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Home My WebLink About213713 10/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 0 ONE CIVIC SQUARE WRIGHT EXPRESS FSC CHECK AMOUNT: $376.65 CARMEL, INDIANA 46032 PO BOX 6293 o� CAROL STREAM IL 60197-6293 CHECK NUMBER: 213713 CHECK DATE: 10/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 30724824 376 . 65 0496-00-138002-1 Invoice Statement INVOICE NUMBER: 30724824 NO ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT , DA S THIS PERIOD � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-004 38002-1 1550.00 30 SEP- OCT-26-2012 376.651 DATE,, ACTIVITY DESCRIPTION C.HARGE. S/IDE SITS. PAYMENTS/CREDITS :::SEP-13-2012 PAYMENT-THANK YOU 155.70 SEP=28 2012..::::: FUEL PURCHASES 376.65 REMINDER 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 I (-)PAYMENTS I (+)PURCHASES (+)DEBITS (-)CREDITS I (+)LATE FEE I (=)NEW BALANCE 155.701 155.701 376.65 0.00 0.00 1 0.001 376.65 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 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. 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:/Avww.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. VOUCHER NO. WARRANT NO. ALLOWED 20 Circle K Fleet Services IN SUM OF $ PO Box 6293 Carol Steam, IL 60197-6293 $1,310.24 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 'I Z 1 hereby certify that the attached invoice(s), or 30718983 42-314.00 $933.59 bill(s) is (are) true and correct and that the 1205 30724824 42-314.00 $376.65 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, October 10, 2012 ZZ Director, Administrafii,ond 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)) 10/10/12 30718983 $933.59 10/10/12 30724824 $376.65 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