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Home My WebLink About188693 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 •f ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $733.40 CARMEL, INDIANA 46032 0453 -00. 7946296 PO BOX 6293 CHECK NUMBER: 188693 CAROL STREAM IL 60197 CHECK DATE: 8/18/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 23540589 733.40 GASOLINE FLEET SERVIC INVOICE/STATEMENT INVOICE NUMBER: 23540589 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 31 07 -31 -2010 08 -26- 2010 733.40 DATE ACTIVITY DESCRIPTION CHA PAYMENTS /CREDITS Ew 07 =26 2010", PAYMENT RECEIVED -THANK YOU 756.41 A702010' RETAIL FUEL PURCHASES 71940, 07 =30 2010 rz;' MONTHLY CARD CHG 1 REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. y1 d N �5 J E� a N w o PURCHASES. RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE /STATEMENT PREVIOUS BALANCE )PAYMENTS +)PURCHASES +IDEBITS (-►CREDITS I +)LATE FE I =)NEW RALANCE 756.41 756.41 719.40 14.00 0.00 0.00 733.40 $10.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonline.com 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: 841425616 applyinu a monthly riodic rate of PERCENTAGE RATE of fee for this period which is 2.0 24.00 0.00 SEE REVERSE SIDE. FOR ■Q4E.:!N' OR.MA TION;4ND- TEIIMS TO ENSURE PROPER CREDIT TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYllENT 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: hftp: /Avww.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 -000 -095 -0809, or ACH payment. Mail to PO_ Box 639, Portland, ME 04104 Be sure to include your account number on all correspondence. ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 07 -31 -2010 ACCOUNT NO: 0453 -00- 74629-6 FLEET S osk ERVICES DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 46032-2584 Tax Summary TAX JURISDICTION !D EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 -65.24 0.00 FEDERAL E85 356.460 783.79 0.18300 -3.61 0.00 FEDERAL GASOLINE 19.710 54.57 0.18300 EDERALT,OTALS >'�9885 F a 2 �pp.b 976.1701 839,x. I IN 355000972 0.00 3.55 STATE EXCISE GASOLINE 19.710 54.57 0.16000 -47.01 0.00 STATE SALES E85 355.460 783.79 0.07000 -3.10 0,00 STATE SALES GASOLINE 19.710 54.57 0.07000 'IN, S7ATE.TOTALS 3Q1i ACCOUNT TOTALS -418.96 356 I (6 WRIGHT EXPRESS CORPORATION 2010 PAGE i FLEET RVI C STANDARD REPORT INVOICE NUMBER: 23540589 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT I DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453 -00- 794629 -6 6000.00 31 07- 31- 2010 08 -26 -2010 73340 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT •0001 MH 001 078 07 -01 -2010 20:50 SMITH, KEITH 14,500 E85 10.210 2199 22.45 22.45 MH 001 078 07 -11 -2010 20:43 SMITH, KEITH 14,500 E85 19.020 2198 41.81 41.81 MH 001 078 07 -19 -2010 15:06 SMITH, KEITH 14,500 E85 23.560 2199 51.82 51.82 CARD SUBTOTALS 52790 116.08 0002 MH 001 078 06 -29 -2010 15:37 HULEIT, MARK 70.096 E85 12.600 2.198 27.70 27.70 MH 001 078 07 -05 -2010 23:46 HULEIT, MARK 70,337 E85 14.510 2198 31.90 31.90 MH 001 078 07 -10 -2010 13:30 HULETT. MARK 70,523 E85 11.830 2199 26.01 26.01 MH 001 078 07- 122010 15:04 HULEIT, MARK 70,710 E85 11.120 2199 24.45 24.45 MH 001 078 07 -15 -2010 15:51 HULEIT, MARK 70.921 1785 13.940 2.199 30.65 30.66 MH 001 078 07 -19 -2010 15:51 HULEIT, MARK 71,107 L85 11 -870 2199 26.10 26.10 MH 001 078 07 -28 -2010 23:53 HULEIT, MARK 71,723 E85 11.460 2199 25.20 25.20 CARD SUBTOTALS 87.330 19201 0003 MH 001 074 07 -02 -2010 17:35 STEELE, JEFF 13,949 UNL 19.710 2769 54.57 54.57 MH 001 154 07 -07 -2010 11:56 STEELE, JEFF 14,237 E85 20.360 24199 44 -77 44.77 MH 001 095 07 -14 -2010 18:16 STEELE, JEFF 14,502 E85 23.360 2199 51.36 51.36 MH 001 074 07 -22 -2010 14 :46 STEELE, JEFF 14,751 L85 24.080 2.199 5294 52.94 MH 001 095 07 -26 -2010 14:12 STEELE, JEFF 15,003 E85 21.120 2.199 4644 46.44 CARD SUBTOTALS 108.630 250.08 0004 MH 001 074 06 -29 -2010 18:44 HABOUSH, DAVE 27,505 E85 23.970 2.199 5271 52.71 MH 001 074 07 -05 -2010 09:21 HABOUSH, DAVE 27,756 185 21.270 2199 46.77 46.77 MH 001 074 07 -13 -2010 22 :10 HABOUSH, DAVE 27,945 E85 21.620 2,199 47.54 47.54 MH 001 074 07 -19 -2010 07 :43 HABOUSH, DAVE 28,208 E85 21.410 2199 4708 47.08 MH 001 074 07 -24 -2010 17:31 HABOUSH, DAVE 28,471 E85 27100 2.199 59.60 59.60 MH 001 074 07 -27 -2010 08:09 HABOUSH, DAVE 28,611 E85 12.050 2198 2643 26.49 CARD SUBTOTALS 127.420 280.19 TOTAL PURCHASES 376.170 838.36 Y -T -D PURCHASES 1,967.963 4,554.96 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 8 387.70 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 10 30B.09 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 2 97.80 MH 001 154 MEIJER 1.7000 MERGANTILEMD NOBLESVILLE- IN 46060 1 44.77 PRODUCTS: E85 =ETHAN L85 UNL= UNLEADED FLEET SERVICES This page is intentionally left blank. CYCLE /04 SEQ /00457 FILE /YEX HP -YEX 4_LOM EXP 4 ATTN DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 46032 -2584 I VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 $733.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1 120 23540589 42- 314.00 $733.40 f 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 AUG 16 2096 e 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 fnvoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 23540589 $733.40 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