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Home My WebLink About225177 10/15/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK CARMEL, INDIANA 46032 PO Box 6293 CHECK AMOUNT: $226.63 '? CAROL STREAM IL 60197-6293 CHECK NUMBER: 225177 CHECK DATE: 10/15/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4231400 34368024 : 226 . 63 0496-00-138002-1 Invoice Statement INVOICE NUMBER: 34368024 so 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 1550.00 30 SEP-30-2013 OCT-25-2013 226.63 ACTIVITY DESCRIPTION GHARGESIDE TS: PAYMENTS/CREDITS PAYMENT 33 . ENT THANK YOU ..... «........... :>::>:<:::>:«:>::I>::>::> .....:.. F' 1 . ....:.::::::: 275.81 aEP* f10� ><. FUEL PURCHASES xx .................................. 6fi3 REMINDER E IND ER REMINDER P INCLUDE LEASE BE SURE TO E REMITTANCE STUB WITH PAYMENT. MAIL TO TH E ADDRESS SHOWN IN THE RIGHT PORTION OFT REMITTANCE STUB HE REMITTA . 0 D ,� 2G 1�CT � I xx 5 By .: PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICE/STATEMENT. PREVIOUS BALANCE I MPAYMENTS (+)PURCHASES (+)DEBITS CREDITS (+)LATE FEE (=)NEW BALANCE 1 275.81 275.81 1 226.63 0.00 0.00 0.00 226.63 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 2.249 % 26.99 % 0.00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. �4?d'Loo nocnIT TFAD AT DFDCnDATInIU Atkin IKIPI I In=DnTTnAA DnDTIPIAI lAII'rU VIII ID DAVAACAIT 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 of 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.If your avoid late fees. payment is not received and posted by the invoice payment due date,you may be charged a late fee or other fees in accordance Online with the terms in your Business Charge Card Account Agreement. Authorized users can elect to receive an email notification when an invoice is ready for online viewing and payment.Log in or register to How to Dispute Your Invoice set up an online account at www.wextools.com. Charges must be disputed in writing no later than sixty(60) Online payments scheduled by 3:00 PM ET(on business days) days from the billing date or they will be considered final are credited to your account on the same day.There is no fee for and binding. online payments. Phone Card Issuer Call Customer Service and select the menu option for Billing The card is issued and payable to WEX Bank under a Business Inquiries. In addition to scheduling a payment,you can also Charge Account Agreement with the cardholder named on the check your balance. reverse. Payments scheduled by 3:00 PM ET(on business days) are credited to your account on the same day. Customer Service Be prepared with your fleet card account number and a sample For account inquiries and correspondence regarding account check to enter your bank account number and routing number. service or billing: There is no fee for phone payments. • Call 1-866-544-1715, or Automated Clearing House(ACH) • Fax to 1-800-395-0809,or To make a one-time electronic payment go to: http://www.e-fleet.com • Mail to P.O.Box 639,Portland, ME 04104 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 Be sure to include your account number on all correspondence. ACH payment. PARENT ACCOUNT: REPORTFOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 SEP-0 1-2013 TO SEP-30-2013 Purchase Activity Report PAGE 1 OF 2 .................... ....... FOARD, [!V;.......... ......I.....I...... ASSET MENTWIE ........ ............ .......... 10006 1 JEFF BARNES IN 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 2,340 09-04 12:49 545 S Range Line Carmel IN 1 Driver OP 2,340 UNL 22.690 3.599 81.68 4.15- 77.53 8.88- 09-13 11:28 545 S Range Line Carmel IN 1 Driver OP 2,340 SUP 23.570 3.699 87.21 4,31- 82.90 9.38- 09-23 11:42 545 S Range Line Carmel IN 1 Driver OP 2,340 SUP 18.460 3.769 69.58 3.38- 66.20 ............. .............. .............. ................................................................................................................ ......... .......... . ...................I...... .... . 7.43..- YtDCdfALS .. . 0 . S x... ............ .. ...... PERIOD AVERAGE:PPG 3.685 YTD AVERAGE:PPG 3.644 TO ENSURE MORE A:;CUR ATE MILEAGE-REPORTING,VEHICLE MILEAGE, TATISTICSAFENOT CAI CULATED WHEN KEY DDOME TER READINGS ARE NOT WITHIN AN ACCEPT 4,BLE RANGE. TRANSACTION CODES: OP=Outdoor Payment Terminal M.- MEFNNW Lr*j,,) This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 He SEP-01-2013 TO SEP-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 Super 156.79 7.69- 149.10 Unleaded Regular 81.68 4.15- 77.53 PERIOD: d06 : 23849 000 : 1184; 226A3 226 3 YiF) U-0O 269696 flfl6 135; 5:= `: ACCOUNTS RECEIVA KE SUMMARY-Invoice 343 i8O24 PREVIOUS BALANCE 275.81 PAYMENTS 275.81- PURCHASES 226.63 DEBITS 0.00 CREDITS 0.00 ANCILLARIES 0.00 AMOUNT DUE 226.63 0 This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. NO 0496-00-138002-1 SEP-01-2013 TO SEP-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 64.720 238.47 11.84- 226.63 ER►OD TOTALS 3 .. >:84; 2U 2387 ;9D : ':; 11.84 X26 63:.> NO This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: City of Carmel Admin. City of Carmel Admin. 0496-00-138002-1 NO SEP-01-2013 TO SEP-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 -11.84 Federal Excise Gasoline Unblended 64.720 238.47 0.18300 F£DERAL TOTALS 1184 64 Z q.. .:».. ..iii:238 4T .. . IN 356000972 JUN-18-2012 -14.05 State Sales Gasoline Unblended 64.720 238.47 0.07000 11.64 State Excise Gasoline Unblended 64.720 238.47 0.18000 ,:. ::. IN S tAE TdtAt 5 ZSiff ACCOUNT TOTALS -11.84 -25.69 INFOOMM Lr*j(,) This page is intentionally left blank. PO BOX 639 PORTLAND ME 04104-0639 424403 044 05 023378 06 NNNYNN JAMES SPELBRING CITY OF CARMEL ADMIN. MV 1 CIVIC SQ CARMEL IN 46032-2584 Invoice Statement INVOICE NUMBER: 34368024 ACCOUNT NAME: City of Carmel Admin. PAGE 1 OF 1 ACCOUNT NUMBER CRED IT LIMIT DAYS TH IS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE 0496-00-138002-1 11550.00 30 SEP30-2013 OCT-26-: 1 226.63 DATE ACTIVITYDESCRIPTION 'CHARGES/DEBITS PAYMENTS/CREDI S ,SEP-13-2013 PAYMENT- THANK YOU 275.81 SEP-30-2013 FUEL PURCHASES 226.63 REMINDER REMINDER PLEASE BE SURE TO INCLUDE REMITTANCE STUB WITH PA`MIENT. MAIL TO THE ADDRESS SHOWN IN THE RIGHT PORTION OF THE REMITTANCE STUB. PURCHASES,RETURNS AND PAYMENTS MADE JUST PRIOR TO BILLING DATE NMYNOT APPEAR UNTIL THE NEXT INVOICEISTATENENT. PREVIOUS BALANCE PAYMENTS +PURCHASES +DEBTTS (-)CREDITS +LATE FE =NEW BALANCE 275.81 275.81 226-63 0.00 0.00 0.00 226.63 CALL CUSTOMER SERVICE TO PAY BYPHONE FEDERAL TAX ID: 841425616 The Late Fee is deterrr ned by Which is an EFFECTIVE ANNUAL To the balame subpd to late app kA n a rronthIv rate of RATE of The for this period which is 2.249 % 26-99 % 0-00 SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS. ---------TO ENSURE PROPER CREDIT,TEAR—AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYNEPIT. ACCOUNT NAME City of Carmel Admin ACCOUNTNUMBER 0496-00438002-1 Circle K Fleet INVOICE NUMBER 34368024 BILL CLOSING DATE SEP30-2013 FAX CHANGE OF ADDRESS REQUEST TO 1-800-395-0809. Make check payable to:WEX BANK. AMOUNT DUE 226-63 Use enclosed envelope or send to: if AMOUNT ENCLOSEDZ PAYMENTDUE DATE OCT-25-2013 PAYNENTS RECEIVED AFTER THISDATE SUBJECT TOLATE FEES. p Irll11l11r steel 11216 sleet 11l11u1111111r 11 WEX BANK P.O. BOX 6293 CAROL STREAM IL 60197-6293 VOUCHER NO. WARRANT NO. ALLOWED 20 Fleet Services IN SUM OF $ PO Box 6293 Carol Stream, IL 60197-6293 $226.63 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 I 34368024 I 42-314.00 I $226.63 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 Tu sday, October 15, 2013 s v IDirector, Administration 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)) 09/30/13 34368024 $226.63 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