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Home My WebLink About194479 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 0 ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $123.15 CARMEL, INDIANA 46032 0453 -00- 7946296 PO BOX 6293 CHECK NUMBER: 194479 CAROL STREAM IL 60197 CHECK DATE: 2116/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 25105003 123.15 0496 -00- 138002 -1 Invoice Statement INVOICE NUMBER: 25105003 N o ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496 00 138002 1 550.00 31 JAN 31 2011 FEB 25 2011 143.15 DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS JAN-24-2011 PAYMENT THANK YOU 182.74 JAN -31 -2011 FUEL PURCHASES 123.15 REMINDER BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE, PLEASE DISREGARD THIS NOTICE. PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION Z FEB 1 2011 By PURCHASES RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. CURRENT PERIO ONE BILLING PERIOD PAST DUEJ TWO BILLING PERIODS PAST DUE I ?HREE+ BILLING PERIODS PAS? DUEJ TOTAL CUE 133.15 10.00 0.00 0.00 143.15 PREVIOUS BALANCE PAYMENTS PURCHASES )DEBITS CREDITS LATE FEE NEW BALANCE 192.74 182.74 123.15 D 0.00 0.00 10.00 143.15 CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late applying a monLhly rate of RATE of fee for this period which is 2.00 24.00 10.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. _TO ENSURE PROPER CREDIT, TEAR 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.wextools.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 anon- 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 -866 -544 -1715 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 making a payment, you can considered final and binding. also check your balance. Card issuer Payments scheduled by 3:00 PM ET (on business days) The Circle K Fleet 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: /Avww.e- fleet.com Call 1-866 -544 -1715, or ACH payments made 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. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496 -00- 138002 -1 JAN -01 -2011 TO JAN -31 -2011 Purchase Activity Report PAGE 1 OF 2 CARD NUMBER I CARD EMBOSSING VEHICLE [ASSET IDENTIFIER VEHICLE DESCRIPTION PLATES VIN DEPARTMENT 0001 Mercury mariner UNASSIGNED DATE TIME SITE ADDRESS PROMPT TRAN ODOM, PROD UNITS COST/ FUEL OTHER EXEMPT NET REPORTED EXC. INFO CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 1,955 JAN -13 14:31 545 S Range Line R Carmel IN 1' Driver OP 2,340 UNL 15.341 2.999 46.01 2.81 43.20 5.41 JAN-24 06:24 545S Range Line R Carmel IN 1 Driver OP 2,340 UNL 18.107 3.039 55.03 3.31- 51.72 6.43 JAN-28 11:33 545S Range Line R Carmel IN 1 Driver OP 2,340 UNL 9.680 3.099 30.00 1.77- 28.23 3.47- PERIOD TOTALS 385 43.128 131.04 7.89- 123.15 15.31 YTD TOTALS 385 43.128 :,1,31.04 7.89- 123.15 15.31 PERIOD AVERAGES: MPG, PPG, CPIV 8.93 3.038 0.34 YTD AVERAGES: MPG, PPG, CPM 8.93 3.038 0.34 TRANSACTION CODES: OP Outdoor Payment Terminal Iii This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496 -00- 138002 -1 JAN -01 -201 1 TO JAN -31 -201 1 Financial Summary PAGE 1 OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES QTY COST /FEE TOTAL FEES FUEL OTHERS EXEMPTED TAX NET PURCHASES ACCOUNT TOTALS Unleaded Regular 131.04 7.89- 123.15 PERIOD 0.00_ 131.04 0.00 7.89- 123.15 123.15 YTD, 0.00 131.04 0.00 7.89- 123.15 123.15 ACCOUNTS RECEIVABLE SUMMARY Invoice 25105003 PREVIOUS BALANCE 192.74 PAYMENTS 182.74 PURCHASES 123.15 DEBITS 0.00 CREDITS 0.00 LATE FEES 10.00 AMOUNT DUE 143.15 i I II i PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496 -00- 138002 -1 JAN -01 -2011 TO JAN -31 -2011 I Site Summary PAGE 1 OF 2 I BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL OTHER EXEMPT NET TRANS TAX Dairy Mart 545 S Range Line Rd Carmel IN 46032 2 33.448 101.04 6.12- 94.92 SHELL 545 S Range Line Rd Carmel IN 46032 1 9.680 30.00 1.77- 28.23 i PERIOD TOTALS 3 43.128 131.04 0.00 7.89- 123.15 i I i i i PARENT ACCOUNT: REPORT FOR: li City of Carmel Admin. City of Carmel Admin. 11 0496 -00- 138002 -1 JAN -01 -2011 TO JAN -31 -2011 Tax Summary PAGE OF 2 1 1 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS UNITS GROSS TAX RATE I, t FEDERAL 356000972 JUN -18 -2012 -7.89 Federal Excise Gasoline Unblended 43.130 131.04 0.18300 FEDERAL TOTALS:' -7.89 43.130 131.04 IN 356000972 JUN -18 -201 V 2 -7.55 State Sales Gasoline Unblended 43.130 131.04 0.07000 -7.76 State Excise Gasoline Unblended 43.130 131.04 0.18000 IN STATE TOTALS -15,31 ACCOUNT TOTALS -7.69 15.31 4 I I h i a i i f. I I VOUCHER NO. WARRANT NO. ALLOWED 20 Circle K Fleet Services IN SUM OF PO Box 6293 Carol Steam, IL 60197 -6293 $123.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members 1205 I 25105003 I 42- 314.00 1 $123.15 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 Monday, February 14, 2011 c Director, Administrati 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)) 01/31/11 25105003 $123.15 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