218320 03/20/2013 - CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $135.88
CARMEL, INDIANA 46032 PO BOX 6293
oN`o CAROL STREAM IL 60197-6293 CHECK NUMBER: 218320
CHECK DATE: 3/20/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 32225783 135 . 88 7560-00-112248-0
Invoice Statement
MARATHON INVOICE NUMBER: 32225783
® ACCOUNT NAME: CARMEL POLICE DEPT
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
7560-00-112248-0
2,000.00 28 FEB-28-2013 MAR-26-2013 135.88
«' DAFE_> .:'>«i: ACTIVITY DESCRIPTION G#3ARGESiDEBt-.S. PAYMENTS/CREDITS
FUELPURCHASES
<:FE201......:..::...: >'f33 88:11
REMINDER
REMINDER PLEASE BE SURE TO INCLUDE E 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
0.00 0.00 135.88 0.00 0.00 0.00 135.88
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.
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.marathonfleetcard.comAogin.
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 1-866-544-0699 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 Marathon Fleet 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:/twww.e-fleet.com
• Call 1-866-544-0699,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.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
A., FEB-01-2013 TO FEB-28-2013
Purchase Activity Report PAGE 2 OF 4
V DIE, . .....
10008
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
02-26 09:33 12512 E 116th St Fishers IN F Driver OP 5,000 UNL 17.666 3.759 66.41 7.15- 59.26 318-
......... ...
.............
.......... 7:45:-:
YT0
PERIOD AVERAGE:PPG 3.759
YTD AVERAGE:PPG 3.759
TO ENSURE MORE CUR TE MILEAGE REPO F TING,VEHICI E MILEAGE 3TATISTICS AF E NOT
CAI CULATED WHEN KEY DDOM TER READ NGS AR NOT WITHIN AN ACCEPT 83LE RANGE,
TRANSACTION CODES:
OP=Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
FEB-01-2013 TO FEB-28-2013
Purchase Activity Report PAGE 1 OF 4
EMW$SWG,;::...I ...I . *** ......... ........
.......... .
......... .........
'VIN ... .......... .......
10002 1
DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-DD INFO CODE1 UNIT TAX TAX CODES
PREVIOUS ODOMETER
02-23 18:05 12512 E 116th St Fishers IN F Driver OP 45,940 UNL 12,199 3.759 45.86 4.94- 40.92 2.20-
...........
..................
.............
....... ... ...... ... ....... ......... .. ..... .
::A .12
.. ........ . ...............
.YTD TOTALS Nlpp
................... ......... ............... ... ...
PERIOD AVERAGE:PPG 3.759
YTD AVERAGE:PPG 3.759
TO ENSURE MORE A:CUR ATEMll-EAG=-REPORTING,VEHIC[E MILEAGE 3TATISTICS Ap E NOT
CAI CULATED WHEN KEY DDOME TER READ II NGS AR!NOT WITHIN AN ACCEP BLE RANGE.
TRANSACTION CODES:
OP=Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
FEB-01-2013 TO FEB-28-2013
Purchase Activity Report PAGE 3 OF 4
71
[t ARD NUMSM7 .... .
10011
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
02-22 16:17 3400 Old State R Martinsvil IN F Driver IP 53,769 UNL 10.528 3.799 40.00- 4.30- 36.70 1.90-
....... .. . .. ... ... ..... ... .........
.. ... .......
...... .... ........... .........
...............
.. ........
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........TOT
... . ......
. . ............ ..... ...... ...................
PERIOD AVERAGE:PPG 3.799
YTD AVERAGE:PPG 3.799
TO ENSURE MORE A:CUR MILEAG REPO F TING,VEHICLE MILEAGE TATISTICS AF;E NOT
CAI.CULATED WHEN KEY DDOME TER READ NGS AR NOT WITHIN AN ACCEPT 8,BLE RANGE,
TRANSACTION CODES:
I P=Indoor Payment Terminal
WE
R§"
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
A. FEB-01-2013 TO FEB-28-2013
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 152.27 16.39- 135.88
y3
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....................................::::... 04..::::::::::::::......... . 22:.: .:.::::::::::::::::......
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sis....s::......152' .? :,.::s:»»'ss»»»>:O;W W. :::::;:;::»>i»>:`»:::::<h... 6.35 0:<.:
35:88::<:
ACCOUNTS RECEIVA LE SUMMARY-Invoice 322!5783
PREVIOUS BALANCE 0.00
PAYMENTS 0.00
PURCHASES 135.88
DEBITS 0.00
CREDITS 0.00
ANCILLARIES 0.00
AMOUNT DUE 135.88
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
® FEB-01-2013 TO FEB-28-2013
Site Summary PAGE OF 2
BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$
TRANS TAX
MARATHON 12512 E 116th St Fishers IN 46037 2 29.865 112.27 12.09- 100.18
3400 Old State Rd Martinsville IN 46151 1 10.528 40.00 4.30- 35.70
,;:;::.
EREOD TOTAES::.: »:>: >::>::>:<::`"»::::: .
.40,393 16,39,>ia>:<:O;Ofl:>''s.':>:>:::::16,39*"I> > t`s>11113588.
MARATHON
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
AM 7560-00-112248-0
FEB-01-2013 TO FEB-28-2013
Tax Summary PAGE OF 2
TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE
FEDERAL 356000972 AUG-17-2014 -7.39 Federal Excise Gasoline Unblended 40.400 152.27 0.18300
... .
FEDERAE:IOTA[ >., :::::>;)'s::;:;<:.':'i::C ':'......... ..... '' ::'i ::::; is";i22>-739 o::iii:Y ss%ssssssi:......;>s:S.. s iii:» ?»:>::<»:>2:ci?i ::''i:>:<: .: x40AOD 152127»i ss »» 's>:i>`:<>::::::::::::
5::. .:::..... ........ .................... ..... . . .. ....
IN 356000972 AUG-17-2014 -9.00 State Sales Gasoline Unblended 40.400 152.27 0.07000
7.28 State Excise Gasoline Unblended 40.400 152.27 0.18000
. :::.::::::..
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ACCOUNT TOTALS -16.39 -7.28
MARATHON
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VOUCHER NO. WARRANT NO.
ALLOWED 20
WEX Bank
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197-6293
$135.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 32225783 I 42-314.00 I $135.88 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
Tuesday, March 12, 2013
Je
Chief of Police
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))
03/11/13 32225783 gasoline $135.88
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