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Home My WebLink About216609 01/29/2013 F CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK 0 !' CHECK AMOUNT: $633.85 ` CARMEL, INDIANA 46032 Po eox 6293 CAROL STREAM IL 60197-6293 CHECK NUMBER: 216609 CHECK DATE: 112912013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 31662394 633 . 85 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 31662394 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 8,100.00 31 12-31-2012 01-25-2013 633.85 DAT.E: :. ACTIVITY DESCRIPTION CHARGE.SDEBITS PAYMENTS/CREDITS . 1:2:24>2U1Z»:::::;. PAYMENT RECEIVED THANK YOU 1,147.28 12:31-2012:;:;;'::': RETAIL FUEL PURCHASES 611:$5 MONTHLY CARD CHG 22.00 - 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 PAYMENTS (+)PURCHASES (+)DEBITS CREDITS +LATE FEE =NEW BALANCE 1147.28 1147.28 611.85 22.00 0.00 0.00 633.85 $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. TI1 0.I C11OCOM-MOMIT A M A 10 AT MOM C J^kl AKIM Ikll IIM=ors Rn M-1-1 lAll-11 MAVnn rnlT 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: 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: 12-31-2012 FLEET S E RV I!/�E S ACCOUNT NO: 0453-00-794629-6 V 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 -22.63 0.00 FEDERAL E85 123.610 397.42 0.18300 -16.63 0.00 FEDERAL GASOLINE 90.886 295.40 0.18300 F....E TOTALS:. s:; :::aa.. ::: =39 ,: OAd': 96 69 i$2;: P RAI T .26 ........ ............... ......... ..... ...... ... IN 356000972 0.00 16.35 STATE EXCISE GASOLINE 90.886 295.40 0.18000 -24.53 0.00 STATE SALES E85 123.610 397.42 0.07000 -17.18 0.00 STATE SALES GASOLINE 90.886 295.40 0.07000 000 0.10 STATE SPECIAL GASOLINE 9.720 33.03 0.01000 k T ACCOUNT TOTALS -80.97 16.45 (c)WRIGHT EXPRESS CORPORATION 2012 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 31662394 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT I DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-0 0-794629 6 8,100.00 31 12-31-2012 01-25-2013 633.85 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0002 MH 001 078 12-05-2012 14:22 HULETT,MARK 10,410 E85 14.850 3.300 49.00 49.00 MH 001 078 12-14-2012 14:34 HULETT, MARK 10,980 E85 12.820 3.198 41.00 41.00 MH 001 078 12-19-2012 16:25 HULETT, MARK 11,076 E85 12.200 3.198 39.01 39.01 MH 001 078 12-21-2012 16:35 HULETT, MARK 11,234 E85 11.570 3.060 35.40 35.40 MH 001 078 12-27-2012 12:57 HULETT,MARK 11,376 E85 11.570 3.060 35.40 35.40 CARD SUBTOTALS 63.010 199.81 0004 MH 001 074 11-30-2012 15:18 HABOUSH,DAVE 22,678 UNL 23.240 3.398 78.98 78.98 MH 001 074 12-07-2012 08:33 HABOUSH,DAVE 23,009 E85 20.710 3.299 68.32 68.32 CARD SUBTOTALS 43.950 147.30 0007 MH 001 074 12-07-2012 11:27 SMITH,KEITH 1,450 E85 16.830 3.299 55.53 55.53 MH 001 074 12-18-2012 11:12 SMITH,KEITH 14,500 UNL 15.520 3.098 48.08 48.08 MH 001 078 12-27-2012 19:31 SMITH,KEITH 14,500 UNL 9.720 3.398 33.03 33.03 CARD SUBTOTALS 42.070 136.64 4502 MH 001 074 12-17-2012 10:16 STEELE,JEFF 28,039 E85 23.060 3.199 73.76 73.76 CARD SUBTOTALS 23.060 73.76 4551 93 006 168 12-10-2012 11:25 VANVOORST,BOB 93,764 UNL 21.546 3.319 71.51 71.51 MH 001 074 12-18-2012 15:29 VANVOORST,BOB 94,007 UNL 20.860 3.058 63.80 63.80 CARD SUBTOTALS 42.406 135.31 TOTAL PURCHASES 214.496 692.82 Y-T-D PURCHASES 3,308.721 11,236.94 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 6 388.47 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 6 232.84 93 006 168 MARATHON 710 WESTFIELD ROAD NOBLESVILLE IN 46062 1 71.51 PRODUCTS E85=ETHANL85 UNL=UNLEADED FLEET SERVICES 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 $633.85 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 31662394 I 42-314.00 I $633.85 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 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)) 31662394 $633.85 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