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Home My WebLink About215946 01/09/2013CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, INDIANA 46032 VENDOR: 366015 WEX BANK PO BOX 6293 CAROL STREAM IL 60197 -6293 Page 1 of 1 CHECK AMOUNT: $793.89 CHECK NUMBER: 215946 CHECK DATE: 1/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 31631923 793.89 0496 -00- 138012 -0 Invoice Statement INVOICE NUMBER: 31631923 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 9,550.00 31 DEC -31 -2012 JAN -25 -2013 793.89 ACTIVITY DESCRIPTION ::C} ARGES/DEBITS PAYMENTS /CREDITS DEG ,17 2012::: DEC 31 2032::::: PAYMENT - THANK YOU FUEL PURCHASES REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. 956.77 PURCHASES, RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEJSTATEMENT. PREVIOUS BALANCE (- )PAYMENTS ( +)PURCHASES ( +)DEBITS (- )CREDITS ( +)LATE FEE ( =)NEW BALANCE 956.77 956.77 793.89 0.00 0.00 0.00 793.89 CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 841425616 The Late Fee is determined by applying a monthly rate of Which is an EFFECTIVE ANNUAL RATE of To the balance subject to late fee for this period which is 2.08 % 24.99 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. TO ENSURE PROPER CREDIT, TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT. ACCOUNT. AME City of Carmel Fire AGCOUNT:NUMBER: 0496 -00- 138012-0 FNVOICE.NUMBER 31631923 :SILLICLOSING DEC -31 -2012 ................... . AkMO.UNNiT DUE 793.89 ?AMOUNT.ENCLOSED:: :PAYMENTDUE DATE JAN -25 -2013 PAYMENTS RECEIVED AFTER THIS DATE SUBJECT TO LATE FEES. A 04960013801200000000079389 130125 Circle K Fleet FAX CHANGE OF ADDRESS REQUEST TO 1-800- 395 -0809. Make check payable to: WEX BANK. Use enclosed envelope or send to: 1.11..11 I ILI ,IIIII1.11..11IlIIJ....11II,I,ll WEX BANK P.O. BOX 6293 CAROL STREAM IL 60197 -6293 Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496 -00- 138012 -0 DEC -01 -2012 TO DEC -31 -2012 :CARD NUMBER CARD EMBOSSING ,..VEHICLE 1 ASSET IDENTIFIER VEHICLE DESCRIPTION... • PLATE (ST) VIN 0001 Chief Smith 63225 PAGE 1 OF 8 DATE MM -DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES PREVIOUS ODOMETER 1,450 11 -30 09:19 545 S Range Line Carmel IN 1 driver OP 1,450 UNL 14.830 3.449 51.18 2.71 - 48.47 5.66- 12-05 12:35 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 18.510 3.029 56.09 3.39- 52.70 6.56- 12-11 11:22 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 17.370 3.389 58.88 3.18- 55.70 6.57- 12-13 13:33 545 S Range Line Carmel IN 1 driver OP 14,500 UNL 16.540 3.029 50.11 3.03- 47.08 5.86- 12-21 09:20 545 S Range Line Carmel . IN 1 driver OP 14,500 UNL 21.020 3.259 68.53 3.85 - 64.68 7.76- PERIOD TOTALS ".." :. :: ": ;:" :" ';; ;:.: 88270 284:79 _ :: 16.16 = 268.63' '':;::;::,;;33.41 - YTDTO,TALS:.:'... "z:.: .' 984.430 ..::':::'.;.:. :' 353820:; >;.. ..180.14- : :3,358.06:' " : :`3$5,2Sr PERIOD AVERAGE: PPG 3.226 " "` YTD AVERAGE: PPG " "' 3.594 "'*" "" TO ENSURE MORE ACCURATE MILEAGE REPORTING, VEHICLE MILEAGE ,STATISTICS ARE NOT CALCULATED WHEN KEY ODOMETER READ NGS ARE NOT WITHIN AN ACCEPTABLE RANGE. TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496 -00- 138012 -0 DEC -01 -2012 TO DEC -31 -2012 CARD: NUMBER CARD EMBOSSING VEHICLE f ASSET IDENTIFIER :VEHICLE DESCRIPTION PLATE (Sty: .VIN 0002 Asst. Chief Hoffman 74957 PAGE 2 OF 8 DATE MM -DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES PREVIOUS ODOMETER 2,741 12 -06 08:21 1230 S Range Lin Carmel IN 1 driver OP 27,769 UNL 26.790 3.279 87.86 4.90- 82.96 9.93- 12-20 19:11 7788 E 96th St Fishers IN 1 driver OP 28,337 UNL 23.720 2.989 70.92 4.34- 66.58 8.34- PERIOD;TOTALS' ". ".':: 150.510 "" 158:78 9,24 -:: ;`' 149.54, :.::`. 1$.27; - . MD TOTALS ': ":::..:.; . ;: » +,.. . 417.967; . 1485:90 ' .;: . , ,;'r' 76 :50 ::,;:.': . 1`409;4 0 180.74- PERIOD AVERAGE: PPG "` *` 3.144 ""* YTD AVERAGE: PPG " "* 3.555 '** " "' TO ENSURE MORE ACCURATE MILEAGE REPORTING, VEHICL E MILEAGE STATISTICS ARE NOT CALCULATED WHEN KEY ODOMETER READINGS ARE NOT WITHIN AN ACCEPTABLE RANGE. TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496-00-138012-0 DEC-01-2012 TO DEC-31-2012 CARD: NUMBER CARD EMBOSSING .VEI-UCLEf ASSEr•IDENTIFIER•' • :••• ,:•.VEHICLE PLATE :(ST) 0003 Asst. Chief Haboush 74965 PAGE 3 OF 8 DATE MM-DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES 12-25 12-25 21:47 21:51 PREVIOUS ODOMETER 545 S Range Line Carmel IN 545 S Range Line Carmel IN PERIOD TOTALS ::. it6rbfALi PERIOD AVERAGE: PPG YTD AVERAGE: PPG ****' CALCULATED 1 driver 1 driver TO ENSURE MORE ACCURATE WHEN KEY OP OP ODOMETER 2,054 23,234 23,234 ***** :' .4:• ***** ***** MILEAGE READ UNL UNL REPORTING, NGS ARE 3140 16.180 . . ...... ' 19.320,:. " . ---- ". 331634 VEHICL NOT WITHIN 2.899 3.199 • 3.151 3.510 E MILEAGE AN ACCEPTABLE 9.12 51.76 ... ...... ---::: ' •':,:.•::•60.88 ,.,:. . 0 71.11 ***** ***** 6TATISTICS ARE RANGE. NOT 0.57- 2.96- .,... . , ::::',3.53 0448 , 8.55 48.80 57..3 5 1,10663 1.09 - 5.91- , , 7. .,:0 0 •::. ,., 12534- - • •. TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496 -00- 138012 -0 DEC -01 -2012 TO DEC -31 -2012 CARDNUMBER CARD EMBOSSING: VEHICLE 1ASSE`P':IDENTIFIER VEHICLE' DESCRIPTION::: PLATE (ST) :VIN 0004 EMS Chief Hulett 70614 PAGE 4 OF 8 DATE MM -DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES 12 -03 12-09 12-12 13:15 15:33 06:36 PREVIOUS ODOMETER 545 S Range Line Carmel 545 S Range Line Carmel 545 S Range Line Carmel PERIOD TOTALS YTb TOTALS s >:,' PERIOD AVERAGE: PPG YTD AVERAGE: PPG IN IN IN * * * *" CALCULATED 1 driver 1 driver 1 driver ` `.: i; » >.:;;;:; ::' ' - TO ENSURE MORE ACCURATE WHEN KEY OP OP OP ' : ' ODOMETER 1,004 1,022 10,584 10,760 *""* ;::;.., . "' *' * * * ** MILEAGE READINGS UNL UNL UNL ...., .. REPORTING, ARE 14.170 13.790 14.800 :,::::::::.::::::::42:760 643.520;- VEHICL NOT WITHIN 3.069 3.189 3.089 ;" % `;;' '. ; 3.116 3.437 E MILEAGE AN ACCEPTABLE 43.50 44.00 45.75 133.25 ''.. .2;212 04 * * * ** * * * ** STATISTICS ARE RANGE. :... .: NOT 2.59- 2.52- 2.71 - 7.$2:" �� 7: - 7 's' 1.1 6 40.91 41.48 43.04 .125.43 2 094.28 ... 5.06- 5.03- 5.30- . 15:39 -::.; 245:21' ,.' :' TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496-00-138012-0 DEC-01-2012 TO DEC-31-2012 CARO.NUMBER: VEHICLE TASSET IDENTIFIER VEHICLE:DESCRIPTION PLATE (ST) VIN 0009 Keith Freer 70615 PAGE 5 OF 8 DATE MM-DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES PREVIOUS ODOMETER 18,174 12-19 07:59 14554 Harriman B Noblesvill IN 1 driver OP 183,340 UNL 9.910 3.029 30.03 1.81- 28.22 3.51 - PERIOD TOTALS:: ';:i: : : :: ::::] 1 0.00 : :::::: :: :: :::: : ' :: ;' 1043 :: 1.81 - ;;:"' :::: : :28.22 :$.$1,:. : , YTD TOTALS :::: :;; : ; :;::: : :::: :::: ; 60.700 : : ::::::;:;;: : '::: ::;:::;::;290:11 11,12- '::::: _:.... 19009 -: ;23.11;- PERIOD AVERAGE: PPG ***** 3.030 ***** YTD AVERAGE: PPG ***** 3.423 ***** ****' TO ENSURE MORE ACCURATE MILEAGE REPORTING, VEHICL E MILEAGE STATISTICS ARE NOT CAL CULATED WHEN KEY ODOMETER READINGS ARE NOT WITHIN AN ACCEPTABLE RANGE. TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496-00-138012-0 DEC-01-2012 TO DEC-31-2012 CARD NUMBER: : " CARD:E1\1130SSING VEHICI-El ASSET IDENTIFIER veHicLe. DECRlPTtON. :. . PLATE (sT)* ''' 0011 Steve Reeves (IN) PAGE 6 OF 8 DATE MM-DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES PREVIOUS ODOMETER 34,742 12-02 13:54 10598 N College Indianapol IN 1 driver OP 3,900 UNL 10.000 3.449 34.49 1.83- 32.66 3 82 - PiRIPP TPTAL8 , ' w..**... : '':- : va . Ow 4.49 1.8 2...66 3.82, ' YTD TOTALS :: : ::: : 30210 11331 553 107.78 : ;,' ' 12.14- PERIOD AVERAGE: PPG ***Yr* 3.449 .....*. YTD AVERAGE: PPG *.**. 3.751 *"'" TO ENSURE MORE ACCURATE MILEAGE REPORTING, VEHICL E MILEAGE STATISTICS ARE NOT CAL CULATED WHEN KEY ODOMETER READINGS ARE NOT WITHIN AN ACCEPTABLE RANGE. TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire CARD NUMBER CARD EMBOSSING VEHICLE 1 ASSET IDENTIPIER: • vaucLe DESCRIPTION PLATE (ST) REPORT FOR: City of Carmel Fire 0496-00-138012-0 DEC-01-2012 TO DEC-31-2012 0012 FIRE (IN) PAGE 7 OF 8 DATE MM-DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES 12-04 12:19 PREVIOUS ODOMETER 545 S Range Line Carmel IN PP RIPD TPTALS .' :.. YTD TOTALS PERIOD AVERAGES: MPG, PPG, YTD AVERAGE: PPG **** CAL 1 driver -.... CPM TO ENSURE MORE ACCURATE CULATED WHEN KEY OP ODOMETER 9,292 9,353 -,.' 252: : 10.43 .**** MILEAGE READ UNL REPORTING, NGS ARE 24.150 . „ . --:---- ,:-24150 ,6.,,5.. 1.99 0 VEHICLE NOT WITHIN 3.069 . ... . . ":-:: '.::.',--,:, 3.070 3.481 MILEAGE AN ACCEPTABLE 74.14 :::::- 7444' „:„. . . 2;269.41 0.29 STATISTICS ARE RANGE. NOT 4.42- . :' ::4,..42-:<:0.:,::64Z '.., 11930 69.72 ..... . . . . . . :,:2;1$0',.1.1. 8.63- - 8632'1:-.. :.: 2$0:,33- TRANSACTION CODES: OP = Outdoor Payment Terminal Purchase Activity Report PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496-00-138012-0 DEC-01-2012 TO DEC-31-2012 ,.CARD NUMBER CARD :VEHICLE 'ASSET VEHICLE DESCRIPTION .PLATE (ST): 0013 FIRE (IN) PAGE 8 OF 8 DATE MM-DD TIME SITE ADDRESS PROMPT INFO TRAN CODE ODOM. PROD UNITS COST/ UNIT FUEL $ OTHER $ EXEMPT TAX NET $ REPORTED TAX EXC. CODES PREVIOUS ODOMETER 12-06 10:00 545 S Range Line Carmel IN 1 driver OP 61,684 UNL 20.000 3.299 66.00 3.66- 62.34 7.44 - PEkido TOTALS,: ,,,,,,,, : 20,006; :::: ; 66.00 :::: :3 66, ' ', :" 62 34 ,:' 744 YTp7112717ALS : ;: 20 000 , : ,,, 66.00 366 6234 744 PERIOD AVERAGE: PPG * * * * * 3.300 ***** YTD AVERAGE: PPG .....* 3.300 TO ENSURE MORE ACCURATE MILEAGE REPORTING, VEHICLE MILEAGE STATISTICS ARE NOT CALCULATED WHEN KEY ODOMETER READINGS ARE NOT WITHIN AN ACCEPT,' BLE RANGE. TRANSACTION CODES: OP = Outdoor Payment Terminal Financial Summary PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496 -00- 138012 -0 DEC -01 -2012 TO DEC -31 -2012 PAGE 1 OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES QTY COST /FEE TOTAL FEES FUEL $ OTHER $ EXEMPTED TAX NET $ TOTAL FEES & PURCHASES ACCOUNT TOTALS Unleaded Regular ACCOUNTS RECEIVA3LE SUMMARY - Invoice 31631923 PREVIOUS BALANCE PAYMENTS PURCHASES DEBITS CREDITS ANCILLARIES AMOUNT DUE 956.77 956.77- 793.89 0.00 0.00 0.00 793.89 842.36 48.47- 10 793.89 793.89; 953:74:;:; 79389 :. 10,95,3:74;:: This page is intentionally left blank. Site Summary PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496 -00- 138012 -0 DEC -01 -2012 TO DEC -31 -2012 BRAND ADDRESS CITY STATE ZIP NO. TRANS FUEL UNITS FUEL $ OTHER $ EXEMPT TAX NET $ SHELL 545 S Range Line Rd Carmel IN 46032 12 194.500 619.06 35.59- 583.47 1230 S Range Line Rd Carmel IN 46032 1 26.790 87.86 4.90- 82.96 7788 E 96th St Fishers IN 46037 1 23.720 70.92 4.34- 66.58 14554 Herriman Blvd Noblesville IN 46060 1 9.910 30.03 1.81 - 28.22 10598 N College Ave Indianapolis IN 46280 1 10.000 34.49 1.83- 32.66 P.ERIOD.TOTALS 1 264.920'' - 842.36 0.00. A8.47- 793:89 PAGE 1 OF 2 This page is intentionally left blank. Tax Summary PARENT ACCOUNT: City of Carmel Fire REPORT FOR: City of Carmel Fire 0496-00-138012-0 DEC-01-2012 TO DEC-31-2012 PAGE 1 OF 2 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX $ REPORTED TAX $ TAX TYPE TAX PRODUCT CLASS UNITS GROSS $ TAX RATE FEDERAL 356000972 JUN-18-2012 -48.47 FEDERAL TOTALS . r48',47: IN 356000972 JUN-18-2012 :IN: 6i,t%-rE :TOTALS ACCOUNT TOTALS -48.47 Federal Excise -48.79 State Sales -47.68 State Excise. -96.47 -96.47 Gasoline Unblended Gasoline Unblended Gasoline Unblended 264.920 842.36. 264,920 M236 ' 264.920 264.920 842.36 842.36 0.18300 0.07000 0.18000 This page is intentionally left blank. 1 nvoice Statement INVOICE NUMBER: 31631923 ACCOUNT NAME: City of Carmel Fire PAGE 1 OF 1 ACCOUNT NUMBER 0496 -00- 138012 -0 CREDIT LIMIT 9,550.00 DAYS THIS PERIOD 31 BILL CLOSING DATE DEC -31 -2012 PAYMENT DUE DATE JAN -25 -2013 AMOUNT DUE 793.89 DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS DEC -17 -2012 DEC -31 -2012 PAYMENT FUEL - THANK YOU PURCHASES 956.77 793.89 956.77 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. 0.00 PURCHASES, RETURNS AND PAYM ENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT I NVOICE/STATEM ENT. PREVIOUS BALANCE (- )PAYMENTS ( +)PURCHASES ( +)DEBITS (- )CREDITS ( +)LATE FEE ( =)NEW BALANCE 956.77 956.77 793.89 0.00 0.00 0.00 793.89 CALL CUSTOMER SERVICE TO PAY BY PHONE FEDERAL TAX ID: 841425616 The Late Fee is determined by applying a monthly rate of Which is an EFFECTIVE ANNUAL RATE of To the balance subject to late fee for this period which is 2.08 % 24.99 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS TO ENSURE PROPER CREDIT.TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT. VOUCHER NO. WARRANT NO. , ALLOWED 20 Wex Bank P.O. Box 6293 Carol Stream, IL 60197 $793.89 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department 441C0-00- eSOID- PO# / Dept. INVOICE NO. ACCT #/TITLE AMOUNT 1120 31631923 42- 314.00 $793.89 Cost distribution ledger classification if claim paid motor vehicle highway fund IN SUM OF $ Board Members 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 JAN -7 2013 Fire Chief Title 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 Date Invoice Number Description (or note attached invoice(s) or bill(s)) Amount 31631923 $793.89 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