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Home My WebLink About202815 10/12/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $1,068.96 CAROL STREAM IL 60197 CHECK NUMBER: 202815 CHECK DATE: 10/1212011 DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 f 27319312 1,060.96 0453 -00- 794629 -6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 27319312 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING PATE PAYMENT DUE DATE AMOUNT DUE 0453 -00 794629 -6 8100.00 30 09 -30 -2011 10 -26 -2011 1060.96 DAFE;:: ACTIVITY DESCRIPTION CHARGEGMEBITS PAYMENTS /CREDITS 09 19 2lJf 1 PAYMENT RECEIVED THANK YOU 1,061.83 Ei9-3Q 2Q1 f RETAIL FUEL PURCHASES 09 3Qp1 MONTHLY CARD CHGS7Q REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. PURCHAS .RETURNS AND PAYMENTS_MADE JUST PRIOR TO.BILLING- DATE. MAY.NO.T APPEAR. UNTIL _THE.NF -XT INVO1CFISraxF- MF-tlT 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.wexonline.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- 888 387 -5665 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 scheduling a payment, you considered final and binding. can also check your balance. Card Issuer Payments scheduled by 3:00 PM ET (on business days) The Fleet Services 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: hftp: /Avww.e- fleet.com Call 1- 888 3875665, or ACH payments scheduled 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, MB 04104 ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 09 -30 -2011 FLEET SERVICES ACCOUNT NO: 0453 -00- 794629 -6 DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SO CARMEL IN 46032 -2584 Tax Summary TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 -58.32 0.00 FEDERAL E85 318.690 1,082.69 0.18300 -4.62 0.00_ „FEDERAL,. GASOLINE 25.290 88.14 0.18300 I F[?IRA4 TT14LS 6,94. p pp 317083 IN 356000972 0.00 1.79 STATE EXCISE GASOLINE 9.970 33.00 0.18000 -67.01 0.00 STATE SALES E85 318.690 1,082.69 0.07000 1.92 0.00 STATE SALES GASOLINE 9.970 33.00 0.07000 1N STRTETOTAE S a G893.. 179 ACCOUNT TOTALS 131.87 1.79 (c) WRIGHT EXPRESS CORPORATION 2011 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 27319312 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453 -00 794629 -6 S. 30 09-30-2011 10 -26 -2011 1,060.96 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0001 MH 001 074 09 -09 -2011 14:22 SMITH, KEITH 14,500 E85 21.720 3.359 72,95 72.95 MH 001 078 09 -12 -2011 15:03 SMITH, KEITH 14,500 E85 20.150 3.599 72.52 72.52 MH 001 074 09 -16 -2011 12:58 SMITH, KEITH 14,500 E85 16.130 3.359 64.18 54.18 CARD SUBTOTALS 58.000 199.65 0002 MH 001 078 08 -31 -2011 15:33 HULETT, MARK 92,331 E86 11.120 3.359 37.35 37.35 MH 001 078 09 -02 -2011 14:58 HULETT, MARK 92,508 E65 9.730 3.597 36.00 35.00 MH 001 078 09 -06 -2011 13:26 HULETT, MARK 92,749 E85 13.610 3.600 49.00 49.00 MH 001 078 09 -09 -2011 23:13 HULETT, MARK 92,941 E85 11.590 3,598 41.70 41.70 MH 001 078 09 -20 -2011 14:55 HULETT, MARK 93,572 E86 11.000 3.600 39.60 39.60 CARD SUBTOTALS 57.050 202.65 0003 MH 001 074 09 -02 -2011 17:10 STEELE, JEFF 5,738 E85 20.790 3.360 69.85 69.85 MH 001 074 09 -09 -2011 10.42 STEELE, JEFF 6,917 E85 25.520 3.360 85.74 85.74 MH 001 074 09 -15 -2011 08:27 STEELE, JEFF 7,155 E85 23.460 3.359 78.81 78.81 CARD SUBTOTALS 69.770 234.40 0004 MH 001 074 09 -01 -2011 08:08 HABOUSH, DAVE 5,322 E85 25.350 3.369 85.16 85.16 MH 001 074 09 -06 -2011 18:19 HABOUSH, DAVE 5,573 E85 23.040 3.359 77.40 77.40 MH 001 074 09 -13 -2011 07:41 HABOUSH, DAVE 5,792 E86 20.030 3.358 67.26 67.26 MH 001 074 09 -17 -2011 08:48 HABOUSH, DAVE 5,994 E85 18.940 3.360 63.63 63.63 MH 001 074 09.22 -2011 22.45 HABOUSH, DAVE 6,248 E85 23.530 3.359 79.03 79.03 MH 001 074 09 -28 -2011 20:16 HABOUSH, DAVE 5,494 E85 22980 3.199 73,51 73.61 CARD SUBTOTALS 133.870 445.99 0005 MH 001 052 09 -13 -2011 17:39 VANVOORS7, BOB 104,522 UNL 15.320 3.699 65.14 55.14 CARD SUBTOTALS 15.320 55.14 0007 MH 001 154 09 -25 -2011 13:34 SMITH, KEITH 127,013 UNL 9.970 3.310 33.00 3100 CARD SUBTOTALS 9.970 33.00 TOTAL PURCHASES 343.980 1,170.83 Y -T -D PURCHASES 3,272.370 10,382.40 SITES USED THIS MONTH NO. PURCHASES TOTAL AMOUNT Location No. Brand Street City State Zip MH 001 074 MEIJER 1426 W CARMEL DR CARMEL IN 46032 11 807.62 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 6 275.17 MH 001 052 MEIJER 9210 N MAIN ST DAYTON OH 45415 1 55.14 MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 1 33.00 PRODUCTS: E85= ETHANL85 UNL= UNLEADED rd FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 $1,060.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. :::[=E AMOUNT Board Members 1120 I 27319312 42- 314.00 $1,060.96 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 '017 too V V 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)) 27319312 $1,060.96 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