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Home My WebLink About184070 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $481.17 CARMEL, INDIANA 46032 0453 00-7946296 PO BOX 6293 CHECK NUMBER: 184070 CAROL STREAM IL 60197 CHECK DATE: 4/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 22491168 481.17 0453 -00- 794629 -6 FLEET SERVICES INVOICE /STATEMENT INVOICE NUMBER: 22491168 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 6 000.00 31 03 31 2010 04 2010 481.17 „DATE ACTIVITY DESCRIPTION CHARGES/DEBITS, PAYMENTS /CREDITS '""'1 03`23 K PAYMENT RECEIVED THANK YOU 737.14 r 03 31 2010 RETAIL FUEL PURCHASES 467,17 03 '31-2019 MONTHLY CARD CHG 1400 REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. r� s 42 s •z NEW PAY -BY -PHONE OPTION! CALL CUSTOMER SERVICE AND SELECT BILLING INQUIRIES. `t SEE DETAILS ON BACK OR GO TO WWW.FSOLNEWS.COM/PHONEPA L t Kx Y` J t� 13 w 1 41; i 3 s. ,filers. s PURCHASES- RETURNS Apia PAYPAFNT,S MA DIE- IUST.PRIOR TO.RU_!_ING. DATE MAY. rICtT APPEAR UNT:I_ THE-NEXT INVOICE /STATEMENT PREVIOUS BALANCE (-)PAYMENTS +)PURCHASES DEBITS )CREDITS +)LATE FE =)NEW BALANCE 737.14 737.14 467.17 14.00 0.00 0.00 481.17 $10.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonlinexom CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 84- 1425616 The Late Fee is determined by Which is an ANNUAL To the Balance subject to late applying a monthly periodic rate of PERCENTAGE RATE of fee for this period which is 2.00 24.00 0.00 SEE REVERSE SIDE FOR MORE 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 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. In the avoid late fees. Mail payments to: event that the calculated late fee is less than ten dollars ($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 www.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 biliing: http:h'vv%Yw.e- fieet.coni 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 1 -000 -095 -0809, or ACH payment. Mail to P.O. Box 639, Portland, ME 04104 Be sure to include your account number on all correspondence. ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 03-31 -2010 ACCOUNT NO: 0453 00-794629 -6 FLEET SERV 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 -33.12 0.00 FEDERAL E85 181.000 426.90 0.18300 ADD IN 356000972 -25.77 0.00 STATE SALES E85 181.000 426.90 0.07000 IN`STATE TOTALS. X577_ .000 m ACCOUNT TOTALS -5889 0.00 i f 1 (c) WR16HT EXPRESS CORPORATION 2010 PAGE I FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 22491168 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DA7 PAYMENT DUE DATE AMOUNT DUE 0453 -00- 794629 -6 6000.00 31 03 -31- 2010 0426- 2010 481.17 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0001 MH 001 078 02 -27 -2010 13:11 SMITH, KEITH 14,500 E85 4.270 2356 10.06 10.06 MH 001 078 03 -06 -2010 12:44 SMITH, KEITH 14,500 E85 6.750 2.360 15.93 15.93 MH 001 078 03 -20 -2010 15:57 SMITH, KEITH 14,500 E85 12.850 2358 30.30 30.30 CARD SUBTOTALS 23.870 5629 0002 MH 001 078 02 -26 -2010 15:14 HULETT, MARK 62.594 E85 13.440 2359 31.70 31.70 MH 001 078 03-03 -2010 22:14 HULETT, MARK 62,785 E85 11.280 2358 26.60 26.60 MH 001 154 03 -06 -2010 19:36 HULEIT, MARK 63.025 E85 13.510 2358 31.86 31.86 MH 001 078 03-13 -2010 11:07 HULETT, MAIIK 63,453 E85 12.570 2359 29.65 29.65 MH 001 078 03-27 -2010 15:24 HULETT, MARK 61,295 E85 14.310 2356 3375 33.75 CARD SUBTOTALS 65.110 153.56 0003 GI 001 065 03-02 -2010 18:56 STEELE, JEFF 10,592 FUL 21.195 2359 50.00 50.00 MH 001 074 03-05 -2010 11:07 STEELE, JEFF 10,665 E85 11.160 2.369 26.33 26.33 MH 001 154 03 -14 -2010 18:21 STEELE, JEFF 10,887 E85 21.910 2359 51.68 51.68 GI 001 065 03-24 -2010 07:58 STEELE, JEFF 11,050 FUL 20.839 2359 49.16 49.16 CARD SUBTOTALS 75.104 177.17 0004 MH 001 074 03-04 -2010 08:20 HABOUSH, DAVE 23.074 E85 18.510 2359 4366 43.66 CARD SUBTOTALS 18.510 43.66 0007 MH 001 154 03-07 -2010 17:18 SMITH, KEITH 87,348 E85 21.480 2358 50.66 50.66 Mll, -0 754 O -i 03:2C ":!'i;'., KEITH aa,7 ECS 1a9co 2:59 4:.72 44..,'2 CARD SUBTOTALS 40.440 95.38 TOTAL PURCHASES 223.034 526.06 Y -T -D PURCHASES 908.778 2,16237 SITES USED THIS MONTH NO. PURCHASES TOTAL AMOUNT Location No. Brand Street City State Zip MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 4 178.92 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 7 177.99 GI 001 065 CRYSTAL FLAS 545 SOUTH RANGELINE CARMEL IN 46032 2 99.16 MH 001 074 MEIJER 1426 W CARMEL DR CARMEL IN 46032 2 69.99 PRODUCTS: E85= ETHANL85 FUL =FUL OTH FLEET SERVICES This page is intentionally left blank. s CYCLE /04 SEa /00484 FILE /WEX_HP-WEX 4 LOT1.EXP 4 ATTN DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 46032 -2584 VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 $481.17 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 22491168 42- 314.00 $481.17 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 APR 12 2010 /j 5 V' Fire Chief 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)) 22491168 $481.17 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