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Home My WebLink About191199 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 354030 Page 1 of 1 ONE CIVIC SQUARE FLEET FUELING CHECK AMOUNT: $841.35 CARMEL, INDIANA 46032 PO Box 6293 CAROL STREAM IL 60197 -6293 CHECK NUMBER: 191199 CHECK DATE: 10/2712010 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 24082471 841.35 GASOLINE SLEET SERVICES INVOICE /STATEMENT INVOICE NUMBER: 24082471 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 fi 000.00 30 09 -30 -2010 10 -26 -2010 1 592.44 DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS 09 -30 -2010 RETAIL FUEL PURCHASES 827.35 09 -30 -2010: MONTHLY CARD CHG 14.00 BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE, PLEASE DISREGARD THIS NOTICE. PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION 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 BALANCE 723.55 0.00 827.35 14.00 0.00 27.54 1592.44 $10.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonlinexom 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 period which is 2.00 24.00 1 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. TO ENSURE PROPER CREDITTEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT 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 addition 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:l /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. p a ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 09 -30 -2010 FLEET S R Y I■ E S ACCOUNT NO: 0453 -00- 794629 -6 VVV 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 -55.47 0.00 FEDERAL E85 303.210 723.14 0.18300 -4.13 0.00 FEDERAL GASOLINE 22.570 57.08 0.18300 FEDERAL TOTALS f 59.60 6.00 325.780 780.22 IN 356000972 0.00 4.06 STATE EXCISE GASOLINE 22.570 57.08 0.18000 -43.68 0.00 STATE SALES E85 303.210 723.14 0.07000 -3.20 0.00 STATE SALES GASOLINE 22.570 57.08 0.07000 IN STATE TOTALS -46.88 4.06 ACCOUNT TOTALS 106.48 4.06 {cl WRIGHT EXPRESS CORPORATION 2010 PAGE 1 e d_+ FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 24082471 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 00x94629 6 6,000.00 30 09 -30 -2010 10 -26 -2010 1,592.44 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO, NO. UNIT TOTAL AMOUNT 0001 MH 001 078 09 -02 -2010 17:22 SMITH, KEITH 14,400 E85 21.990 2.299 50.55 50.55 MH 001 078 09 -11 -2010 16:38 SMITH, KEITH 14,500 E85 10.680 2.300 24.56 24.56 MH 001 074 09 -14 -2010 12:49 SMITH, KEITH 14,500 E85 14.230 2.399 34.14 34.14 MH 001 078 09 -23 -2010 17:29 SMITH, KEITH 14,500 E85 20.610 2.499 51.50 51.50 MH 001 078 09 -26 -2010 09:54 SMITH, KEITH 14,500 E85 13.010 2.500 32.52 32.52 CARD SUBTOTALS 80.520 193.27 0002 MH 001 078 09 -05 -2010 10:46 HULETT, MARK 73,256 E85 12.610 2.300 29.00 29.00 MH 001 078 09 -10 -2010 09:51 HULETT, MARK 73,496 E85 13.610 2.300 31.30 31.30 MH 001 078 09 -11 -2010 21:33 HULETT, MARK 73,691 E85 12.350 2.300 28.40 28.40 MH 001 078 09 -14 -2010 14:53 HULETT, MARK 73,879 E85 11.690 2.399 28.05 28.05 MH 001 078 09 -22 -2010 19:33 HULETT, MARK 74,340 E85 13.660 2.500 34.15 34.15 CARD SUBTOTALS 63.920 150.90 0003 NU 002 504 05 -26 -2010 19:54 STEELE, JEFF 12,294 FILL 17.600 2.299 40.46 40.46 NU 002 504 06 -10 -2010 09:10 STEELE, JEFF 12,643 FUL 18.440 2.299 42.39 42.39 NU 002 504 06.15 -2010 06:48 STEELE, JEFF 12,782 FUL 16.423 2.299 37.76 37.76 NU 002 504 06 -18 -2010 16:12 STEELE, JEFF 12,901 FUL 14.352 2.299 33.00 33.00 MH 001 077 09 -01 -2010 14:16 STEELE, JEFF 16,959 UNL 22.570 2.529 57.08 57.08 MH 001 095 09 -11 -2010 14:15 STEELE, JEFF 17,304 E85 24.540 2.299 56.42 56.42 MH 001 074 09 -18 -2010 10:56 STEELE, JEFF 17,520 E85 22.400 2.399 53.73 53.73 CARD SUBTOTALS 136.325 320.114 0004 MH 001 074 08 -31 -2010 21:07 HABOUSH, DAVE 30,293 E85 18.200 2.299 41.84 41.84 MH 001 074 09 -08 -2010 18:40 HABOUSH, DAVE 30,534 E86 23.120 2.299 53.15 53.15_ MH 001 074 09 -15 -2010 10:15 HABOUSH, DAVE 30,811 E85 23.760 2.399 57.01 57.01 MH 001 074 09 -26 -2010 19:37 HABOUSH, DAVE 31,295 E85 26.020 2.499 65.03 65.03 CARD SUBTOTALS 91.100 217.03 0007 MH 001 154 09 -25 -2010 15:12 SMITH, KEITH 101,071 E85 20.730 2.498 51.79 51.79 CARD SUBTOTALS 20.730 51.79 TOTAL PURCHASES 392.595 933.83 Y -T -D PURCHASES 2,948.368 6,834.87 SITES USED THIS MONTH NO. PURCHASES TOTAL AMOUNT Location No. Brand Street City State Zip MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 9 310.03 MH 001 074 MEIJER 1426 W CARMEL DR CARMEL IN 46032 6 304.90 NU 002 504 FDCIM 545 SOUTH RANGELINE CARMEL IN 46032 4 153.61 MH 001 077 MEIJER 10935 US 36 ROCKVILL AVON IN 46123 1 57.08 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 1 56.42 MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 1 51.79 PRODUCTS: E85= ETHANL85 FUL FUL OTH UNL UNLEADED FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 13 $841.35 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #rrITLE AMOUNT Board Members 1120 24082471 42- 314.00 $841.35 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 Off 2 5; 2010 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)) 24082471 $841.35 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