219196 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1
ONE CIVIC SQUARE WEX BANK
CARMEL, INDIANA 46032 PO BOX 6293
CHECK AMOUNT: $135.49
a� CAROL STREAM IL 60197-6293 CHECK NUMBER: 219196
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 32512586 36 . 00 GASOLINE
1110 4231400 32515920 99 .49 GASOLINE
Invoice ~~~~~~~~^^^~~^ ^~
INVOICE NUMBER: 32512586
ACCOUNT NAME: City m Carmel Police
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD � III LL CLOSING DATE PAYMENTIDUEDATE AMOUNTIDUE
0496-00-138007-0 20,000.00 3 MAR APR-26-2013 36.001
....... ACTIVITY DESCRIPTION C!rRGES/0E
P�.TS PAYMENTS/CREDITS
PAYMENT-THANK YOU
FUEL PURCHASES
REMINDER PLEASE BE SURE TO INCLUDE REMIT E 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 INVOICEISTATEMENT.
1 41.921 41.921 36.001 0.001 0.001 0.001 Q9z
CALL CUSTOMER SERVICE To PAY avPHONE
FEDERAL TAX ID: 841425016 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
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
Balance Subject to Late Fee Mail
The late fee will be calculated by determining the total balance Be sure to include bottom portion of invoice with your payment.
due on the date your account becomes delinquent,as follows: Write your account number or invoice number on the check to help
adding the total amount due on your Account on the payment due avoid delays in payment processing if the check and remit stub
date together with any purchases posted to your Account from become separated.
the end of the last billing cycle through the payment due date and Allow 10 business days prior to the due date for mailing to help
subtracting from that amount any payments and/or credits entered avoid late fees.Mail payments to:
during that period.The total balance due will then be multiplied
by the applicable periodic rate to determine your late fee.In the Fleet Services
event that the calculated late fee is less than ten dollars($10.00), PO Box 6293
a minimum late fee of ten dollars($10.00)will be charged. Carol Stream,IL 60197-6293
YourAccount will be delinquent if you do not pay it in full within Online
26 calendar days of the billing date appearing on your invoice. Authorized users can elect to receive an email notification when an
Certain customers,based upon our credit review,may be required invoice is ready for online viewing and payment.Log in or register to
to make payment in less than 26 calendar days on a cycle that we set up an online account at www.wextools.com.
may establish for you.In addition,certain customers may elect a Online payments scheduled by 3:00 PM ET(on business days)
shorter billing or payment cycle as offered by us. are credited to your account on the same day.There is no fee for
If your payment due date falls on a non-business day,payment is online payments,
due on the business day before the payment due date.Delinquent Phone
Accounts will be subject to late fees,suspension,or termination
of credit privileges,without notice.All charges must be paid in Call Customer Service at 1-866-544-1715 and select the menu
full regardless of disputes.Charges must be disputed in writing option for Billing Inquiries.In addition to making a payment,you can
no later than sixty(60)days from the billing date or they will be also check your balance.
considered final and binding. Payments scheduled by 3:00 PM ET(on business days)
Card Issuer are credited to your account on the same day.
The Circle K Fleet Card is issued by,and all card transactions are Be prepared with your fleet card account number and a sample
funded by and payable to,WEX Bank,under a Business Charge check to enter your bank account number and routing number.
Account Agreement with the cardholder named on the 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:/hnrww.e-fleet.com
• Call 1-866-544-1715,or ACH payments made 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.
Payment Options
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
MAR-01-2013 TO MAR-31-2013
Purchase Activity Report PAGE I OF 2
EMSO$ ....... PLATE:
10029
I 1 11139
DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC.
MM-D) PREVIOUS ODOMETER INFO CODE 1,260 UNIT $ TAX TAX CODES
03-08 15:20 9609 Clio Rd McCordsvil IN 1 Driver OP 4,822 UNL 10.950 3.469 38.00 2,00- 36.00 4.20-
.... .......... ..... .......... ..........
i]x
. ........ . ......
.............
YTD TOTALS:::::::
3.* ...
PERIOD AVERAGE:PPG 470 ...
YTD AVERAGE:PPG 3.336
—** TO ENSURE MORE A:;CUR AFE MILEAG REPO F TING,VEHICI E MILEAGE 3TATISTICS AF E NOT
CAI CULATED WHEN KEY ODOME TER READ NGS ARE NOT WITHIN AN ACCEPT ABLE RANGE.
TRANSACTION CODES:
OP=Outdoor Payment Terminal
so
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
so MAR-01-2013 TO MAR-31-2013
Financial Summary PAGE 1 OF 2
DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES&
QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES
ACCOUNT TOTALS Unleaded Regular 38.00 2.00- 36.00
.............. ........
........... ............ .................... ..........
........... ........ .......... 210U.:�:��.............. 36.00:..
............ ......X.. .:..... "
........... ...... . . .... .. ............. -
...........
...... d
... ........ .. .. .... ..... ...... . ..... .............
.... ...... .......... ...
3 ;:;:;:;:;:::::;:::.:0,00
........ ........... 2W2
ACCOUNTS RECEIVAKE SUMMARY-invoice 325 2586
PREVIOUS BALANCE 41.92
PAYMENTS 41.92-
PURCHASES 36.00
DEBITS 0.00
CREDITS 0.00
ANCILLARIES 0.00
-------------
AMOUNT DUE 36.00
L!90
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
No MAR-01-2013 TO MAR-31-2013
Site Summary PAGE 1 OF 2
BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$
TRANS TAX
SHELL 9609 Olio Rd McCordsville IN 46055 1 10.950 38.00 2.00- 36.00
.. .......... ........ ''A
.. ........... TotA�
....................... ............
........... ..........
..............
Kim
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
City of Carmel Police City of Carmel Police
0496-00-138007-0
® MAR-01-2013 TO MAR-31-2013
Tax Summary PAGE 1 OF 2
TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE
..F.EDE.RAL. 356000972 JUN-18-2012 -2.00 Federal Excise Gasoline Unblended 10.950 38.00 0.18300
..........
.. .. ......
F£DERALTfJTi4LS
.............
0 .........
.... ........... ......
IN 356000972 JUN-18-2012 -2.23 State Sales Gasoline Unblended 10,950 38.00 0.07000
........... -1.97 State Excise Gasoline Unblended 10.950 38.00 0.18000
..............
.... ............. .... ....... ..............
ATE.TOTALS
..........
......................... .......
...... ....... ...
ACCOUNT TOTALS -2.00 -4.20
This page is intentionally left blank.
Invoice Statement
MARATHON
INVOICE NUMBER: 32515920
ACCOUNT NAME: CARMEL POLICE DEPT
PAGE 1 OF I
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
7560-00-112248-0 2,000.00 31 -APR-26-2013 99.491
ACTIVITY DESCRIPTION
.. DATE.::.....?': CHARGFS/DF-SITS PAYMENTS/CREDITS
:MAR-:25=2013:: PAYMENT THANK YOU
135.88
--.MAR<29-2013 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.
xX
-X:
.............
PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT.
PREVIOUS BALANCE17 (-)PAYMENTS I ' (+)PURCHASES I (+)DEBITS I (-)CREDITS (=)NEW BALANCE
1 135.881 135.881 99.491 0.001 0.001 0.001 .49 I
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
-QF=F=12F=%/9=PQ9=Qlng= CnD 111ADnDTAK17 Mr-l'IDUATInki ARM T0011110
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.com/login.
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: htfp://www.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
MAR-01-2013 TO MAR-31-2013
Purchase Activity Report PAGE 2 OF 2
CARD.NUMBER CARD EMBOSSING I VEHICLE I ASSETJOENTIFIER VEHICLE DESCRIPTION i:? PLATE(ST).
VIN;
0007
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
03-26 09:36 1010 S Peru St Cicero IN F Driver OP 11,015 UNL 9.170 3,759 3447 3.72- 30.75 1.65-
PERIOD TOTALS 9.170 :34.47 3.72-
YTD TOTALS
....8.170 .:::::,;:::::.34A7 3.72.- ..30.75 ...1:65-:
PERIOD AVERAGE:PPG 3.759
YTD AVERAGE:PPG 3.759
TO ENSURE MORE A--CUR ATE MILEAGE REPORTING,VEHICLE MILEAGE 3TATISTICS AF E NOT
CAI CULATED WHEN KEY DDOME TER READINGS ARE NOT WiTHIN AN ACCEPT4,BLE RANGE.
TRANSACTION CODES:
OP=Outdoor Payment Terminal
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
MAR-01-2013 TO MAR-31-2013
Purchase Activity Report PAGE 1 OF 2
CARD NUMBER CARD EMBOSSING ::::: VEHICLE'!ASSET IDENTIFIER�- VE� ICLF-:DESCRIPTION PLATE:(ST):-:::x I VIN
0002
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 45,947 ,
03-04 23:22 12512 E 116th St Fishers IN F Driver OP 46,210 UNL 14.185 3.719 5275 5.71- 47.04 2.55- ET
.
.
,
IN F Driver OP 46339 UNL 6832 3569 2
03-08 13:13 12512 E 116th St Fishers 438, 2.68- 21.70 1.23-
PERIOD TOTALS,:,,_:.
399 :21,017 77A3 8:39:7 ::68 74 378
YTD TOTALS ...... 6
13.33 S.99�
.,:::::. 2 1 .33
..............
PERIOD AVERAGES:MPG,PPG,(,PM 18.98 3.670 0.19
YTD AVERAGE:PPG 3.703
TO ENSURE MORE AaCUR ATE MILEAGE REPORTING,VEHICI E MILEAGE 3TATISTICS AF E NOT
CAI CULATED WHEN KEY DDOME TER READ NGS ART NOT WITHIN AN ACCEPTABLE RANGE.
TRANSACTION CODES: EXCEPTION CODES:
OF=Outdoor Payment Terminal ET=Purchase End Time
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
® MAR-01-2013 TO MAR-31-2013
Financial Summa PAGE OF 2
DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES&
QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES
ACCOUNT TOTALS Unleaded Regular 111.60 12.11- 99.49
.:PERIOD': .
.:,12,11'.-": ':: .`.;;,;$3149:' ".99,49x;;
",.';YTD
.0:00 '. 263.87:. 0,00. ... 28,50'.: 2U.11. .:......... . 235:37 '
ACCOUNTS RECEIVABLE SUMMARY-Invoice 325 5920
PREVIOUS BALANCE 135.88
PAYMENTS 135.88-
PURCHASES 99.49
DEBITS 0.00
CREDITS 0.00
ANCILLARIES 0.00
AMOUNT DUE 99.49
MARATHON
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
A. MAR-01-2013 TO MAR-31-2013
Exception Summary PAGE1 OF 2
PURCHASE EXCEPTION .......... ..... ...............
CODE DESCRIPTION NO.OF EXCEPTIONS COST OF TRANSACTIONS
BU FUEL UNITS/BILLING CYCLE 0 0.00
DY DAYS NOT ALLOWED 0 0.00
ET PURCHASE END TIME 0 0.00
FC FUEL COST/TRANS 0 0.00
I'D FUEL TRANS/DAY 0 0.00
MT MANUAL TRANS 0 0.00
FIR ALLOWED PRODUCTS 0 0.00
ST PURCHASE START TIME 0 0.00
TU FUEL UNITS/TRANS 0 0.00
TOTAL 0
..... .. .............. ......
CARDS NOT:USED : .. ............
..........
CARD USAGE TYPE CARD NUMBER DESCRIPTION IDENTIFIER DATE LAST USED
Asset 0001
0002 FEB-23-2013
0003
0004
0005
0006
0007
0008 FEB-26-2013
0009
0010
0011 FEB-22-2013
0012
0013
0014
0015
0016
PARENT ACCOUNT: REPORT FOP,:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
® MAR-01-2013 TO MAR-31-2013
Exception Summary PAGE OF 2
CARDS,NO T USED:C,ONT:
CARD USAGE TYPE CARD NUMBER DESCRIPTION IDENTIFIER DATE LAST USED
0017
0018
0019
0020
0021
TOTAL CARDS:21
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
® MAR-01-2013 TO MAR-31-2013
Site Summary PAGE OF 2
BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$
TRANS TAX
MARATHON 1010S Peru St Cicero IN 46034 1 9.170 34.47 3.72- 30.75
12512 E 116th St Fishers IN 46037 2 21.017 77.13 8.39- 68.74
ERIOD'TOTALS:>::! ..;I';. .::.
3::..,;;' :30,'187 e?;:;111'.60;: 0,00::: 121sT '>'':;,;;`;'>;:`:`,98:�l8'>'
MARATHON
This page is intentionally left blank.
PARENT ACCOUNT: REPORT FOR:
CARMEL POLICE DEPT CARMEL POLICE DEPT
MARATHON 7560-00-112248-0
® MAR-01-2013 TO MAR-31-2013
Tax Summary PAGE 1 OF 2
TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE
FEDERAL 356000972 AUG-17-2014 -5.53 Federal Excise Gasoline Unblended 30.190 111.60 0.18300
FEDERAL TOTALS
30',790 111:60
IN 356000972 AUG-17-2014 -6.58 State Sales Gasoline Unblended 30.190 111.60 0.07000
-5.43 State Excise Gasoline Unblended 30.190 111.60 0.18000
IN STATE TOTALS ..
y.+A3
ACCOUNT TOTALS -12.11 -5.43
MARATHON
This page is intentionally left blank.
VOUCHER NO. WARRANT NO.
ALLOWED 20
WEX Bank
IN SUM OF $
P.O. Box 6293
Carol Stream, IL 60197-6293
$135.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1110 32515920 42-314.00 $99.49 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 32512586 42-314.00 $36.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, April 18, 2013
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))
03/31/13 32515920 gasoline $99.49
03/31/13 32512586 gasoline $36.00
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