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Home My WebLink About197058 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $112.76 CARMEL, INDIANA 46032 PO Box 6293 CAROL STREAM IL 60197 CHECK NUMBER: 197058 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 049600138002 112.76 0496 -00- 138002 -1 Invoice Statement INVOICE NUMBER: 25925819 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 30 APR -30 -2011 MAY -26 -2011 162.76 DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS APR -18 -2011 PAYMENT THANK YOU 146.44 APR -29- 2011 FUEL PURCHASES 112.76 REMINDER BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE, PLEASE DISREGARD THIS NOTICE. PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION U MAY 2 3 2011 By PURCHASES RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT. CURRENT PERIOD ONE BILLING PERIOD PAST DUE TWO BILLING PERIODS PAST DUE THREE+ BILLING PERIODS PAST DUE TOTAL DUE 122.76 40.00 0.00 0.00 162.76 PREVIOUS BALANCE PAYMENTS PURCHASES DEBITS CREDITS LATE FEE NEW BALANCE 186.44 146.44 112.76 0.00 0.00 10.00 162.76 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 monthly rate of RATE of fee for this period which is 2.00 24.00 40.00 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 Mall 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 tee 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: /Amww.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. N0 0496 -00- 138002 -1 APR -01 -2011 TO APR -30 -2011 Purchase Activity Report PAGE 1 OF 2 CARD NUMBER CARD EMBOSSING VEHICLE'/ ASSET IDENTIFIER VEHICLE DESCRIPTION I PLATE 5 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 2,340 APR -06 12:08 545 S Range Line R Carmel IN 1 Driver OP 2,340 UNL 17.350 3.819 66.29 3.18- 63.11 7.04 APR-18 10:39 545 S Range Line R Carmel IN 1 Driver OP 1,955 UNL 13.250 3.929 52.07 2.42- 49.65 5.48 PERIOD TOTALS 30,600 :3; 118.36 5.60 1- 112.76 12.52- YTD TOTALS 201.348 -r 659.99 36.85- 623.14 74.65-...' PERIOD AVERAGE: PPG 3.868 YTD AVERAGE: PPG 3.276 TO ENSURE MORE A URATE MILEAGE REPORTING, VEHICLE tv ILEAGE STATISTICS ARE N DT CALCU ATED WHEN KEY ODOMETER EADINGS RE NOT WITHIN AN CCEPTABLE RANGE. TRANSACTION CODES: OP Outdoor Payment Terminal This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496 -00- 138002 -1 APR -01 -2011 TO APR -30 -201 1 Financial Summary PAGE 1 OF 2 i DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES QTY COST /FEE TOTAL FEES FUEL OTHER EXEMPTED TAX NET PURCHASES ACCOUNT TOTALS Unleaded Regular 118.36 5.60- 112.76 PERIOD 0.00 1:18.36 0.00 560 v 112.76 112.76 YTD 0.00 659.99 0.00 36.85 623.14 623.14 ACCOUNTS RECEIVABLE SUMMARY Invoice 25925819 PREVIOUS BALANCE 186.44 PAYMENTS 146.44 PURCHASES 112.76 DEBITS 0.00 CREDITS 0.00 LATE FEES 10.00 AMOUNT DUE 162.76 I I I I I i PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496 -00- 138002 -1 NQ APR-01-2011 TO APR-30-2011 i Site Summary PAGE 1 OF 2 BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL OTHER EXEMPT NET TRANS TAX SHELL 545 S Range Line Rd Carmel IN 46032 2 30.600 118.36 5.60- 112.76 PERIOD TOTALS 2 30.600 118.36 0.00 5.60- 112.76 r I PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. I 0496 -00- 138002 -1 m APR -01 -2011 TO APR -30 -2011 I Tax T a x Summary ry�o e� �r i V i+� 1 1 1 ma y I PAGE 1 OF 2 f l I TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS UNITS GROSS TAX RATE FEDERAL 356000972 JUN 18.2012 -5.60 Federal Excise Gasoline Unblended 30.600 118.36 0.18300 FEDERAL TOTALS r F i -5.60 3Q. 60Q 118.3b IN 356000972 JUN -18 -2012 -7.01 State Sales Gasoline Unblended 30.600 118.36 0.07000 -5.51 State Excise Gasoline Unblended 30.600 118.36 0.18000 IN STATE TOTALS ACCOUNT TOTALS -5.60 -12.52 i I I i i i i I I i i VOUCHER NO. WARRANT NO. f ALLOWED 20 L z�3 IN SUM OF S $112.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members 1205 1 0496 00 42- 314.00 I $112.76 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 Tuesday, May 10, 2011 Director, Administration 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)) 05/26/11 0496 -00- 138002 -1 $112.76 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