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Home My WebLink About220904 06/17/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 Q � ONE CIVIC SQUARE WEX BANK CARMEL, INDIANA 46032 PO Box 6293 CHECK AMOUNT: $749.29 CAROL STREAM IL 60197-6293 CHECK NUMBER: 220904 CHECK DATE: 6/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4231400 33127436 749 . 29 0453-00-794629-6 FLEET SERVICES INVOICE/STATEMENT INVOICE NUMBER: 33127436 ACCOUNT NAME: CARMEL FIRE DEPARTMENT PAGE 1 OF 1 ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD PILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0453-00-794629-6 8 100.00 31 05-31-2013 06-26-2013 749.29 OA ACTIVITY DESCRIPTION CHARG.ES/DE817 S PAYMENTS/CREDITS 05-28-2013 PAYMENT RECEIVED-THANK YOU 578.53 65=31.20 RETAIL FUEL PURCHASES ......702.)6 3 MONTHLY CARD CHG w REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PAYMENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. 4 PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEIPSTATEMENT PREVIOUS BALANCE (-)PAYMENTS (+)PURCHASES_T_(+)DEBITS I (-)CREDITS I (+)LATEFEEI (=)NEW BALAINCE 578.531 578.53 702.16 22.001 0001 749,291 $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 % 1,206.621 SEE REVERSE SIDE FOR MORE INFORMATION AND TERMS. -------- TO ENSURE PROPER CREDIT.TEAR AT PERFORATION AND INCLUDE BOTTOM-PORTION—WI.TW.V.C.)I.Ip-PA'V.R.4r-&I..r---- 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. I ACCOUNT: CARMEL FIRE DEPARTMENT CLOSING DATE: 05-31-2013 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 -36.36 0.00 FEDERAL E85 198.610 642.54 0.18300 -6.37 0.00 FEDERAL GASOLINE 34.793 141.21 0.18300 FEDERAL TOTALS 83 42.73 : O.aQ. »:>::: :»>!.»:;>.;> 233,403 IN 356000972 0.00 31.76 STATE EXCISE E85 198.610 642.54 0.16000 0.00 1.00 STATE EXCISE GASOLINE 5.556 21.66 0.18000 -37.58 0.00 STATE SALES E85 198.610 642.54 0.07000 -1.28 0.00 STATE SALES GASOLINE 5.556 21.66 0.07000 IN`STATE TOTALS;; ,.., -38,66 `:;:':;:32,78 :;:.. ACCOUNT TOTALS -81.59 32.76 (c)WEX INC.2013 PAGE 1 FLEET SERVICES STANDARD REPORT INVOICE NUMBER: 33127436 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 0453-00-794629-6 8,100.00 31 05-31-2013 06-26-2013 749.29 CARD LOCATION DATE TIME DRIVER ODOMETER PRODUCT UNITS COST/ ITEM TOTAL NO. NO. UNIT TOTAL AMOUNT 0004 MH 001 074 05-01-2013 07:03 HABOUSH,DAVE 27,000 E85 8.880 3.197 28.39 28.39 89 009 072 05-01-2013 15:05 HABOUSH,DAVE 26,900 UNL 11.006 4.089 45.00 45.00 MH 001 074 05-06-2013 01:00 HABOUSH,DAVE 27,240 E85 23.000 3.200 73.59 73.59 MH 001 074 05-10-2013 14:32 HABOUSH,DAVE 27,420 E85 15.950 3.258 51.97 51.97 MH 001 074 05-15-2013 1038 HABOUSH,DAVE 27,568 E85 13.750 3.258 44.80 44.80 MH 001 074 05-23-2013 13:07 HABOUSH,DAVE 27,769 E85 19.570 3.259 63.78 63.78 CARD SUBTOTALS 92.156 307.53 0007 MH 001 074 05-09-2013 08:20 SMITH,KEITH 17,789 E85 23.770 3.199 76.03 76.03 MH 001 074 05-16-2013 16:16 SMITH,KEITH 18,019 E85 22.280 3.259 72.62 72.62 MH 001 074 05-22-2013 17:19 SMITH,KEITH 18,253 E85 22.590 3.259 73.62 73.62 MH 001 074 05-28-2013 19:12 SMITH,KEITH 18,498 E85 25.670 3.259 83.67 83.67 CARD SUBTOTALS 94.310 305.94 4551 89 009 072 05-01-2013 15:02 VANVOORST,BOB 97,753 UNL 18.231 4.089 74.55 74.55 MH 001 154 05-05-2013 16:19 VANVOORST,BOB 98,090 E85 23.150 3.200 74.07 74.07 93 006 168 05-18-2013 07:51 VANVOORST,BOB 98,561 UNL 5.556 3.898 21.66 21.66 CARD SUBTOTALS 46.937 170.28 TOTAL PURCHASES 233.403 783.75 Y-T-D PURCHASES 832.429 2,734.42 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 9 568.47 89 009 072 SPEEDWAY 1712 W OGDEN AVE NAPERVILLE IL 60540 2 119.55 MH 001 154 MEIJER 17000 MERCANTILE RD NOBLESVILLE IN 46060 1 74.07 93 006 168 MARATHON 710 WESTFIELD ROAD NOBLESVILLE IN 46062 1 21.66 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 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 33127436 I 42-314.00 I $7b2"'i6 1 hereby certify that the attached invoice(s), or -7`7 C� �� 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 JUN 17 Z013 1)rw&-, 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)) 33127436 I I $702.16 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