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198401 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $564.06 CAROL STREAM 0. 60197 CHECK NUMBER: 198401 CHECK DATE: 612 212 01 1 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 049600138007 564.06 0496 -00- 138007 -0 Invoice Statement INVOICE NUMBER: 26186141 ACCOUNT NAME: City of Carmel Police PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496 -00- 138007 -0 2100.00 31 MAY 31.2011 JUN -24 -2011 599 06 DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS MAY -31 -2011 PAYMENT THANK YOU 95.22 MAY -31 -2011 FUEL PURCHASES 564.06 MAY -11 -2011 GOODWILL LATE FEE WRITE OFF 25.00 REMINDER 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 INVOICESTATEMENT. CURRENT PERIOD ONE BILLING PERIOD PAST DUE TWO BILLING PERIODS PAST DUEJ THREE+ BILLING PERIODS PAST DUEJ TOTAL DUE 574.06 25.00 0.00 0.00 599.06 PREVIOUS BALANCE -)PAYMENTS I J+)PURCHASES )DEBITS CREDITS LATE FEE NEW BALANCE 145.22 95.22 564.06 0.00 25.00 10.00 599.06 CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 841 42 561 6 The Law Fee Is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late a l lnr a month) rate of RATE oP fee for this renod which is 2.00 24.00 410.40 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. TO ENSURE PROPER CREDIT_ TEAR AT PERFORATION AND INCLIIDF ROTTOM PORTION WITH VOIIR PAVMFNT Balance Subject to Late Fee Payment Options The late fee will be calculated by determining the total balance Mail due on the dale 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. If your payment due date falls on a non business day, payment is Online payments scheduled by 3:00 PM ET (on business days) due on the business day before the payment due date. Delinquent are credited to your account on the same day. There is no fee for 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 B 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 tc: service or billing: http: v .e- Reet.com Call 1-666 -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. 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