202015 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1
ONE CIVIC SQUARE FLEET SERVICES
1 CHECK AMOUNT: $256.25
CARMEL, INDIANA 46032 PO sox 6293
CAROL STREAM IL 60197 CHECK NUMBER: 202015
CHECK DATE: 9/2712011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 27025810 254.25 0496 -00- 138007 -0
1110 4239099 27025810 2.00 0496 -00- 138007 -0
Invoice Statement
INVOICE NUMBER: 27025810
so 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 AUG-11 -2 SEP -26 -2011 311.25
DATE ACTIVITY DESCRIPTION GJ lARC"aESI7 'PAYMENTS /CREDITS
AUG 2011, PAYMENT THANK YOU 888.33
:AUK 31 .-2011 FUEL PURCHASES 254 25
AUG 31 31311 CARD REPLACEMENT FEE 2
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 INVOICE /STATEMENT.
CURRENT PERIO ONE BILLING PERIOD PAST DU TWO BILLING PERIODS PAST DU THREE+ BILLING PERIODS PAST DUE1 TOTAL DUE
266.25 45.00 0.00 0.00 3 11. 25
PREVIOUS BALANCE PAYMENTS )PURCHASES )DEBITS CREDITS LATE FEE =NEW BALANCE
933.33 888.33 254.25 2.00 0.00 10.00 311.25
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 45.00
SEE REVERSE SInF FOR IMPORTANT INFORMATION ANn TFRMR
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 ariy 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.wexlools.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- 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 to:
service or billing: http: //www.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 Police City of Carmel Police
0496-00-138007-0
AUG-01-2011 TO AUG-31-2011
Purchase Activity Report PAGE 1 OF 4
'(ST) IN:.:
:CARDi: �-.'-VE�MCLE 4ASSFT: Vr
HICL
[CARD NUM5EA�:�;1�..-.:.:..::4 EMBOSSING: _F_0ES.0R1PT1ON.
10006 14839 UNASSIGNED
DATE TIME SITE ADDRESS VEHIASSET TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-D') DESCRIPTION CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER 20,899
08-16 15:33 545 S Range Line Carmel IN 1 Driver OF 22,504 JNL 18,610 3.599 67.00,X 3,41- 63.59 7.29-
PERIODiTGiAL$
Y.T TOTAL
OD
171.O1
PERIOD AVERAGE: PPG 3.600
YTD AVERAGE: PPG 3.663
TO ENSURE MORE =RATE MILEAG 7 REPO F TING, VEHICLE MILEAGE STATISTICS A NOT
CAI CULATED WHEN KEY DDOME TER READ NGS AR NOT WITHIN AN ACCEPT 4BLE RANGE.
TRANSACTION CODES:
OF Outdoor Payment Terminal
p1t: RM
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
AUG-01-2011 TO AUG-31-2011
Purchase Activity Report PAGE 2 OF 4
CA ::�:J:PLATE
RO: NUMSER :DEPA RTMENT
0040 13263 UNASSIGNED
DATE TIME SITE ADDRESS VEHIASSET TRAN ODOM, PROD UNITS COST/ FUEL OTHER EXEMPT NET REPORTED EXC.
MM-DD DESCRIPTION CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER
07-31 14 30 9609 Olio Rd McCordsvi IN 1 Driver OF 50,505 UNL 11.140 3.679 41 2.04- 38.96 4.43-
PER1,01): I.S;
TPTA.. 0
.d., J.x
j I
11 140:: :3.89.
171) .TOTALS:...
PERIOD AVERAGE: PPG 3.680
YTD AVERAGE: PPG 3.690
TO ENSURE MORE CUR MILEAGE REPO FTING, VEHICLE MILEAGE 3TATISTICS AR E NOT
CAI CULA7ED WHEN KEY DDOME TER READ NGS ART NOT WITHIN AN ACCEPT '\BLE RANGE.
TRANSACTION CODES:
OP Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
NO
AUG -01 -2011 TO AUG-31-2011
Purchase Activity Report PAGE 3 OF 4
$$ETADF
10059 1 13261 1 UNASSIGNED
DATE TIME SITE ADDRESS VEHIASSET TRAIN ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET$ REPORTED EXC.
MM-Dl) DESCRIPTION CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER 50,313
08-02 16:39 200 W Main Cross Edinburgh IN 1 Driver OP 50,754 UNIL 12.542 3.639 45.64 2.30- 43.34 4,95-
08-28 20,08 2905 E State Roa Shelbyvill IN 1 Driver OF 52,276 SUP 5.029 3.748 18.8 5 0.92- 17,93 2,02-
08-30 18-33 1000 Arnberley Wa Richmond KY 1 Driver OF 52,498 UNL 12.010 3.599 43.22 220- 41.02 3,34-
PERIODTOTAL'S..
1
YTD
OTA 10' 0 372.94
L
9
3 14
P E R IOD AV E R AGE PP 3.641
YTD AVERAGE: PPG 3.739
TO ENSURE MORE A:;CUR MILEAGE REPO F TING, VEHICI E MILEAGE TA71S71CS AF E NOT
CAl. CULATED WHEN KEY DDOME TER READ NGS ARE NOT WITHIN AN ACCEP ABLE RANGE.
TRANSACTION CODES:
OP Outdoor Payment Terminal
PARENT ACCOUNT. REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
AUG-01-2011 TO AUG-31-2011
Purchase Activity Report PAGE 4 OF 4
CARD NUMBER 1:0.1EPARTMENT...'
CAR SINGJ ENTIFIE .-VF-HICLE:D.EWRIPTION',�.:
10114 1 892AAP UNASSIGNED
DATE TIME SITE ADDRESS VEHIASSET TRAN ODOM. PROD UNITS COSTI FUEL OTHER EXEMPT NET$ REPORTED EXC.
MM-D1) DESCRIPTION CODE UNIT TAX TAX CODES
PREVIOUS ODOMETER 86,967
08-21 16:27 Mao's Convenienc Bloorningto IN 1 Driver Op 93,545 UNL 14.947 3.488 52.15 2.74- 49,41 5.76-
I -1-1-1-1......'' r
F
F
-14,947:::: 21
X 74
103 YTIDJOTALs
PERIOD AVERAGE: PPG 3.489
YTD AVERAGE: PPG 3.663
TO ENSURE MORE A::CUR A TE MI LEAG REPORTING, VEHICLE MILEAGE: 3TATISTiCS APE NOT
CAICULATED WHEN KEY DDOME7ER READ NGS AR! NOT WITHIN AN ACCEPTABLE RANGE,
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496 -00- 138007 -0
AUG -01 -2011 TO AUG -31 -2011
Financial cial VuIIImary PAGE OF 2
DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES
QTY COSTIFEE TOTAL FEES FUEL OTHER EXEMPTED TAX NET PURCHASES
Police
PERIaD. 4;00, 000. A00 000;: 000' 4100::
i. ..I YT'D::... 4.00 136,05.. 4 c0 6 25' 131 80 137 60.',
UNASSIGNED Unleaded Regular 249.01 12.69- 236.32
Unleaded Super 18.85 092- 17,93
Card Replacement Fee 2.00
PERItOD I: 2;00 2fi7 $6 fl 9El 13 6 254 25 256 25
2.00 1,913 60 0 94 37 1;,819 23: 1 821;23
ACCOUNT TOTALS Card Replacement Fee 2.00
Unleaded Regular 249,01 12.69- 236.32
Unleaded Super 18.85 0.92- 17.93
#y1210 Z:qO 267.88 a 040 13 61 a 254 25..
2.00 2 05:1 65 000 700 62 :,1 0;951.03. 1,95303
ACCOUNTS RECEIVABLE SUMMARY Invoice 270 5810
PREVIOUS BALANCE 933.33
PAYMENTS 888.33
PURCHASES 254.25
DEBITS 2.00
CREDITS 0.00
ANCILLARIES 0.00
LATE FEES 10.00
AMOUNT DUE 311.25
O
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PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496 -00- 138007 -0
AUG -01 -2011 TO AUG -31 -2011
Site Summary PAGE OF 2
BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL OTHER EXEMPT NET
TRANS TAX
BP Mac's Convenience Bloomington IN 47408 1 14.947 52.15 2,74- 49.41
Dairy Mart 200 W Main Cross St Edinburgh IN 46124 1 12.542 4664 2.30- 43.34
MARATHON 1000 Amberley Way Richmond KY 40475 1 12.010 43.22 2,20- 41.02
2905 E State Road 44 Shelbyville IN 46176 1 5.029 1885 0.92- 17.93
SHELL 545 S Range Line Rd Carmel IN 46032 1 18.510 67.00 3,41- 63.59
9609 Olio Rd Mc Cordsville IN 46055 1 11.140 41.00 2.04- 38.96
ERIOD TOTALS 8 i 74 278 26:7 86 0 D4 3 3.6;1," 254 25i!';
I
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PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496 -00- 138007 -0
AUG -01 -2011 TO AUG -31 -2011
Tax Summary PAGE 1 OF 2
TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS UNITS GROSS TAX RATE
FEDERAL 356000972 JUN -18 -2012 -13.61 Federal Excise Gasoline Unblended 74.280 257.86 0.18300
FEDERAL TOTALS i 13, 61 ..:74 280 '297.86;
IN 356000972 JUN -18 -2012 -13.22 State Sales Gasoline Unblended 624270 224.64 0.07000
-11.22 State Excise Gasoline Unblended 62.270 224.64 0.18000
EN SATE 1 OtAGS: 24 d4
KY -0.17 State Special Gasoline Unblended 12.010 43.22 0.01400
-3.17 State Excise Gasoline Unblended 12.010 43.22 0.26400
:KY STA7ETOTALS i 3 3d
ACCOUNT TOTALS -13.61 -27.78
r
o
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Fleet Services
IN SUM OF
P.O. Box 6293
Carol Stream, IL 60197 -6293
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 27025810 I 42- 314.00 I $254.25 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
a5 aS
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, September 23, 2011
Chief of Police
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 bili(s))
08/31/11 27025810 monthly payment $254.25
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
2a
Clerk- Treasurer