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Home My WebLink About180353 12/14/2009 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 0 ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $492.34 CARMEL, INDIANA 46032 0453 -00- 7946296 PO BOX 6293 CHECK NUMBER: 180353 CAROL STREAM IL 60197 CHECK DATE: 12/14/2009 .D EPAR T MENT A PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 1120 4231400 21499104 492.34 0453 -00- 794629 -6 FLEET SERVICES INVOICE /STATEMENT INVOICE NUMBER: 21499104 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIO BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453 -00 794629 -6 6,000.00 D 30 11 -30 -2009 12 -25 -2009 492.34 DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS A 11- 162009: PAYMENT RECEIVED THANK YOU 387.71 X 11-3(Y2009- RETAIL FUEL PURCHASES 4 47834 11302009 MONTHLY CARD CHG 4 1400 s �E REMINDER r PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH�� k k PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. t r —w f d a J g c s 3 3 PURCHASES, RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPFAR I.INTU. THE MEXT INVOICE /STATEMENT PREVIOUS BALANCE )PAYMENTS +)PURCHASES +)DEBITS )CREDITS I (+)LATE FE =)NEW BALANCE 387.71 387.71 478.34 14.00 0.00 0.00 492.34 $10.00 MINIMUM LATE FEE PAY ONLINE AT:wwwmexonlinexom FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an ANNUAL To the Balance subject to late applying a monthly periodic rate of PERCENTAGE RATE of fee for this period which is 2.00 24.00 0.00 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. TO ENSURE PROPER CREDIT, TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT 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. event that the calculated late fee is less than ten dollars ($10.00), Mail payments to: a minimum late fee of ten dollars ($10.00) will be charged. Fleet Services Your Account will be delinquent if you do not pay it in full within PO Box 6293 26 calendar days of the billing date appearing on your invoice. Carol Stream, IL 60197 -6293 Certain customers, based upon our credit review, may be required Online to make payment in less than 26 calendar days on a cycle that we Authorized users can elect to receive an email notification when an may establish for you. In addition, certain customers may elect a invoice is ready for online viewing and payment. Log in or register to shorter billing or payment cycle as offered by us. set up an online account at wyvvv.wexonline.com 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 Accounts will be subject to late fees, suspension, or termination online payments of credit privileges, without notice. All charges must be paid in full regardless of disputes. Charges must be disputed in writing Automated Clearing House (ACH) no later than sixty (60) days from the billing date or they will be To make a one -time electronic payment go to: considered final and binding. http: /www.e- fleet.com Card Issuer ACH payments made by 2:30 PM ET (on business days) are The Fleet Services Card is issued by, and all card transactions credited to your account on the same day. There is a fee for each are funded by and payable to, Wright Express Financial Services ACH payment. Corporation, under a Business Charge Account Agreement with the cardholder named on the reverse. Account Inquiries and Correspondence For account service or billing statement information: Call 1- 888 387 -5665, or Fax to 1- 800 395 -0809, or Mail to P.O. Box 639, Portland, ME 04104 Be sure to include your account number on all correspondence. ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 11-30-2009 B ACCOUNT NO: 0453 -00- 794629 -6 FLEET DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 46032 -2584 Tax Summary TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAI: TYPE TAX PRODUCT CLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 -37.47 0.00 FEDERAL E85 204.780 504.56 0.18300 -3.24 0.00 FEDERAL GASOLINE 17.690 47.74 0.18300 REDERALTOTALS 000 IN 356000972 0.00 3.18 STATE EXCISE GASOLINE 17.690 47.74 0.18000 -30.55 0.00 STATE SALES E85 204.780 504.56 0.07000 -2.70 0.00 STATE SALES GASOLINE 17.690 4774 0.07000 �'IN STATE TOTALS -0325 318 4 ACCOUNT TOTALS 7396 318 W WRIGHT EXPRESS. CORPORATION 2009 PAGE I FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 21499104 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453 -00- 794629 -6 6000.00 30 11 -30 -2009 12 -25 -2009 49234 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0001 MH 001 078 11 -11 -2009 19:46 SMITH, KEITH 14,500 E85 16.780 2459 41.26 41.26 CARD SUBTOTALS 16.780 41.26 0002 MH 001 074 11 -03 -2009 07:09 HULETT, MARK 57,254 E85 13.230 2.498 33.05 33.05 MH 001 078 11 -06 -2009 09:11 HULETT, MARK 57,456 E85 12.300 2460 30.40 30.40 MH 001 078 11 -16 -2009 14:42 HULETT, MARK 57,667 E85 13.240 2458 32.55 32.55 MH 001 074 11 -19 -2009 09:45 HULETT, MARK 57,887 E85 13.560 2.459 3335 33.35 MH 001 078 11 -23 -2009 15:58 HULETT, MARK 58,093 E85 12.790 2459 31.45 31.45 MH 001 078 11 -27 -2009 16:07 HULETT, MARK 511291 E85 12.400 2460 30.50 30.50 CARD SUBTOTALS 77.580 191.30 0003 MH 001 074 10 -31 -2009 10:49 STEELS, JEFF 8,283 E85 13.170 2499 3291 32.91 MH 001 '154 11 -09 -2009 11:32 STEELE, JEFF 8,490 E85 22.790 2459 56.04 56.04 MH 001 074 11 -19 -2009 10:20 STEELE, JEFF 8,668 E85 20.110 2458 49.44 49.44 CARD SUBTOTALS 56.070 138.39 0004 MH 001 074 11 -09 -2009 12:42 HABOUSH, DAVE 19,215 UNL 17.690 2699 47.74 47.74 MH 001 074 11 -24 -2009 07:23 HABOUSH, DAVE 19,988 E85 22.010 2458 54.11 54.11 CARD SUBTOTALS 39.700 101.85 0007 MH 001 154 11 -18 -2009 11:49 SMITH, KEITH 78,998 E85 17.490 2459 4300 43.00 MH 001 154 11 -22 -2009 13:51 SMITH, KEITH 80,271 E85 14.850 2458 36.50 36.50 CARD SUBTOTALS 32340 79.50 TOTAL PURCHASES 222470 55230 t -T -D PURCHASES .,325. 6 3 4,3i0.Z7 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 6 250.60 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 5 166.16 MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 3 135.54 PRODUCTS: E85= ETHANL85 UNL= UNLEADED z CYCLE /04 SEQ /00563 FILE /WEX_HP-WEX_4 LOT1.EXP 4 ATTN DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 46032 -2584 VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, IL 60197 $492.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 21499104 42- 314.00 $492.34 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 DEC 14 2009 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)) 21499104 $492.34 I 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