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206090 02/14/2012 a CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1 ONE CIVIC SQUARE FLEET SERVICES 2 CARMEL, INDIANA 46032 PO Box 6293 CHECK AMOUNT: $180.53 CAROL STREAM IL 60197 CHECK NUMBER: 206090 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 28420636 180.53 0496 -00- 138002 -1 Invoice Statement INVOICE NUMBER: 28420636 190 ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496 -00 138002 -1 550.00 31 JAN -31 -2012 FEB -24 -2012 270.35 ACTIVITY DESCRIPTION HARGES11DESITS PAYMENTS /CREDITS `fV> J 7 O,i2 PAYMENT THANK YOU 198.87 FUEL PURCHASES >180.35 REMINDER BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE PLEASE DISREGARD THIS NOTICE. PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION d n D FEB 13 2012 I B Y 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 DUO THREE+ BILLING PERIODS PAST DUE1 TOTAL DUE 190.35 80.00 0.00 0.00 270.35 PREVIOUS BALANCE PAYMENTS )PURCHASES )DEBITS CREDITS )LATE FEE )NEW BALANCE 278.87 198.87 180.35 0.00 0.00 10.00 270.35 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 2.08 24.99 459.22 SInF FOR IMPORTANT_INFORMATION Amn TFRMC 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 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 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: /A%ww.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 Admin. City of Carmel Admin. 0496 -00- 138002 -1 JAN -01 -2012 TO JAN -31 -2012 Purchase Activity Report PAGE OF 2 Vffti3[Gl£: /:ASS1:T,tQEK1Tt lEl2 ,....:::WF7HICLE::pESCf31PT#Otf VI 0001 Mercury mariner DATE TIME SITE ADDRESS VEH /ASSET TRAN ODOM. PROD UNITS COST/ FUEL OTHER EXEMPT NET REPORTED EXC. MM-0 DESCRIPTION CODE UNIT TAX TAX CODES PREVIOUS ODOMETER 2,340 01 -04 14:06 545 S Range Line Carmel IN 1 Driver OP 2,340 UNL 17.030 3.399 57.90 3.12- 54.78 6.45- 01-12 12:20 545 S Range Line Carmel IN 1 Driver OF 2,340 UNL 7.360 3.439 25.32 1.35- 23.97 2.80- 01-19 12:25 545 S Range Line Carmel IN 1 Driver OP 2,340 UNL 14.780 3.279 48.49 2.70- 45.79 5.48- 01-25 12:26 1821 E 151st St Carmel IN 1 Driver OP 2,340 SUP 17.400 3.389 58.99 3.18- 55.81 6.57 PIE ...........................t9A, 0... .........................4.d ;35 >.>:<::>;1sQ.35: <:::;:.:::;2,3d;..': >:::z;` >'::z>;:!< >:f»r »s ;o: 's >'i ?ii <fi ::E: i <S;,;::<:<z:z;r: >i YTfT....... a 5 &57Q c f8Q70: s >;;;>sa. ?::i::,,0 3 5:..:..:...;:::; >:1>3035: a::;:::;21; 3U.- :::::;`s PERIOD AVERAGE: PPG 3.371 YTD AVERAGE: PPG 3.371 TO ENSURE MORE CURATE MILEAGE- REPO TING, VEHICI. E MILEAGE TATISTICS A E NOT CAI CULATED WHEN KEY DDOME TER READ NGS ARE NOT WITHIN AN ACCEPT BLE RANGE. TRANSACTION CODES: OP Outdoor Payment Terminal This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Circle K Fleet Services IN SUM OF PO Box 6293 Carol Steam, IL 60197 -6293 i $180.35 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO# 1 Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1205 28420636 42- 314.00 $180.35 I 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 Monday, February 13, 2012 Director, Administration 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)) 01/31/12 28420636 $180.35 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