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Home My WebLink About213714 10/10/2012 VENDOR: 366015 Page 1 of 1 CITY OF CARMEL, INDIANA g `F. ONE CIVIC SQUARE WRIGHT EXPRESS FSC CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $972.34 ?° CAROL STREAM IL 60197-6293 CHECK NUMBER: 213714 CHECK DATE: 10/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 30717436 972 . 34 0453-00-794629-6 t FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 30717436 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT � DAYS THIS PERIOD � BILL CLOSING DATE PAYMENT IDUEDATE AMOUNT DUE 0453-00- 8,10 0.00 30 09-30-2 10-26-2012 9 ACTIVITY DESCRIPTION ...CHkRGES10E'BfTS PAYMENTS/CREDITS .... . .......- 24 ::2:::::::::: PAYMENT RECEIVED-THANK YOU 992.11 2&=2L1.... . RETAIL FUEL PURCHASES -4 .9503- 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-INVOICEISTATEMENT PREVIOUS BALANCE (-)PAYMENTS +)PURCHASES (+)DEBITS (-)CREDITS I (+)LATE FEE (=)NEW BALANCE 992.111 950.341 22.001 0.001 0.001 972.34 $10.00 MINIMUM LATE FEE PAY ONLINE AT:www.wexonfine.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 periodic rate of PERCENTAGE RATE of fee for this period which is 2.08 % 24.99 % 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.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: http://www.e-fleet.com • 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: 09-30-2012 FLEET SERVICES ACCOUNT NO: 0453-00-794629-6 DELIVER TO: DENISE SNYDER CARMEL FIRE DEPARTMENT 2 CIVIC SQ 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 -43.04 0.00 FEDERAL E85 235.110 822.61 0.18300 -11.12 0.00 FEDERAL GASOLINE 60.743 242.16 0.18300 L:TO:A a::. .. . FE�I«RA ;:.:.:: ...;:>::>::><:: :.;::.;..::;.;.;.:; IN 356000972 0.00 7.16 STATE EXCISE GASOLINE 39.760 156.15 0.18000 -51.00 0.00 STATE SALES E85 235.110 822.61 0.07000 ................. . -9.27 0.00 STATE SALES GASOLINE 39.760 156.15 0.07000 aN'::STATE TOTALS. >;::::'::;;>::?zc:?c:»>:a »::>:::Is:» r,;::;::r,::>;;;:;. ,.;..:.... . s:;;:,:;,;:.r :::>:>:: 80 22:. 7 ,16 ACCOUNT TOTALS -114.43 7.16 IS (c)WRIGHT EXPRESS CORPORATION 2012 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 30717436 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT I DAYS THIS PERIOD I BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8,100.00 30 09-30-2012 10-26-2012 972.34 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0002 MH 001 078 08-31-2012 13:15 HULETT, MARK 5,838 E85 12.860 3.500 45.01 45.01 MH 001 074 09-04-2012 14:55 HULETT, MARK 5,996 E85 12.290 3.499 43.00 43.00 MH 001 078 09-05-2012 19:17 HULETT, MARK 6,154 E85 13.350 3.498 46.70 46.70 MH 001 074 09-07-2012 12:50 HULETT, MARK 6,286 E85 10.490 3.499 36.70 36.70 MH 001 078 09-22-2012 11:29 HULETT,MARK 6,743 E85 12.000 3.500 42.00 42.00 MH 001 078 09-25-2012 16:04 HULETT,MARK 6,943 E85 15.000 3.500 52.50 52.50 CARD SUBTOTALS 75.990 265.91 0004 MH 001 074 09-05-2012 13:17 HABOUSH,DAVE 17,745 E85 20.950 3.499 73.30 73.30 MH 001 074 09-13-2012 11:08 HABOUSH,DAVE 17,923 E85 18.450 3.498 64.54 64.54 CARD SUBTOTALS 39.400 137.84 0007 MH 001 074 08-31-2012 12:06 SMITH,KEITH 14,500 UNL 22.170 3.958 87.75 87.75 MH 001 074 09-06-2012 12:25 SMITH,KEITH 14,500 UNL 17.590 3.889 68.40 68.40 CARD SUBTOTALS 39.760 156.15 4502 MH 001 074 09-03-2012 13:57 STEELE,JEFF 22,900 E85 23.860 3.498 83.47 83.47 MH001074 09-10-2012 09:15 STEELE,JEFF 23,133 E85 23.690 3.498 82.87 82.87 MH 001 074 09-18-2012 11:29 STEELE,JEFF 23,382 E85 24.970 3.499 87.38 87.38 MH 001 074 09-24-2012 13:08 STEELE,JEFF 23,639 E85 23.970 3.499 83.87 83.87 CARD SUBTOTALS 96.490 337.59 4551 MH 001 074 09-17-2012 13:52 VANVOORST,BOB 89,687 E85 5.310 3.497 18.57 18.57 MH 001 074 09-17-2012 13:55 VANVOORST,BOB 89,687 E85 17.920 3.499 62.70 62.70 NO 016 182 09-19-2012 13:27 VANVOORST,BOB 89,933 UNL 20.983 4.099 8601 86.01 CARD SUBTOTALS 44.213 167.28 TOTAL PURCHASES 295.853 1,064.77 Y-T-D PURCHASES 2,314.083 7,888.66 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 12 792.55 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 4 186.21 NO 016 182 BP 1700 N STATE ELGIN IL 60123 1 86.01 PRODUCTS. E85=ETHANL85 UNL=UNLEADED L FLEET SERVICES This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Wrights Express FSC IN SUM OF $ P.O. Box 6293 Carol Stream, IL 60197 $972.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#(TITLE AMOUNT Board Members 1120 I 30717436 I 42-314.00 I $972.34 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 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)) 30717436 $972.34 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