HomeMy WebLinkAbout200249 08/16/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1
ONE CIVIC SQUARE FLEET SERVICES
!'s CHECK AMOUNT: $649.75
CARMEL, INDIANA 46032 PO BOX 6293
CAROL STREAM IL 60197
,roe o CHECK NUMBER: 200249
CHECK DATE: 8/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 26735255 649.15 0496 -00- 138012 -0
Invoice Statement
INVOICE NUMBER: 26735255
NOD ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0496 -00 138012-0 3400.00 31 JUL -31 -2011 AUG -26 -2011 649.15
T3ATE:IE ACTIVITY DESCRIPTION1IARtiDE8ET5 PAYMENTS /CREDITS
JUL 22 2Q11 PAYMENT -THANK YOU 862.94
lUl 29 -2011 FUEL PURCHASES X49 1a;
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB
WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE
RIGHT PORTION OF THE REMITTANCE STUB.
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
862.94 862.94 649.15 0.00 0.00 0.00 649.15
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 monthly rate of RATE of fee for this period which is
2.00 24.00 0.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
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 Cali 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 Fire City of Carmel Fire
0496-00-138012-0
JUL-01-2011 TO JUL-31-2011
Purchase Activity Report PAGE1 OF 6
0001 1 Chief Smith 163225
DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET REPORTED EXC.
INFO CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER 14,500
JUL-05 18:05 3801 N Post Road Indianapol IN 1 driver OP 14,600 UNL 12.910 3.579 47.51 2.36- 45.15 5.12-
JUL-10 11:20 3801 N Post Road Indianapol IN I driver OF 14,500 UNL 15.450 3.729 57.64 2.83- 54.81 6.18
JUL-20 09.03 545 S Range Line R Carmel IN 1 driver OP 14,500 UNL 23.090 3.679 84.95 4.23- 80.73 9.17
JUL-22 10:16 545 S Range Line R Carmel IN 1 driver OP 14,500 UNL 13.760 3.659 50,36 2,52- 47.84 5.45
JUL-25 14:08 545 S Range Line R Carmel IN 1 driver OF 61,677 UNL 19.970 3.699 73,90 3.65- 70.25 7,95-
SO
q p
29
:.T.QrAL.Z wa:Jps;
7 _112 4�3' 27
PERIOD AVERAGE: PPG 3.691
YTD AVERAGE: PPG 3.630
To ENSURE MORE ACC RATE M LEAGE RE IORTINC, VEHICLE MILEAGE STAT STICS ARE NCT
CALCU -ATED WHEN KEY ODOMETER READINGS ARE NO WITHIN AN ACCEPTABLE RANGE.
TRANSACTION CODES:
OP Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
0496-00-138012-0
so
JUL -01 -2011 TO JUL-31-2011
Purchase Activity Report PAGE 2 OF 6
IL LS DES( RF .DILATE $.T =UIN
0002 Asst. Chief Hoffman r74957
DATE TIME SITE ADDRESS PROMPT TFAN ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET$ REPORTED EXC.
INFO CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER 5,927
JUL-04 17-26 6402 W 1 0th Indianapol IN 1 driver Op 4,309 UNL 24.340 3.449 83.97 4.45- 79.52 9.29-
PERIOD T
24 45 i�
-Aq- 020
-j j
YTDTOTQLS,
-3,90.
PERIOD AVERAGES: MPG, PPG, CPrV 15.69 3.450 0.22
Y7D AVERAGE: PPG 3,539
TO ENSURE MORE A= IRATE M LEAGE RE IORTI NC, VEHICLE MILEAGE STAT STICS ARE NC T
CALCULATED WHEN KEY ODOMETER READING$ ARE NO WITHIN AN CCEPTABLE RANGE,
TRANSACTION CODES:
OP Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
0496-00-138012-0
No JUL-01-2011 TO JUL-31-2011
Purchase Activity Report PAGE 3 OF 6
HICLS.1-ASS8TADENTIF 77
Iff .L A re .7
0004 EMS Chief Hulett 70614
DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
INFO CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER 98
JUL-05 1318 545 S Range Line R Carmel IN 1 driver OP 88,984 UNL 13.210 3.259 43.05 2,42- 40.53 4.88
JUL -14 09:01 545 S Range Line R Carmel IN I driver OP 89,378 UNL 12.270 3.259 40.00 2.25- 37,75 4.53-
1 1. 1 1. I I. I. X.- :--q. qp-: q i q I
piEKIOWTOTALE: :x
:5
YM.—TO 4 :2QU
I �d
PERIOD AVERAGES: MPG, PPG, CPIV 30.14 3,259 0.11
YTD AVERAGE: PPG 3.330
To ENSURE MORE ACC RATE M LEAGE RE DORTINC, VEHICLE MILEAGE STA STICS ARE NCT
CALCU -ATED WHEN KEY ODOMETER READINGS ARE NO WITHIN AN A CCEPTABLE RANGE.
TRANSACTION CODES:
OF Outdoor Payment Terminal
r
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
0496-00-138012-0
NO JUL-01-2011 TO JUL-31-2011
Purchase Activity Report PAGE 4 OF 6
CA[dGNUPABERr CAR ASS
�.C� WOOSSINO: ETIDEN7'1 E:(6T
0009 Keith Freer 70615
DATE TIME SITE ADDRESS PROMPT TPAN ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET$ REPORTED EXC.
INFO CODE UNIT TAX TAX CODES,
PREVIOUS ODOMETER 141,021
JUL-21 15:35 545 S Range Line R Carmel IN 1 driver OP 100,285 UNL 13.960 3,669 51.22 2.55- 48.67 5.53
JUL-22 07.54 14654 Herrman BIN Noblesvill IN 1 driver OF' 142,513 UNL 14.059 3.739 52.57 5.68- 46.89 2.53
JUL-26 11:11 645 3 Range Line R Carmel IN 1 driver OP 142,830 UNL 10.820 3.599 40.05 1.98- 38,07 4.31-
PERIODTOTALS�
:111 Lt:
�tb -1-1- 60
OV.]
I A I
PERIOD AVERAGES: MPG, PPG, CPIV 46.58 3.703 0.08
YTD AVERAGE: PPG 3.542
To ENSURE MORE ACC RATE M LEAGE RE IORTINC, VEHICLE MILEAGE STAT STICS ARE NCT
CALCU.ATED WHEN KEY ODOMETER READINGS ARE NO WITHIN AN A CCEPTABLE RANGE.
TRANSACTION CODES:
OF Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
0496-00-138012-0
JUL-01-2011 TO JUL-31-2011
Purchase Activity Report PAGES OF 6
rtA
$SET: I09NTlrIEft.%
vEHf0LE:;:5FFCRip 7
0011 161 (1 IN
DATE TIME SITE ADDRESS PROMPT TRANI ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
INFO CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER
JUL-23 11:47 645 S Range Line R Carmel IN 1 driver OR 28,193 UNL 16.730 3 51.90 3.06- 58.84 6.66-
Or
58 ,84
M.TOT-ALS]
30 j: j j Jp:pq�:-: p:js 9
7
PERIOD AVERAGE: PPG 3.700
YTD AVERAGE: PPG 3.700
TO ENSURE MORE ACC RATE M LEAGE RE ORTINC, VEHICLE MI EAGE STAT STIOS ARE NCT
CALCU.ATED WHEN KEY OD METER READINGS ARE NO 'WITHIN AN CCEPTABLE RANGE,
TRANSACTION CODES:
OF Outdoor Payment Terminal
MR,
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
0496-00-138012-0
JUL-01-2011 TO JUL-31-2011
Financial Summary PAGE 1 OF 2
DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES
QTY COST/FEE TOTAL FEES FUEL$ OTHER EXEMPTED TAX NET$ PURCHASES
ACCOUNT TOTALS Unleaded RapWar 687.13 37.98- 649.15
r3 40
w o. j
YTO
000. 4 38
ACCOUNTS RECEIVABLE SUMMARY -Invoice 26735255
PREVIOUS BALANCE 862.94
PAYMENTS 862,94-
PURCHASES 649.15
DEBITS 0.00
CREDITS 0.00
AMOUNT DUE 649.15
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
so 0496 -00- 138012 -0
JUL -01 -2011 TO JUL -31 -2011
Site Summary PAGE OF 2
BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL OTHER EXEMPT NET
TRANS TAX
Dairy Mart 14564 Herriman Blvd Noblesville IN 46060 1 14.059 52.57 5.68- 46.89
SHELL 545 5 Range Line Rd Carmel IN 46032 8 123.810 445.44 22.66- 422.76
6402 W 10th Indianapolis IN 46214 1 24.340 83.97 4.45- 79.52
3801 N Post Road Indianapolis IN 45226 2 28.360 105.15 5.19- 99.96
PERIOD TOTALS 12 190.569 687.13 0.00 37.98 649.15
PARENT ACCOUNT: REPORT FOR:
City of Carmel Fire City of Carmel Fire
0496-00-138012-0
so JUL-01-2011 TO JUL-31-2011
T ax Summary PAGE 1 OF 2
TAX JURISDICTION ID EXPIRATION EXEM TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE
FEDERAL 356000972 JUN -1 8 -2012 -34.87 Federal Excise Gasoline Unblended 190.570 687.13 0.18300
FEDERAL
190 .68 13
-34� 1. 1 7:
"PTA14A; 137:
IN 356000972 JUN-18-2012 -3.11 -37.30 State Sales Gasoline Unblended 190.570 687.13 0.07000
-M,30 State Excise Gasoline Unblend 190.570 687.13 0.18000
IN STA7 rbTAL
�711.ZO]'::::�,._.,...
0,11
jj j:j j j p.
ACCOUNT TOTALS -37.98 -71.60
r
VOUCHER NO. WARRANT N
ALLOWED 20
Fleet Services
IN SUM OF
P.O. Box 6293
Carol Stream, IL 60197
$1,633.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 26735164 j 42- 314.00 j $983.85 1 hereby certify that the attached invoice(s), or
1120 26735255 42- 314.00 $649.15 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
A UG 1 5 2011
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))
26735164 $983.85
26735255 $649.15
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