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Home My WebLink About215258 12/10/2012 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $956.77 CAROL STREAM IL 60197-6293 «o � CHECK NUMBER: 215258 CHECK DATE: 12110/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 31331293 956 . 77 0496-00-138012-0 I nvoi ce Ratemen$ INVOICE NUMBER: 31331293 > ACCOUNT NAME: City of Carmel Fire PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-00-138012-0 3 550.00 30 NOV-30-2012 DEC-26 2012 956.77 DATE ACTIVITY DESCRIPTION CHARGES/DEBITS PAYMENTS/CREDITS NOV-30-2012 FUEL PURCHASES 972.11 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 RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE PAYMENTS (+)PURCHASES (,)DEBITS CREDITS (+)LATE FE (=)NEW BALANCE 15.34 0.00 972.11 0.00 0.00 0.00 956.77 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. ---------TO ENSURE PROPER CREDI T—TEAR AT PERFORATION AND I NCLUDE BOTTOM_PORTI ON WITH YOUR PAYM ENT. Invoice Statement INVOICE NUMBER: 31331293 ACCOUNT NAME: City of Carmel Fire PAGE I OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-00-138012-0 3 550.00 30 NOV-30-2012 DEC-26-2012 956.771 ACTIVITY DESCRIPTION PAYMENTS/CREDITS ........... ...... ;.:;NOV=3.0> Z 0�.2 0 1 FUEL PURCHASES ............. ............ REMINDER . ......... STUB .... REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE ..... ........... ......... WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE .......... ............ RIGHT PORTION OF THE REMITTANCE STUB. ............ ............. .......... .. ............ .......... . . .......... ............ ... . ....... ......... ... .............. .. ............ ........... X ............ ............... ................... ... ....... ...... ........... . ......... PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE (-)PAYMENTS (+)PURCHASES (+)DEBITS I (-)CREDITS I (+)LATE FEE I (=)NEW BALANCE 15.341 0.001 972.111 0.001 0.001 0.00 956.771 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 -- appying 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. TO ENSURE PROPER-CREDIT TPERFORATION-AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT. ———————— TEAR ——————————————————————————————————————————— ..... .... . City of Carmel Fire .AC*'*CDUNT NUMBER:: 0496-00-138012-0 Circle K Fleet .... ........... ....... 31331293 NOV-30-2012 FAX CHANGE OF ADDRESS REQUEST TO 1-800-395-0809. ................ Make check payable to:WEX BANK. ... ........... AMb. 956.77 Use enclosed envelope or send to: ,A NT:ENCLOSED. PAYM'*�fT-�!bUtiibA"-'T'-.'E s�:»? DEC-26-2012 PAYMENTS RECEIVED AFTER THIS DATE SUBJECT TO LATE FEES. WEX BANK P.O. BOX 6293 CAROL STREAM IL 60197-6293 04960013801200000000095677 121226 Balance Subject to Late Fee Mail The late fee will be calculated by determining the total balance Be sure to include bottom portion of invoice with your payment. due on the date your account becomes delinquent,as follows: Write your account number or invoice number on the check to help adding the total amount due on your Account on the payment due avoid delays in payment processing if the check and remit stub date together with any purchases posted to your Account from become separated. the end of the last billing cycle through the payment due date and Allow 10 business days prior to the due date for mailing to help subtracting from that amount any payments and/or credits entered avoid late fees.Mail payments to: during that period.The total balance due will then be multiplied by the applicable periodic rate to determine your late fee.In the Fleet Services event that the calculated late fee is less than ten dollars($10.00), PO Box 6293 a minimum late fee of ten dollars($10.00)will be charged. Carol Stream,IL 60197-6293 Your Account will be delinquent if you do not pay it in full within Online 26 calendar days of the billing date appearing on your invoice. Authorized users can elect to receive an email notification when an Certain customers,based upon our credit review,may be required invoice is ready for online viewing and payment.Log in or register to to make payment in less than 26 calendar days on a cycle that we set up an online account at www.wextools.com. may establish for you.In addition,certain customers may elect a Online payments scheduled by 3:00 PM ET(on business days) shorter billing or payment cycle as offered by us. are credited to your account on the same day.There is no fee for If your payment due date falls on a non-business day,payment is online payments. due on the business day before the payment due date.Delinquent Phone Accounts will be subject to late fees,suspension,or termination Call Customer Service at 1-866-544-1715 and select the menu of credit privileges,without notice.All charges must be paid in full regardless of disputes.Charges must be disputed in writing option for Billing Inquiries.In addition to making a payment,you can no later than sixty(60)days from the billing date or they will be also check your balance. considered final and binding. Payments scheduled by 3:00 PM ET(on business days) Card Issuer are credited to your account on the same day. The Circle K Fleet Card is issued by,and all card transactions are Be prepared with your fleet card account number and a sample funded by and payable to,WEX Bank,under a Business Charge check to enter your bank account number and routing number. Account Agreement with the cardholder named on the reverse. There is no fee for phone payments. Customer Service Automated Clearing House(ACH) To make a one-time electronic payment go to: For account Inquiries and correspondence in regard to account http://www.e-fleet.com service or billing: • 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. Payment Options PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 so NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE 1 OF 8 ........... V�tfEC�LVA$.6BTJDENTIF1rzR::, PLA 10001 1 Chief Smith 163225 1 DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-D) INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 14,500 10-31 13:53 545 S Range Line Carmel IN I driver OP 24,500 UNL 19.810 3.379 66.94 3.63- 63.31 7.48- 11-07 12:38 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 17.350 2.999 52.06 3.18- 48.88 6.11- 11-09 09:15 545 S Range Line Carmel IN 1 driver OP 1,450 UNL 15.390 3.529 54.31 2.82- 51.49 5.96- 11-13 13:06 545 S Range Line Carmel IN 1 driver OP 1,450 UNL 11.310 3.299 37.31 2.07- 35.24 4.21- 11-15 08:58 545 S Range Line Carmel IN 1 driver OP 1,450 UNL 14.560 3.589 52.28 2.66- 49.62 5.69- 11-25 11:43 3801 S Post Rd Indianapol IN 1 driver OP 1,450 UNL 22.700 3,569 81.04 4.15- 76.89 8.85- .... : .......... ...... . 4...0 .....1.1 21 0. -343,94 : a sl. ..::.....A 39 . ........ . ................ . ....YTDTOTALS ;3 3 089A3 PERIOD AVERAGE**:PPG 3.401 YTD AVERAGE:PPG 3.630 TO ENSURE MORE AOCUR ATEMILEAGE REPO RTING,VEHICLE MILEAGE TATISTICS AF E NOT CAI CULATED WHEN KEY ODOME TER READ NGS ARE NOT WITHIN AN ACCEPT AZLE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal Ri PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 so NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE 2 OF 8 10002 1 Asst.Chief Hoffman 74957 DATE TIME SITE ADDRESS PROMPT TRAIN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-DD INFO CODE UNIT TAX TAX -CODES PREVIOUS ODOMETER 25,050 11-28 20:34 9611 Allisonvill Indianapol IN 1 driver OP 2,741 UNL 24.350 3.499 85.21 4.46- 80.75 9.38- .......... ;:<::::<::: 367A 6T26 ....... MTOTAII . ........ .... .. 11�2 .... ... ... .... ...... PERIOD AVERAGE:PPG 3.499 YTD AVERAGE:PPG 3.612 TO ENSURE MORE A:;CUR AFE MILEAGE REPO FTING,VEHICLE MILEAGE 3TATISTICS AF E NOT CAI CULATED WHEN KEY DDOME TER READINGS ARE NOT WITHIN AN ACCEPTABLE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 L!90 NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE 3 OF 8 kCARD EM8O$S1N0::: J.YEHICLt t A$-SET IDENTIFIER VEHICLE DESCRIPTION k:PLATE::ST VIN 10003 Asst.Chief Haboush 74965 DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-DD INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 19,223 11-13 14:09 545 S Range Line Carmel IN 1 driver OP 2,054 UNL 23.090 3.299 76.20 4.23- 71.97 8.60- .... ...... ....... ..... ..........-. .... .... ....... . .......— . ..... :4,23: ................. .. .. ...... ....... ..............–...... ....... ................ 1,110.23 104928 .Ytb TOTALS,... ........ ............. .............. . ....... :114�314:. .............. ............... &34 .......... . .. ........... .. .. ........ .............. PERIOD AVERAGE:PPG 3.300 YTD AVERAGE:PPG 3.532 TO ENSURE MORE A:CUR MILEAG=-REPO F TING,VEHICLE MILEAGE TATISTICS AF E NOT CAI CULATED WHEN KEY DDOMETER READINGS AR NOT WITHIN AN ACCEPT 8,BLE RANGE, TRANSACTION CODES: OF=Outdoor Payment Terminal awl PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE4 OF 8 I.CARD.i NUMBER::,, 10004 EMS Chief Hulett 170614 DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-DD INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 7,990 11-02 06:40 545 S Range Line Carmel IN 1 driver OF 8,708 UNIL 12.460 3.129 39.00 2.28- 36.72 4.49- 11-09 06:25 545 S Range Line Carmel IN 1 driver OP 889 UNIL 14.240 3.229 46.00 2.61- 43.39 5.23- 11-21 07:15 545 S Range Line Carmel IN 1 driver OP 955 UNIL 13.940 3.299 46.00 2.55- 43.45 5.19- 11-27 09:04 545 3 Range Line Carmel IN 1 driver OF, 988 UNIL '13.170 3.189 42.01 2.41- 39.60 4.80- 11-29 06:49 545 S Range Line Carmel IN 1 driver OP 1,004 UNIL 12,620 3.169 40.00 2.31- 37.69 4.59- PER'I ........ ................ .... . . ..... 213. 1 :12,16 200,85.::::....24.30—: .................. ............ ........ 982:-»»:5:> ....... ........ ... ....... .......... . ...................... ..... ..... 7 tob.76o 109.94 ::,12,0 8,79, �989 ....... ............ ...........— ........ .. ..... ... ... .......-. .......................... PERIOD AVERAGE:PPG 3.207 YTD AVERAGE:PPG 3.460 TO ENSURE MORE A--CUR AFEMILEAG=-REPO FTING,VEHICLE MILEAGE 3TATISTICS AF E NOT CALCULATED WHEN KEY DDOME TER READINGS ARE NOT WITHIN AN ACCEPT kBUE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE 5 OF 8 ... ......... ICARV NUMBER i.�.77-7- 'C��ARO EMSO$SINO...... 1.AS$f i��LEDESORIPTIION[::::: . ........... 10008 1 Chris Ellison 1 82907 1 DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-Dl) INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 18,865 11-17 19:06 14554 Harriman B Noblesvill IN 1 driver OF 2,210 UNL 15.850 3.419 54.20 2.90- 51.30 6.02- PERIO ........... 3 :51 a 0.02. ........ ... .......... ...... 0 2. ........... .. .............. TOTALS .... .......... .............. 60 126,90 6,W ............ ..... ........... .... ...... 112028 13:95- .. ........... ...... ... ... PERIOD AVERAGE:PPG 3.420 YTD AVERAGE:PPG 3.509 TO ENSURE MORE,4:;CUR ATEMILEAG=-REPO TING,VEHICLE MILEAGE TATISTICS APE NOT CAI CULATED WHEN KEY DDOME TER READINGS ARE NOT WITHIN AN ACCEPT 4BLE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 so NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE 6 OF 8 I CARD: IDENTIFIEW VP-HICLE*DESCRIPTION :i: 10009 1 1 Keith Freer 170616 DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-DD INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 163,517 11-29 17:18 14554 Herriman B Noblesvill IN 1 driver OP 18,174 UNIL 12.170 3.419 41.63 2.23- 39.40 .....I... : ....,....................-.......1..1.-..—.. ............................. ... ..-. ....... ... . ....... .. .... . ...... .. ..... . .... . ............. .... .. 4.62 - .. ..... ............... .. ...... .............. 12,170. 41,63 39AO: 4:w ...... 1 B . ..... . .......YTDTOTALS...-...,, . . 78� ...... PERIOD AVERAGE:PPG 3.421 YTD AVERAGE:PPG 3.500 TO ENSURE MORE ACCURATE MILEAG=-REPO FTING,VEHICLE MILEAGE TATISTICS APE NOT CAI CULATED WHEN KEY DDOME TER READ NGS AR NOT WITHIN AN ACCEPT 8,BLE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 No NOV-01-2012 TO NOV-30-2012 Purchase Activity Report PAGE? OF 8 V�P-HICLEOESCRIPT40N[ 10012 FIRE (I IN DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-D) INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 91,645 11-01 11:19 545 S Range Line Carmel IN 1 driver OP 92,146 UNL 23.340 3.129 73.03 4.27- 68.76 8.42- 11-15 17:09 545 S Range Line Carmel IN 1 driver OP 9,262 UNL 19.760 3.289 65.02 3.62- 61,40 7.34- 11-19 08:47 545 S Range Line Carmel IN 1 driver OP 9,292 UNL 23.710 3.229 76.59 4.34- 72.25 8.72- .—....... ............ ..............-.1............... .... .............. .............. ........ ........................ ... ...... ... .... ........ PEk16Q.TQTAL4:....I...... .. .... .... .............. ........ . ..... 214,64 12,23 ... ........ ............ ......... ............... ........ ........... ........................ . .................... ....... 080 9: 241.70�::::..... .... ....... PERIOD AVERAGES:MPG,PPG,OPM 10.42 3.213 0.31 YTD AVERAGE:PPG 3.497 TO ENSURE MORE A:CUR ArE MILEAG=-REPO F TING,VEHICLE MILEAGE TATISTICS AF E NOT CA CULATED WHEN KEY DDOME TER READ II NGS ARE NOT WITHIN AN ACCEPT ABLE RANGE. TRANSACTION CODES: OF=Outdoor Payment Terminal 0 N WN LNG This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire INO 0496-00-138012-0 NOV-01-2012 TO NOV-30-2012 Financial Summary PAGE OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES& QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES ACCOUNT TOTALS Unleaded Regular 1,028.83 56.72- 972.11 PE 10D 0. 1 83' :g: fl:fl0 56;72= 9T211':: »»>:972:11..:: R 00.. 028, ::.. 0.00 10;714,:72 O,(30 554;87.- 10;'E53:85 :. >:::, ;10,:1':59;85:;; ACCOUNTS RECEIVA LE SUMMARY-Invoice 313 1293 PREVIOUS BALANCE 15.34- PAYMENTS 0.00 PURCHASES 972.11 DEBITS 0.00 CREDITS 0.00 ANCILLARIES 0.00 AMOUNT DUE 956.77 .® This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 No NOV-01-2012 TO NOV-30-2012 Site Summary PAGE OF 2 BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$ TRANS TAX SHELL 545 S Range Line Rd Carmel IN 46032 14 234.750 766.75 42.98- 723.77 14554 Herriman Blvd Noblesville IN 46060 2 28.020 95.83 5.13- 90.70 3801 S Post Rd Indianapolis IN 46239 1 22.700 81.04 4.15- 76.89 9611 Allisonville Rd Indianapolis IN 46250 1 24.350 85.21 4.46- 80.75 ....:.<:>:....:.:.. ERIOD TOT'ALS::: >:; >>:::;>:::::<:: ::::::::::.78.. ...:.::.::309 6 d: d s:as.::::::>:':.p#iq.' ...;:;Ss"y2:= Ina NAMPORM This page is intentionally left blank. I I PARENT ACCOUNT: REPORT FOR: City of Carmel Fire City of Carmel Fire 0496-00-138012-0 No NOV-01-2012 TO NOV-30-2012 Tax Summary PAGE OF 2 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE FEDERAL 356000972 JUN-18-2012 -56.72 Federal Excise Gasoline Unblended 309.820 1028.83 0.18300 ;:.;;;;:::,;:;::::".;:;:";:":"::"";:";: ";::.. . : .::.. ." ......................56.72-...-. 20 IN 356000972 JUN-18-2012 -59.93 State Sales Gasoline Unblended 309.820 1028.83 0.07000 . .. l .:: T -55.77 State Excise Gasoline Unblended 309.820 1028.83 0.18000 N:: ACCOUNT TOTALS -56.72 -115.70 so This page is intentionally left blank. VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank IN SUM OF $ P.O. Box 6293 Carol Stream, IL 60197 $956.77 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 I 31331293 I 42-314.00 I $956.77 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 a 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)) 31331293 $956.77 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