The URL can be used to link to this page

Home My WebLink About215553 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 s ONE CIVIC SQUARE WEX BANK CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $1,147.28 CAROL STREAM IL 60197-6293 CHECK NUMBER: 215553 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 31331538 1, 147 . 28 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 31331538 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 11-30-2012 12-26-2012 1147.28 OATS: ACTIVITY DESCRIPTION C1-IARGES/DESITS PAYMENTS/CREDITS 4: PAYMENT RECEIVED-THANK YOU 1,256.79 '?E 3Q:2t 12 „„„; RETAIL FUEL PURCHASES 3t)207 ;:;;:;::;::;; MONTHLY CARD CHG0; REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH P SS SHOWN IN THE RIGHT AYMENT. MAIL TO THE ADDRE 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 1256.79 1256.79 1125.28 22.00 0.00 0.00 1147.28 $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 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,WEX Bank,under a Business Be prepared with your fleet card account number and a sample Charge Account Agreement with the cardholder named on the check to enter your bank account number and routing number. 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: hftp://www.e-fleet.com • Call 1-888-3875665,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: 11-30-2012 FLEET S E RV I C E S 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 -46.93 0.00 FEDERAL E85 256.520 843.68 0.18300 -22.29 0.00 FEDERAL GASOLINE . ..... 121.808 425.36 0.18300 F D RAL L s XO A. ., ,a, .. . . . ........ IN 356000972 0.00 20.04 STATE EXCISE GASOLINE 111.318 383.39 0.18000 -52.11 0.00 STATE SALES E85 256.520 843.68 0.07000 22.43 0.00 STATE SALES GASOLINE 111.318 383.39 0.07000 EN::::STATE.TOTALS>;;;;;»»iii»':>'::!::;;:;:: ....d»»........ >:.:;:;;`'.... *74.54:: s:»: ss:>s;;;20:04::>::'s's>:>:;::<::;::> s»»:;;::: .. .::.::... >: ACCOUNT TOTALS 443.76 20.04 (c)WRIGHT EXPRESS CORPORATION 2012 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 31331538 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT 7YSTHISPERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8,100.00 30 11-30-2012 12-26-2012 1,147.28 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0002 MH 001 078 10-31-2012 09:56 HULETT,MARK 8,538 E85 14.330 3.398 48.70 48.70 MH 001 074 11-14-2012 11:11 HULETT, MARK 9,082 E85 15.570 3.198 49.80 49.80 MH 001 078 11-15-2012 16:32 HULETT, MARK 9,257 E85 13.190 3.299 43.51 43.51 MH 001 078 11-18-2012 14:46 HULETT,MARK 9,362 E85 8.410 3.300 27.75 27.75 MH 001 078 11-23-2012 11:41 HULETT,MARK 9,716 E85 12.730 3.299 42.00 42.00 CARD SUBTOTALS 64.230 211.76 0004 MH 001 074 11-05-2012 18:36 HABOUSH,DAVE 20,211 UNL 22.260 3.270 72.78 72.78 MH 001 074 11-19-2012 14:03 HABOUSH,DAVE 20,778 E85 20.830 3.300 68.73 68.73 MH 001 074 11-25-2012 20:56 HABOUSH,DAVE 21,056 UNL 24.290 3.499 84.99 84.99 CARD SUBTOTALS 67.380 226.50 0007 MH 001 074 11-02-2012 12:52 SMITH,KEITH 14,500 E85 10.180 3.300 33.59 33.59 MH 001 074 11-16-2012 13:48 SMITH,KEITH 14,500 E85 9.670 3.300 31.91 31.91 MH 001 074 11-21-2012 13:19 SMITH,KEITH 14,500 UNL 18.030 3.598 64.87 64.87 MH 001 078 11-23-2012 11:06 SMITH,KEITH 14,500 E85 11.600 3.299 38.27 38.27 MH 001 078 11-27-2012 16:34 SMITH,KEITH 14,500 E85 13.120 3.298 43.27 43.27 CARD SUBTOTALS 62.600 211.91 4502 MH 001 095 10-30-2012 18:55 STEELE,JEFF 26,047 E85 26.280 3.398 89.31 89.31 MH 001 074 11-09-2012 08:04 STEELE,JEFF 26,322 E85 25.960 3.199 83.05 83.05 MH 001 074 11-13-2012 16:51 STEELE,JEFF 26,610 E85 24.880 3.199 79.59 79.59 MH 001 095 11-20-2012 11:01 STEELE,JEFF 26,831 E85 23.710 3.299 78.22 78.22 MH001 074 11-24-2012 08:16 STEELE,JEFF 27,155 E85 26.060 3.299 85.98 85.98 CARD SUBTOTALS 126.890 416.15 4551 IP 087 553 11-08-2012 09:10 VANVOORST,BOB 99,999 UNL 10.490 4.001 41.97 41.97 93006168 11-11-2012 13:58 VANVOORST,BOB 92,383 UNL 23.228 3.379 78.49 78.49 93 006 168 11-26-2012 12:28 VANVOORST,BOB 93,265 UNL 23.510 3.499 82.26 82.26 CARD SUBTOTALS 57.228 202.72 TOTAL PURCHASES 378.328 1,269.04 Y-T-D PURCHASES 3,094.225 10,544.12 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 10 655.29 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 6 243.50 MH 001 095 MEIJER 8225 E 96TH ST INDIANAPOLIS IN 46256 2 167.53 93 006 168 MARATHON 710 WESTFIELD ROAD NOBLESVILLE IN 46062 2 160.75 IP 087 553 SHELL 2290 MOORE ST SAN DIEGO CA 92110 1 41.97 PRODUCTS: E85=ETHANL85 UNL=UNLEADED �++� FLEET SERVICES This page is intentionally left blank. Z VOUCHER NO. WARRANT NO. ALLOWED 20 Wex Bank IN SUM OF $ P.O. Box 6293 Carol Stream, IL 60197 $1,147.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 I 31331538 I 42-314.00 I $1,147.28 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 excKC i 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)) 31331538 $1,147.28 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