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Home My WebLink About219981 05/15/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK CHECK AMOUNT: $241.20 s CARMEL, INDIANA 46032 PO BOX 6293 CAROL STREAM IL 60197-6293 CHECK NUMBER: 219981 CHECK DATE: 5/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 32830401 241 . 20 0496-00-138002-1 Invoice Statement INVOICE NUMBER: 32823281 No ACCOUNT NAME: City of Carmel Utilities PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-00-138009-6 900.00 30 APR-30-2013 MAY-24-2013 51.42 ............... .................... :it A fE:::: ''.. ACTIVITY DESCRIPTION zCHARGES/DEOTS PAYMENTS/CREDITS APR?30'2013::>? FUEL PURCHASES "`' 9.42 APR?3020,t3; CARD REPLACEMENT FEE 2100 ..................... ......... ...................... ................... ......-......................... ...................... .................................. ...................... ................................. REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH H PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STU B. 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 BAL 0.00 0.00 49.42 2.00 0.00 0.00 Q:5:1:412 ) 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. D-=D flocniT TEAR AT DFRCl1DATION AND INrl I In Dl1TTnnn nQ--rIQ4I jp � 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 Your Account 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 Call Customer Service at 1-866-544-1715 and select the menu of credit privileges,without notice.All charges must be paid in 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) To make a one-time electronic payment go to: For account Inquiries and correspondence in regard to account http://www.e-fleet.com service or billing: • 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 Utilities City of Carmel Utilities 0496-00-138009-6 APR-01-2013 TO APR-30-2013 Purchase Activity Report PAGE I OF 2 aMW$sING 10031 78410 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 04-24 06:59 545 S Range Line Carmel IN 1 driver OP 59,950 UNL 14.090 3.689 52.00 2.58- 49.42 5.61- .................... ................ ... ........... ........... ........... PERIOD,:TO ALS YTD ....... ... .. . - :::,: ..... ...14�090: .. . ........ .... .... . . ........ ....... ...... ....... ....... PERIOD AVERAGE:PPG ... 3.691 YTD AVERAGE:PPG 3.691 TO ENSURE MORE,4:;CUR ArE MILEAG=-REPORTING,VEHICLE MILEAGE 3TATISTICS AF E NOT CA CULATED WHEN KEY DDOME TER READ NGS AR I:NOT WITHIN'AN ACCEPT 8,BLE RANGE. TRANSACTION CODES: OF=Outdoor Payment Terminal U3 Fir M- M-N-1 PARENT ACCOUNT: REPORT FOR: City of Carmel Utilities City of Carmel Utilities 0496-00-138009-6 APR-01-2013 TO APR-30-2013 Financial Summa PAGE OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES& QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES ACCOUNT TOTALS Card Replacement Fee 2.00 Unleaded Regular 52.00 2.58- 49.42 >: PERIOD::::>:::>:::.:'::;:'::::::::.: ;:::. ...:. >::i::z::>::::::;:> "'':; :>:»: 2.1X1>:;:.. ..52.00... 2:58• s::>: >:>:»>s: 0,00........ ..... 00..: '.>::>::;: .;:::::52100;:>::..;::;::;;. :.;:.::>::>.0:-00 2168. .....:..:.. :::'::,: :A%42 ACCOUNTS RECEIVA LE SUMMARY-Invoice 328!3281 PREVIOUS BALANCE 0.00 PAYMENTS 0.00 PURCHASES 49.42 DEBITS 2.00 CREDITS 0.00 ANCILLARIES 0.00 AMOUNT DUE 51.42 This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Utilities City of Carmel Utilities 0496-00-138009-6 APR-01-2013 TO APR-30-2013 Site Summary PAGE 1 OF 2 BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$ TRANS TAX SHELL 545 S Range Line Rd Carmel IN 46032 1 14.090 52.00 2.58- 49.42 .......... ......... ...... .... ... ... ............... .... -X,: . .. . : - :.... .:::0, .... ........ �PERIOP::T 14 :::::.$2.06 O.TALS: .42:: . ...... ..... ....... �,::: No This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Utilities City of Carmel Utilities NO 0496-00-138009-6 APR-01-2013 TO APR-30-2013 Tax Summary PAGE OF 2 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE FEDERAL 356000972 JUN-18-2012 -2.58 Federal Excise Gasoline Unblended 14.090 52.00 0.18300 FEDERAL TOTA S IN 356000972 JUN-18-2012 -3.07 State Sales Gasoline Unblended 14.090 52.00 0.07000 State Excise Gasoline Unblended 14.090 52.00 0.18000 IRSTATE:. ACCOUNT TOTALS -2.58 -5.61 PIZIM M M '-M This page is intentionally left blank. Invoice Statement INVOICE NUMBER: 32830401 ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD � BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-00-138002-1 1,550.00 30 APR-30-20 MAY- 2411.20 S* PAYMENTS/CREDITS DATE..*.*..... ACTIVITY DESCRIPTION GESIVESIT ........ ..................... ...... ..................................... ........ ........ ......................... ........... ................. .......... PAYMENT-THANK YOU 332.61 . ......... .. ....... '30� 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. ........ ..... ...... ... ...................... ....... ....... .......... ........ .... ....... ............................ ..................... .......................... 11....1111.............. ... . . . ............................. . ..... ... ...................— ....... .......... .... .......................... ........... ..........."I".... .....11 11,............ .... ........ .... .......................... ... .............................. 11...11.....I............- ............... ........................... ......... ....................... ...... ........ ........................... ..... ... ............... ...... ................................... 11............. ....... .....................%.......... .......................... ........ ........ .......... ............ ........ ........I............. .... .. ....... ................. .... .... ...... .............. ................................ ...........:,:: ................................. ................................. ................I--.......... ................. .............................. .................. ........................- .... ..... ............................. .......... ............ ........... ::: ........ .................... .................. ..... ..................... ........ .............. .... ....... ....... ............... Z/ ..........................__.... .. ... ....... I............ ... ... .... ...........I............. ...... ...... ......................... ....... ........................... ......... .......—... ............ ................ .........................__....... ........ ......... .......... ... ........... ................. .......... ...... ................................ .. ...... ................. ........ ....................... ...... .... .......... ... ........... ..... ......I.... ....... 201 ............... MAY 2 0 3 . ................. .............. .............. ....... .................. .................................. .................... ...... ... ....... .... ..... ........... ... . ........ ....... ............ ........ .............. ............................. ........... Y B ... .... ........-............ ........... ...... ....... .... ... ............... .............. ........... .......... ...... .......... ............ ...........- __.......... .............. ................ ............. ..... .............. .......... . .................-.... .......... ........... ...... ........... .......... ............ .......... ............. ........... ............ ......11................. ............ ..................I..... ................ ........................... PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE'NEXT`1NV`0'I*C,E'ISTATEMENT. PREVIOUS BALANCE (-)PAYMENTS I (+)PURCHASES I (+)DEBITS I (-)CREDITS I (+)LATE FEE (=)NEW BALANCE 332.61 332.611 241.201 0.001 0.001 0.00 ( 2413D 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 appying 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. TO ENSURE PROPER CREDIT,TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMEM.....,WMIIIIII� 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: Fite 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 Your Account 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 Call Customer Service at 1-866-544-1715 and select the menu of credit privileges,without notice.All charges must be paid in 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) To make a one-time electronic payment go to: For account Inquiries and correspondence in regard to account hftp://www.e-fleet.com service or billing: • Call 1-866544-1715,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 L PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 APR-01-2013 TO APR-30-2013 Purchase Activity Report PAGE I OF 2 CARgNUM6 FfZ.; CARD .... .. �F-Me*$SING VeHICLx-- ---A$M.�IDENTIFI 10006 JEFF BARNES IN DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-D INFO CODE UNIT $ TAX TAX CODES, PREVIOUS ODOMETER 2,340 04-01 12:18 545 S Range Line Carmel IN 1 Driver OP 2,340 UNL 21,190 3.699 78.40 3.88- 74.52 8.43- 04-15 10:50 545 S Range Line Carmel IN 1 Driver OP 2,340 UNL 13.180 3.419 45.07 2.41- 42.66 5.00- 04-24 12:16 633 W Main Sr 32 Westfield IN 1 Driver OP 2,340 UNL 21.220 3,679 78.07 3.88- 74.19 8.42- 04-29 11:15 545 S Range Line Carmel IN 1 Driver OF 1,955 UNL 14.840 3,539 52.55 2.72- 49.83 5.75- .. ..... . ......... .. ... PERIOD TOTALS::::�: 2$4 q0: 20 ............. ............. YTD . :TOTALS:: 340�3.50:. .. ... 1'12.15?:30 ..... 62 28: ;:1:;'153182 132 62 PERIOD AVERAGE:PPG 3.608 YTD AVERAGE:PPG 3.571 TO ENSURE MORE AZCUR MILEAGE REPORTING,VEHIC EMILEAGE TATISTICSAFENOT CAI CULATED WHEN KEY DDOME TER READ NGS ARE NOT WITHIN AN ACCEPT'\BLE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 APR-01-2013 TO APR-30-2013 Financial Summary PAGE OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES& QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES ACCOUNT TOTALS Unleaded Regular 254.09 12.89- 241.20 EER10D ........:......:.. ..... .. ::. :::::::::::.:: »::>: »>s>:';;::z>.>: »»:»> :' >:z 0:00>:: : 254109::;:;?;:: "<: i»>:: :-::»`::i:`:<;:; :;:;:;:3;i; .:'Y TD: :;:;:; ::,:.33......iii S iZ iiii i;:;:;:ki%i°:'� ':::.-::::::::: -::...;;:..:: ;.; ..... .;' ii;i;;: i"' 0:00:::;::;:...;::.....:.:: 1. .. ;:;:;;;;;:......... -b2 5.30 ::::: .::::: O,OOs><>si:> »:s>:>:>csssfi2:28� :::;; 1153.0? ACCOUNTS RECEIVA LE SUMMARY-Invoice 328 ID401 PREVIOUS BALANCE 332.61 PAYMENTS 332.61- PURC HASES 241.20 DEBITS 0.00 CREDITS 0.00 ANCILLARIES 0.00 AMOUNT DUE 241.20 Wa NO This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. No 0496-00-138002-1 APR-01-2013 TO APR-30-2013 Site Summary PAGE OF 2 BRAND ADDRESS CITY STATE ZIP NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$ TRANS TAX SHELL 545 S Range Line Rd Carmel IN 46032 3 49.210 176.02 9.01- 167.01 633 W Main Sr 32 Westfield IN 46074 1 21.220 78.07 3.88- 74.19 ERIOD;T..OTALS'' d.:..; 70:43 :::::.:«.`::<::::...::,.. 0.... ::::::::::.2 p 54. 8 0:00;::::::>..... ' ;:;::::.. >::>>>. ....:::...... 12;892>:>:;. ;;:;241.20.., NO This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 APR-01-2013 TO APR-30-2013 Tax Summary PAGE OF 2 TAX JURISDICTION ID EXPIRATION EXEMPTED TAX$ REPORTED TAX$ TAX TYPE TAX PRODUCT CLASS UNITS GROSS$ TAX RATE FEDERAL 356000972 JUN-18-2012 12.89 Federal Excise Gasoline Unblended 70.430 254.09 <: : 0.18300 : : : : s .FEDERALIOTAL S`:. ` ; IN 356000972 JUN-18-2012 -14.93 State Sales Gasoline Unblended 70.430 254.09 0.07000 12.67 State Excise Gasoline Unblended 70.430 254.09 0.18000 ............ IN STATE to E roxALS >:;:.;;;:.;;:<.; > : ......, <::;::: >;::;;::> ;::>:::>::>::> :::;:::. . :::::>;:: ;;:::.;::>::,:>:::::>:>«>: a :>::::'; ;<:::;;::.>:.;;;:>:>:::;:;.;::;::: . zrs ACCOUNT TOTALS -12.89 -27.60 This page is intentionally left blank. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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 HU ox Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 0412 22222281 Gasoline - Util Dept $51 49 $292.62 Total 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 VOUCHER NO. WARRANT NO. 08114/12 ALLOWED 20 WEX BANK (Circle K Fleet) IN SUM OF $ PO Box 6293 Carol Stream, IL 60197-6293 $ $292.62 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# 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 1205 3?wio4n, 20received except 601 3282328 314 $51.42 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund -