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Home My WebLink About187675 07/21/2010 f CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES CARMEL, INDIANA 46032 0453 -00- 7946296 CHECK AMOUNT: $756.41 PO Box 6293 CHECK NUMBER: 187675 CAROL STREAM IL 60197 CHECK DATE: 7121/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 23270640 756.41 GASOLINE F LE E T V'I INVOICE /STATEMENT INVOICE NUMBER: 23270640 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 .00 30 06 3 1 -2010 07 -26 -2010 756.41 ds DATE 3 a ACTIVITY DESCRIPTION CHARGES /DEBITS'; PAYMENTS/CREDITS r y 331 OCr,14 2010 PAYMENT RECEIVED THANK YOU 576.85 06-30 -2010 RETAIL FUEL PURCHASES -74241= QCMqO-201 GJU MONTHLY CARD CHG „14 4 REMINDER r PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT E x" PORTION OF THE REMITTANCE STUB. b9 T" u x p 'per M 1 P Fy Y 4 X% 1 rk vf r ir ay ei PURCHASES, RETURNS AND PAYMENTS MADE'JJST r T O BILLING'DATE- NOT APPEAR -UNTIL THE 'NEXT INVOICEISTATErAENT PREVIOUS BALANCE )PAYMENTS +}PURCHASES +)DEBITS (-]CREDITS I +)LATE FE =)NEW BALANCE 576.85 576.85 742.41 14.00 0.00 0.00 756.41 $10.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexoniine_Cofn CALL CUSTOMER SERVICE TO PAY 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 Deriod which is 2 .00 24.00 0.00 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. TO ENSURE PROPER CREDIT TEAR AT PERFORATION AND ENT PORTION WITH YOUR T B INCLUDE BOTTOM UR PAYM INCLUDE O TOM---- -URPAYM 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 billing: http://www.e- fleet.com 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 -800- 395 -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 DE=PARTMENT CLOSING DATE: 06 -30 -2010 ACCOUNT NO: 0453 -00- 794629 -6 FLEET SERVICES DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SO 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 -66,05 0.00 FEDERAL. E85 360.950 797.54 0.18300 -4.95 0.00 FEDERAL GASOLINE 27.050 65.22 0.183CC -'100 IN 356000972 0.00 4.87 STATE EXCISE GASOLINE 27.050 65.22 0.18000 -47.87 0.00 STATE SALES E85 360.950 797.54 0.07000 -1.48 2.14 STATE SALES GASOLINE 27.050 65.22 0,07000 IN STATE OTALS ACCOUNT TOTALS 420135 7.01 10 WRIGHT EXPRESS CORPORATION 2010 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 23270640 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 30 06 -30 -2010 07 -26- 2010 756.41 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0001 MH 001 073 05 -30 -2010 14:05 SMITH, KEITH 14,500 E85 12.940 2298 29.74 29.74 MH 001 080 06-05 -2010 15:22 SMITH, KEITH 14,500 E85 13.300 2298 30.57 30.57 MH 001 078 06-09 -2010 20:26 SMITH, KEITH 14,500 E85 15.380 2198 33.81 33.81 MH 001 078 06-12 -2010 18:34 SMITH, KEITH 14,500 E85 15.510 2199 34.10 34.10 CARD SUBTOTALS 57.130 128.22 0002 MH 001 074 06-01 -2010 0941 HULETT, MARK 6RO04 LINE 10.120 2599 26.30 26.30 MH 001 078 06-05 -2010 16:15 HULETT, MARK 68,484 E85 12.610 2300 29.00 29.00 MH 001 078 06-10 -2010 14:12 HULETT, MARK 6$857 E85 9.140 2199 20.10 20.10 MH 001 074 06-14 -2010 12:36 HULETT, MARK 69,067 E85 13.050 2.199 21170 28.70 MH 001 078 06 -16 -2010 15:05 HULETT, MARK 69,272 E85 13.280 2.199 29.20 29.20 MH 001 074 06-22 -2010 02:26 HULETT, MARK 69,480 E85 12.910 2.200 20-40 28.40 MH 001 074 06-24 -2010 16:55 HULETT, MARK 69,662 E85 12.280 2200 27.01 27.01 MH 001 078 06-27 -2010 17.06 HULETT, MARK 69,894 E85 14.670 2198 3225 3215 CARD SUBTOTALS 9EL060 220.96 0003 NU 002 504 06-04 -2010 11:15 STEELE, JEFF 12,449 UNL 16.930 2299 38.92 38.92 MH 001 136 06-22 -2010 22:29 STEELE, JEFF 13,193 E85 24.350 2199 53.54 53.54 MH 001 095 06-25 -2010 22:46 STEELE, JEFF 13,465 E85 23.270 2199 51.16 51.16 MH 001 074 06-28 -2010 20:39 STEELE, JEFF 13,724 E85 23610 2199 51.92 51.92 CARD SUBTOTALS 88 -160 195.54 0004 MH 001 075 06-13 -2010 09:39 HABOUSH, DAVE 26,499 E85 23.020 2.199 50.62 50.62 -ro1H 001'074 06=12 -20111 13:26 HABOUSH, DAVE 26;746 E85 22.500 2199 49.41 49.4J MH 001 074 06-23 -2010 14:05 HABOUSH, DAVE 27,080 E85 15.430 2.200 33.94 33.94 MH 001 074 06-26 -2010 09:52 HABOUSH, DAVE 27,250 E85 16.290 2198 35.81 35.81 CARD SUBTOTALS 77.240 169.84 0007 MH 001 154 06 -14 -2010 07:52 SMITH, KEITH 93,970 E85 23.820 2199 52.37 52.37 MH 001 154 06-17 -2010 07:45 SMITH, KEITH 94,237 E85 22.410 2199 49.27 49.27 MH 001 154 06-19 -2010 20:17 SMITH, KEITH 94,466 E85 21.180 2198 46.56 46.56 CARD SUBTOTALS 67.410 14820 TOTAL PURCHASES 3$8.000 862.76 Y -T -D PURCHASES 1,816.553 4,23727 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 8 281.55 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 6 178.46 MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 3 148.20 MH 001 136 MEIJER 10501 HEARTLAND BLVD CAMBY IN 46113 1 53.54 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 1 5116 MH 001 075 MEIJER 11349 E WASHINGTON INDIANAPOLIS IN 46229 1 50.62 NU 002 504 FDCIM 545 SOUTH RANGELINE CARMEL IN 46032 1 38.92 MH 001 080 MEIJER 6630 SCATTERFIELD RD ANDERSON IN 46013 1 30.57 MH 001 073 MEIJER 5347 PIKE PLAZA RD INDIANAPOLIS IN 46254 1 29.74 PRODUCTS: E85= ETHANI85 UNL= UNLEADED FLEET SERVICES This page is intentionally left dank. CYCLE /04 SEO/00471 FILE /WEX_HP-WEX_4 LOTI.EXP 4 ATTN DENISE SNYDER CARTEL 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 $756.41 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 23270640 42- 314.00 $756.41 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 J UL 19 2010 r l 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)) 23270640 $756.41 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