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Home My WebLink About217021 02/13/2013 f CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $738.72 ?o CARMEL, INDIANA 46032 PO BOX 6293 _oM CAROL STREAM IL 60197-6293 CHECK NUMBER: 217021 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 31932340 738 . 72 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 31932340 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 01-31-2013 02-26-2013 1,372.571 t20.7E; ACTIVITY DESCRIPTION Cl fARGES $tTS PAYMENTS/CREDITS 01 31.2013 RETAIL FUEL PURCHASES 692 5t< 01 31 2013 MONTHLY CARD CHG 22 00! BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS BEEN MADE, PLEASE DISREGARD THIS NOTICE.PAST DUE ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION 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 633.85 0.00 692.51 22.00 0.00 24.21 1372.57 $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 % 1.162.09 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. -------- TO ENSURE PROPER CREDIT TEAR 6-L 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: 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: 01-31-2013 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 46.04 0.00 FEDERAL E85 251.630 787.02 0.18300 ........1L]OTAIS .36.tkt DOG .. 251.630 767:02 ..11 IN 356000972 48.47 0.0.0 STATE SALES E85 251 630 787.02 0.07000 14 STATE TOTAL S A$;47 0 00 ::; ACCOUNT TOTALS -94.51 0.00 (c)WFX INC.2013 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 31932340 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 2 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8,100.00 31 01-31-2013 02-26-2013 1,372.57 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0002 MH 001 078 01-04-2013 13:26 HULETT,MARK 11,615 E85 10.300 3.058 31.50 31.50 MH 001 078 01-10-2013 19:01 HULETT,MARK 11,969 E85 16.150 3.158 51.00 51.00 MH 001 074 01-14-2013 19:11 HULETT,MARK 12,174 E85 16.300 3.160 51.50 51.50 MH 001 078 01-28-2013 19:35 HULETT, MARK 12,879 E85 12.350 3.158 39.00 39.00 CARD SUBTOTALS 55.100 173.00 0004 MH 001 074 01-04-2013 16:21 HABOUSH,DAVE 23,505 E85 21.540 3.058 65.88 65.88 MH001074 01-11-2013 17:35 HABOUSH,DAVE 23,697 E85 15.700 3.158 49.58 49.58 MH 001 074 01-21-2013 17:07 HABOUSH,DAVE 23,907 E85 21.920 3.158 69.23 69.23 MH 001 074 01-27-2013 22:23 HABOUSH,DAVE 24,166 E85 23.630 3.159 74.64 74.64 CARD SUBTOTALS 82.790 259.33 4502 MH001074 12-31-2012 10:51 STEELE,JEFF 28,686 E85 22.730 3.059 69.54 69.54 MH 001 074 01-08-2013 17:16 STEELE,JEFF 28,847 E85 23.070 3.059 70.56 70.56 MH 001 074 01-13-2013 18:18 SMITH,KEITH 29,045 E85 19.070 3.158 60.23 60.23 MH 001 074 01-23-2013 17:12 SMITH,KEITH 29,279 E85 25.780 3.159 81.43 81.43 MH 001 074 01-30-2013 10:20 SMITH,KEITH 29,499 E85 23.090 3.159 72.93 72.93 CARD SUBTOTALS 113.740 354.69 TOTAL PURCHASES 251.630 787.02 Y-T-D PURCHASES 251.630 787.02 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 10 665.52 MH 001 078 MEIJER 5303 E SOUTHPORT RD INDIANAPOLIS IN 46237 3 121.50 PRODUCTS: E85=ETHANL85 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)) 31932340 $738.72 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 VOUCHER NO. WARRANT NO. Wex Bank ALLOWED 20 � IN SUM OF $ P.O. Box 6293 Carol Stream, IL 60197 $738.72 i ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 31932340 I 42-314.00 I $738.72 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 F F I FW- Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund