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Home My WebLink About204694 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES i CHECK AMOUNT: $1,008.54 i.�., CARMEL, INDIANA 46032 PO BOX 6293 CAROL STREAM IL 60197 CHECK NUMBER: 204694 CHECK DATE: 12120/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 27900337 1,008.54 0453 -00- 794629 -6 PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496 -00- 138012 -0 NOV -01 -2011 TO NOV -30 -2011 o Purchase Activity Report PAGE CF 4 CARD NUMBER ::;:.CAROI:EM$QSSING L VEHICLE tASSET kgNTiFlER?..: :VEHICLE?DESCRIPTiON PLATE: 0001 Chief Smith 63225 DATE TIME SITE ADDRESS VEHIASSET TRAN ODOM. PROD UNITS COSTI FUEL OTHER EXEMPT Ni REPORTED EXC- MM-D DESCRIPTION CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 14,500 11 -03 09:02 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 10,130 3.199 32.43 1,85- 30,58 3,70- 11-04 09:12 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 14.550 3.199 46.55 2.66- 43.89 532- 11-06 16:53 3601 S Post Rd Indianapol IN 1 driver OP 14,500 UNL 11.230 3.359 37.75 2.06- 35,69 4.22- 11-07 16:58 3801 S Post Rd Indianapol IN 1 driver OP 14,500 UNL 17.590 3.559 62.62 3.22- 59.40 6,85- 11-13 11:31 3801 S Post Rd Indianapol IN 1 driver OP 14,500 UNL 17.560 3.399 59.71 3.21- 56.50 6.65- 11-18 09:15 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 19.150 3.289 63.03 3,51- 59.52 7.12- 11-20 12:02 3801 S Post Rd Indianapol IN 1 driver OP 14,500 UNL 8.410 3,199 26,93 1.54- 25.39 3.07- 11-23 09:23 546 S Range Line Carmel IN 1 driver OP 14,500 UNL 15.850 3,139 49.79 2.90- 46.89 5.73- 11-27 11 51 3801 S Post Rd Indianapol IN 1 driver OP 14,500 UNL 16.060 3.099 4979 2,94- 46.85 5.76 PERIOD.TOTALS i i 1301550 428 8Q 2.3 89;: 404 71 48.42` YfDTOTALS, 806510 2;849'38: 147.60- 27Q1.78 312.38- PERIOD AVERAGE: PPG 3.283 YTD AVERAGE: PPG 3.533 TO ENSURE MORE A:;CURA7E Mll REPO TING, VEHICLE MILEAGE TATISTICS AIR E NOT CAI CULATED WHEN KEY DDOM TER READ NGS ARE NOT WITHIN AN ACCEPT BLE RANGE. TRANSACTION CODES: OP Outdoor Payment Terminal O N PARENT ACCOUNT: REPORT FOP. City of Carmel Fire City of Carmel Fire 0496 -00- 138012 -0 He NOV -01 -2011 TO NOV -30 -2011 Purchase Activity Report PAGE OF 4 CARD NIlN1BER CARD,`>.EMI30551NG .V.EHECLEa.:ASSETI'IDENTIFIER: :VEHICLE'DESCRIPTIQN i PLATE; ST i;l' VIN 0003 Asst. Chief Haboush 74955 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 57 11 -02 18:16 545 S Range Line Carmel IN 1 driver OP 7,424 UNL 2.290 3.199 7.34 0.42- 6.92 0.83 R.ERIQD TOTALS 2;290. P7 34 0 42'- B 82 0.83::- YTD TOTALS. GE'080 .:235 O7 12.09;' 202 88 24.38'', PERIOD AVERAGE: PPG 3.205 YTD AVERAGE: PPG 3.255 TO ENSURE MORE CURATE Mli REPOF TING, VEHICi, E MILEAGE 3TATISTICS APE NOT CAI CULATED WHEN KEY DDOME TER READ NGS AR NOT WITHIN AN ACCEPT BLE RANGE, TRANSACTION CODES: OP Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496 -00- 138012 -0 NOV -01 -2011 TO NOV -30 -2011 Purchase'Activity Report PAGE OF 4 CARP NU1V18ERAf7D >EMBOSSENG VEHICLE I .A -ATE VEHICLE`:bESCRIP,TION f?LATE IT). VIN. 0004 EMS Chief Hulett 70614 DATE TIME SITE ADDRESS VEHIASSET TRAM ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET REPORTED EXC. MM -D DESCRIPTION CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 94,948 11 -C2 07.09 545 S Range Line Carmel IN 1 driver OP 95,352 UNL 13.280 3.199 42,50 2.43- 40.07 4.85- 11-18 07:48 545 S Range Line Carmel IN 1 driver OP 96,131 UNL 12.260 3.199 39,25 2,24- 37.01 4.48- P. ERIOD TOTALS -i 1 1$3> 25:540 ::81.75 4 fi7? 77 08 9 33= YTD ,TOTALS 292 =110 9.82 41 S3 d3= :928 94 109 94.I- PERIOD AVERAGES: MPG, PPG, CPM 46.32 3.201 0.07 YTO AVERAGE: PPG 1 3.363 TO ENSURE MORE CURATE MILEAGE REPOF TING, VEHICLE MILEAGE TATISTICS APE NOT CAI CULATED WHEN KEY :)DOME TER READ NGS ARE NOT WITHIN AN ACCEPT RANGE. TRANSACTION CODES: OP Outdoor Payment Terminal LIU This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 LNG NOV-01-2011 TO NOV-30-2011 Financial Summary PAGE 1 OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES QTY COSTjFEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES ACCOUNT TOTALS Unleaded Regular 517.69 2898- 488.71 "RERIOD D ACCOUNTS RECEIVAKE SUMMARY Invoice 27812238 PREVIOUS BALANCE 434,76 PAYMENTS 434.76 PURCHASES 488.71 DEBITS 0.00 CREDITS 0.00 ANCILLARIES 0.00 AMOUNT DUE 488.71 MAN' He This page is intentionally left blank. EPI'l Irsol PARENTACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 LN NOV-01-2011 TO NOV-30-2011 a Site Summary PAGE I OF 2 BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS IFUEL$ OTHER EXEMPT NET$ TRANS TAX SHELL 545 S Range Line Rd Carmel IN 45032 7 87.530 28089 1601- 264.88 3801 S Post Rd Indianapolis IN 46239 5 70.850 23680 1297- 223.83 �ERIODJOTAI-S t2 1 581380 517 69 0 00 so This page is intentionally left Flank. PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 N NOV-01-2011 TO NOV-30-2011 O Tax Summary PAGE 1 OF 2 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS UNITS GIROSS$ TAX RATE FEDERAL 356000972 JUN-18-2012 -28,98 Federal Excise Gasoline Unblended 158.380 517.69 0.18300 '::::517 r Xa: FEDERAIL- TOTALS! IN 356000972 JUN -18 -2012 -3008 State Sales Gasoline Unblended 158.380 517.59 0.07000 -2850 State Excise Gasoline Unblended 158:380 .517.69 0.18000 IW8TATE;,T0.rAIL ACCOUNT TOTALS -28.98 -58.59 It P*t HO This page is intentionally left blank. FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 27900337 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453 -00- 794629 -6 8100.00 30 11 -30 -2011 12 -23 -2011 1008.54 BATE ACTIVITY DESCRIPTION C iARGE5LDESiTS PAYMENTS /CREDITS 1!1 23 2Q,71 PAYMENT RECEIVED THANK YOU 931.53 11 3012011 RETAIL FUEL PURCHASES 986.543 11 30 2011...:; MONTHLY CARD CHG 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 931.53 931,53 986.54 22.00 0.00 0.00 1008.54 $10.00 MINIMUM LATE FEE PAY ONLINE AT: www.wexonline.com CALL CUSTOMER SERVICE TO PAY BY PHONE The Late Fee is determined by Which is an ANNUAL To the Balance subject to late FEDERAL TAX ID: 84- 1425616 applying a monthly eriodic rate of PERCENTAGE RATE of fee for this peFicd which is 2.00 24.00 0.00 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. TO ENSURE PROPER CRFDIT_ TEAR AT PFRFORATION ANn INCI IInF RnTTnM PORTInN 1JVlTw "Yn11R PAYMFNT 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 orthey 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: http: /www.e- fleet.corr Call 1- 888 387 -5665, 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, ME 04104 Be sure to include your account number on all correspondence. ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 11 -30 -2011 FLEET S E MPILV I C E S ACCOUNT NO: 0453 -00- 794629 -6 DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ CARMEL IN 45032 -2584 Tax Summary TAX JURISDICTION ID EXPIRATION EXEMPTED TAX REPORTED TAX TAX TYPE TAX PRODUCT CLASS GALLONS GROSS COST TAX RATE FEDERAL 356000972 -62,02 0.00 FEDERAL E85 339.000 1,059.43 0.18300 334 000, ,FEDERAL GASOLINE 18.250 6130 0.18300 FEDERALfd*ALS 65:36 'i' 0 Op 357.250 1 12p 73 IN 356000972 0.00 3.29 STATE EXCISE GASOLINE 18.250 61.30 0.18000 -65.25 0.00 STATE SALES E85 339.000 1,059.43 0.07000 -3.58 0.00 STATE SALES GASOLINE 18.250 61.30 0.07000 aN STAZ TOTALSI: 68:83 :;:329 ACCOUNT TOTALS 134.19 3.29 (c) WRIGHT EXPRESS CORPORATION 2011 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 27900337 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 -0 0 794629 6 8,100.00 30 1 11 -30 -2011 12 -23 -2011 1,008.54 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0001 MH 001 074 10 -31 -2011 13:23 SMITH, KEITH 14,500 E85 16.790 3.099 52.04 52.04 MH 001 074 11 -15 -2011 11:56 SMITH, KEITH 14,500 E85 18.000 3.099 55.79 55.79 MH 001 074 11 -29 -2011 11:35 SMITH, KEITH 14,500 UNL 18.250 3.359 61.30 61,30 CARD SUBTOTALS 53.040 159.13 0002 MH 001 078 11 -07 -2011 13:41 HULETT, MARK 95,568 E85 12.450 3.100 38.59 38.59 MH 001 074 11 -10 -2011 03.24 HULETT, MARK 95,732 E85 10.330 3.098 32.00 32.00 MH 001 074 11 -15 -2011 08:26 HULETT, MARK 95,931 E85 12.910 3.100 40.02 40.02 MH 001 078 11 -23 -2011 06:52 HULETT, MARK 96,362 E85 13.390 3.159 42.30 42.30 MH001078 11 -25 -2011 21:31 HULETT, MARK 96,600 E85 13.930 3.159 44.01 44.01 CARD SUBTOTALS 63.010 196.92 0003 MH 001 095 11 -03 -2011 14:20 STEELE, JEFF 9,205 E85 23.230 3.098 71.97 71.97 MH 001 074 11 -10 -2011 16:25 STEELE, JEFF 9,467 E85 25970 3.099 80.49 80.49 MH 001 074 11 -17 -2011 13:14 STEELE, JEFF 9,671 E85 23,270 3.158 73.49 73.49 MH 001 095 11 -23 -2011 12:21 STEELE, JEFF 9,937 E85 25250 3.159 79.76 79.76 MH 001 C74 11 -28 -2011 10,35 STEELE, JEFF 10,255 E85 25,550 3.159 80.71 80.71 CARD SUBTOTALS 123.270 386.42 0004 MH 001 074 11 -02 -2011 18:57 HABOUSH, DAVE 7,438 E85 23,530 3099 73.24 73.24 MH 001 074 11 -06 -2011 15:20 HABOUSH, DAVE 7,688 E85 22.100 3.100 68.50 68.50 MH 001 074 11 -13 -2011 19:57 HABOUSH, DAVE 7,964 E85 26,030 3.099 80.67 80.67 MH001074 11 -19 -2011 19:19 HABOUSH, DAVE 8,227 E85 25,770 3.159 81.40 81.40 MH 001 074 _1 -1 -25 72011 14:46 HABOUSH, DAVE 8,446 E85 20.400 3.159 64,45 64.45 CARD SUBTOTALS 117.930 368.26 TOTAL PURCHASES 357.250 1,120.73 Y -T -D PURCHASES 3,890.040 12,307.75 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 13 844,10 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 2 151.73 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 3 124.90 PRODUCTS: E85= ETHANL85 UNL= UNLEADED FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRA NO. ALLOWED 20 Fleet Services IN SUM OF P.O. Box 6293 Carol Stream, 160197 60197 $1,497.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 1120 j 27892238 42- 314.00 $488.71 1 hereby certify that the attached invoice(s), or 1120 27900337 42- 314.00 $1,008.54 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except DEC 19 2019 r 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)) 27892238 $488.71 27900337 $1,008.54 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