00) will be charged. PO Box 6293 Your Account will be delinquent if you do not pay it in full within Carol Stream, IL 60197 -6293 26 calendar days of the billing date appearing on your invoice. Online Certain customers, based upon our credit review, may be required Authorized users can elect to receive an email ;notification when an to make payment in less than 26 calendar days on a cycle that we invoice is ready for online viewing and payment. Log in or register to may establish for you. In addition, certain customers may elect a set up an online account at wvwv.wexonline.com. shorter billing or payment cycle as offered by us. Online payments scheduled by 3:00 PM ET (on business days) If your payment due date falls on a non business day, payment is are credited to your account on the same day. There is no fee for due on the business day before the payment due date. Delinquent online payments. Accounts will be subject to late fees, suspension, or termination of credit privileges, without notice. All charges must be paid in Phone full regardless of disputes. Charges must be disputed in writing Call Customer Service at 1- 888 -387 -5665 and select the menu no later than sixty (60) days from the billing date or they will be option for Billing Inquiries. In addtion to scheduling a payment, you considered final and binding. can also check your balance. Card Issuer Payments scheduled by 3:00 PM ET (on business days) The Fleet Services Card is issued by, and all card transactions are credited to your account on the same day. are funded by and payable to, Wright Express Financial Services Be prepared with your fleet card account number and a sample Corporation, under a Business Charge Account Agreement with check to enter your bank account number and routing number. the cardholder named on the reverse. There is no fee For phone payments. Customer Service Automated Clearing House (ACH) For account Inquiries and correspondence in regard to account To make a one -time electronic payment go to: service or bifiing: http:h ",rw.e- f ;eet.comm, Call 1- 888 -387 -5665, or ACH payments scheduled by 2:30 PM ET (on business days) are credited to your account on the same day. There is a fee for each Fax to i- 800 -395 -0809, or ACH payment. Mail to P.O. Box 639, Portland, ME 04104 Be sure to include your account number on ?11 r_orrespondenc?. s a r..- ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 02 28 -2010 ACCOUNT NO: 0453=00-754629 -6 FLEET SER 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 GLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 48,70 0.00 FEDERAL E85 266.020 627.48 0.18300 -12.41 0.00 FEDERAL GASOLINE 57 761 164 57 018300 11 FEDERAL TO 1 ALS %•81.11 0OD =781', 74206 IN 356000972 0.00 12.19 STATE EXCISE GASOLINE 67.761 164.57 0.18000 -37.87 000 S T ATE SALES E85 266.020 627.46._ 0.07000 -9.15 0.00 STATE SALES GASOLINE 67,761 164.57 0.07000 1NiSTATE T.OTACS �4T.02 i `121.9: ACCOUNT TOTALS 108.13 12.19 H WMGHT EXPRESS CORPORATION 2010 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 22256444 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 -6 6000.00 28 02 -28 -2010 03- 26- 2010 737.14 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0001 MH 001 078 01-30 -2010 13:24 SMITH, KEITH 14,500 E85 9.470 2358 22.33 22.33 MH 001 078 02 -06 -2010 11:44 SMITH, KEITH 14,500 UNL 12.020 2.639 31.72 31.72 MH 001 078 02 -07 -2010 11:35 SMITH, KEITH 14,500 E85 17.740 2.359 41.84 41.84 MH 001 078 02 -11 -2010 17:05 SMITH, KEITH 14,500 E85 19.020 2.359 44.86 44.86 MIA 001 078 02 -16 -2010 19:01 SMITH, KEITH 14,500 E85 14.920 2359 35.19 35.19 CARD SUBTOTALS 73.170 175.94 0002 MH 001 078 G1 -28 -2010 17:18 HULETT, MARK 61.518 E85 14.460 2358 34.10 34.10 MH OU7 074 02 -03 -2010 06:55 HULETT, MARK 61,753 E85 13.750 2.360 32.45 32.45 MH 001 078 02 -05 -2010 15:10 HULETT. MARK 61,954 E85 12340 2.359 30.05 30.05 MH 001 078 02 -11 -2010 12:09 HULETT, MARK 62,197 E85 14.200 2359 33.50 33.50 MH 001 074 02 -23 -2.010 12:44 HULETT, MARK 62,388 E85 '12.400 2,359 29.25 29.25 CARD SURTOTALS 67.550 159.35 0003 MH 001 074 01 -29 -2010 08:01 STEELE, JEFF 9,t3<1S E85 8.020 2.359 1892 18.92 GI 001 065 02 -04 -2010 09:09 STEELE, JEFF 9,946 SUP 13.526 2.399 32.45 32.45 GI 001 065 02 -08 -2010 07:02 STEELE, JEFF 1QO73 FUL 16.348 2399 39 -22 39.22 GI 001 065 02-15-2010 07:07 STEELE, JEFF 10,230 SUP 20.308 2.399 48.72 48.72 GI 001 065 02 -22 -2010 07 :14 STEELE, JEFF 10,427 SUP 21.907 2359 51.68 51.68 CARD SUBTOTALS 80.109 190.99 0004 MH 001 074 02 -02 -2010 19:19 HABOUSH, DAVE 22,140 E85 21.680 2.358 51-13 51.13 MH 001 074 02 -11 -2010 07:58 HABOUSH, DAVE 22,361 E85 15.000 2369 35.39 35.39 MH 001 074 02 -16 -2010 07:57 HABOUSH, DAVE 22,541 E85 18.150 2.359 42.82 42.82 MH 001 074 02 -20 -2010 07:59 HABOUSI-L DAVE 22,713 E85 17.100 2.358 40.33 40.33 MH 001 074 02 -25 -2010 08:04 HABOUSH, DAVE 22,909 E85 18.450 2.359 43.52 43.52 CARD SUBTOTALS 90.380 213.19 0007 MH 001 154 02 -15 -2010 21:21 SMITH, KEITH 85,815 E85 20.840 2.359 49.16 49.16 MH 001 154 02 -18 -2010 17:58 SMITH, KEITH 86,028 E85 18.080 2358 4264 4264 CARD SUBTOTALS 38.920 91.80 TOTAL PURCHASES 350.129 831.27 Y -T -D PURCHASES 685.744 1,636.31 SITES USED THIS MONTH NO. PURCHASES TOTAL AMOUNT Location No. Brand Street City State Zip MH 001 074 MEIJER 1426 W CARMEL OR CARMEL IN 46032 8 293.81 MIA 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 8 273.59 GI 001 065 CRYSTAL FLAS 545 SOUTH RANGELINE CARMEL IN 46032 4 172.01 -PJlld001- 154 dALI:FR 17COO MERCANTILE RD NOBLESViLLE W 46060 2 91-JRO PRODUCTS: E85= ETHANL85 FUL =FUL OTH SUP= SUPER UN UNL UNLEADED FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRANT N ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 $737.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 22256444 42- 314.00 $737.14 I 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 MAR 1 51010 i Y q Fire Chief Title E Cost distribution ledger classification if d 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)) 22256444 $737.14 1 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