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Home My WebLink About202447 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES CARMEL, INDIANA 46032 PO 3OX 6293 CHECK AMOUNT: $497.68 CAROL STREAM IL 60197 CHECK NUMBER: 202447 CHECK DATE: 10/1112011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 1120 4231400 27313591 497.68 0496 -00- 138012 -0 Invoice Statement INVOICE NUMBER: 27313591 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 3,400.00 30 SEP- 30.2011 OCT -26 -2011 497.68 DATE' ACTIVITY DESCRIPTION G}3ARSff7E8tT'S PAYMENTS/CREDITS PAYMENT THANK YOU 902.13 SEF> 30?011 FUEL PURCHASES gg7,$8 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. Ed PURCHASES, RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEMENT. PREVIOUS BALANCE PAYMENTS )PURCHASES DEBITS CREDITS LATE FEE NEW BALANCE 902.13 902.13 497.68 0.00 0.00 0.00 497.68 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 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 laterthan 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: /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 Fire City of Carmel Fire 0496-00-138012-0 SEP-01-2011 TO SER-30-2011 Purchase Activity Report PAGE 1 OF 4 771 4SNT;�:; 10001 Chief Smith 63225 UNASSIGNED DATE TIME SITE ADDRESS VEHIASSET TRANI ODOM. PRODI UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-D) DESCRIPTION CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 14,500 09-02 10:39 545 S Range Line Carmel IN I driver OP 14,500 UNIL 24.030 3.519 84,58 4,40- 80.18 9.29- 09-04 11:24 3801 N Post Road Indianapol IN 1 driver OP 14,500 UNIL 10.590 3,759 39.82 1.94- 37.88 4.26- 09-06 09:02 545 S Range Line Carmel EN 1 driver OP 14,500 UNIL 19.150 3.619 67,41 3,60- 63.91 7,40- 09-14 16:57 545 S Range Line Carmel I N 1 driver OP 14,500 UNIL 8.270 3.519 29.13 1.51- 27.62 3.20- 09-20 12:41 545 S Range Line Carmel IN 1 driver OP 14,500 UNIL 10.910 3.619 38,40 2,00- 36.40 4.21- 09-23 09:19 645 S Range Line Carmel IN I driver OP 14,500 UNIL 24.200 3.519 85.17 4.43- 80.74 9.36- MAW, dt6U 16 -X ISM 8.8 588 770 '2 2;123 60 YTD:TOTA 2 X PERIOD AVERAGE: PPG 3.546 YTD AVERAGE: PPG 3,607 TO ENSURE MORE ACCURATE MILEAGE REPORTING, VEHICLE MILEAGE TATISTICS APE NOT CAI CULATED WHEN KEY ODOMETER READ NGS ARM NOT WITHIN AN ACCEPT ABLE RANGE. TRA NSACTION CODES: OP Outdoor Payment Terminal NO-' PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 SEP-01-2011 TO SEP-30-2011 Purchase Activity Report PAGE 2 OF 4 I 'CARONOMBER r CARD EMIIOMNO:: HtCL R 1lEHIG# E CrESC#i11?1tON A LATE (STY.' 10002 Asst, Chief Hoffman 74957 UNASSIGNED DATE TIME SITE ADDRESS VEHIASSET TRAN ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET$ REPORTED EXC. MM-01) DESCRIPTION CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 4,309 09-23 09:45 11601 Allisonvil Fishers IN 1 driver OP 7,414 UNL 26.380 3.369 88,88 4.83- 84. 9,94- 4.0 �:XX:XX .J7 51 PERIOD AVERAGE: PPG 5 6 3.369 YTD AVERAGE: PPG 3.523 To ENSURE MORE A:CUR ArEMILEAGE REPO TING, VEHICLE MILEAGE 3TATISTICS AP E NOT CAI CULATED WHEN KEY DDOME TER READ I NGS ART NOT WITHIN AN ACCEPT kBLE RANGE. TRANSACTION CODES: OP Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 SEP-01-2011 TO SEP-30-2011 Purchase Activity Report PAGE 3 OF 4 VtN 10004 EMS Chief Hulett 70614 UNASSIGNED DATE TIME SITE ADDRESS VEHIASSET TRAIN ODOM, PROD UNITS COST/ FUEL OTHER EXEMPT NET REPORTED EXC, MM-DD DESCRIPTION CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 92,138 09-13 06:50 545 S Range Line Carmel IN I driver OP 93,170 UNL 12.790 3.519 45.01 2.34- 42.67 4.94- 09-17 09:06 546 S Range Line Carmel IN 1 driver OF 93,389 UNIL 13.250 3,619 46.65 2,42- 44.23 513- PERIOD TOTALS 04Q 1.66 478 F.... ..2C 3 :x PERIOD AVERAGES: MPG, PPG, CPM 48.04 3.520 0.07 YTD AVERAGE: PPG 3.389 TO ENSURE MORE A- MILEAGE REPO F TING, VEHICI E MILEAGE TATISTICS AF E NOT CA[ CULATED WHEN KEY DDOME TER READ NGS ARE NOT WITHIN AN ACCEPT ABLE RANGE. TRANSACTION CODES: OP Outdoor Payment Terminal W". PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 Na SEP-01 -2011 TO SEP-30-201 1 Financial Summary PAGE I OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES CITY COST /FEE_ TOTAL FEES FUEL$ OTHER$ _EXEMPTED TAX NET PURCHASES ACCOUNT TOTALS Unleaded Regular 525.06 27.37- 497-68 j: 1 w 2737 A4788 +97;68 O.OD 3 969 46 5 1 63822 ACCOUNTS RECEIVA KE SUMMARY Invoice 273 3591 PREVIOUS BALANCE 902.13 PAYMENTS 902.13 P U RC HAS ES 497,66 DEBITS 0,00 CREDITS 0.00 ANCILLARIES 0.00 AMOUNT DUE 497.68 PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496 -00- 138012 -0 N o SEP -01 -2011 TO SEP -30 -2011 Site Summary PAGE 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 7 112.600 396.35 20.60- 375.75 11601 Allisonville R Fishers IN 46038 1 26.380 88.88 4.83 84.05 3801 N Post Road Indianapolis IN 46226 1 10.590 39.82 1.94- 37.88 9 4 ,$7 :52 i 0.0 ;:;:,;::::;:::::2737. PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 No SEP-01-2011 TO SEP-30-2011 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 -27.37 Federal Excise Gasoline Unblended 149.570 525.05 0.18300 FEDERAL 70TAL.SI:'..' spdood; 7 37': :::;::,49 A IN 355000972 JUN -18 -2012 -30.79 State Sales Gasoline Unblended 149.570 525.05 0,07000 -26.94 State Excise Gasoline Unblended 149.570 525.05 0 180M IN ACCOUNT TOTALS -27.37 -57.73 Fn%-. VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 $4 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 I 27311591 42- 314.00 $497.68 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 OF i 0 2601-11 o c 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)) 27311591 $497.68 l 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