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227541 12/18/2013 CITY OF CARMEL, INDIANA VENDOR: 366015 Page 1 of 1 ONE CIVIC SQUARE WEX BANK CARMEL, INDIANA 46032 CHECK AMOUNT: $202.99 PO BOX 6293 CAROL STREAM IL 60197-6293 CHECK NUMBER: 227541 CHECK DATE: 12/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 34974171 202 . 99 7560-00-112248-0 Invoice Statement MARATHON INVOICE NUMBER: 34974171 ® 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 30 NOV-30-2013 DEC-26-2013 202.99 ACTIVITY DESCRIPTION :GHARGaS'fDBi.f:S: PAYMENTS/CREDITS IVOV 2.- PAYMENT THANK YOU 685.83 NOV, FUEL PURCHASES 2ti299: REMINDER REMINDER PLEASE BE SURE TO INCLUDE 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 685.83 685.83 202.99 0.00 0.00 0.00 202.99 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. 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 Tate 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.marathonfleetcard.com/login. 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 1-866-544-0699, or Automated Clearing House(ACH) To make a one-time electronic payment go to: • Fax to 1-800-395-0809,or 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: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 NOV-01-2013 TO NOV-30-2013 Purchase Activity Report PAGE OF 4 CARA NU1Yl ►2 C4ki17:E1198t?$ ING THECLI:.E`A$ST tQN Ckt llt ttlill :pSCllf!TtUN PI.A7E: S VtN 0002 DATE TIME SITE ADDRESS PROMPT TRAN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-D) INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 26,486 11-01 22:29 12512 E 116th St Fishers IN F Driver OP 54,742 UNL 15.455 3.389 52.38 5.89- 46.49 2.78- ET 11-09 15:18 12512 E 116th St Fishers IN F Driver OF 55,015 UNL 14.322 3.139 44.96 5.22- 39.74 2.58- 11-23 12:26 12512 E 116th St Fishers IN F Driver OP 55,487 UNL 11.214 3.329 37.33_ 4.23- 33.10 2.02- P.ERIOD TfJTALS "* " 40 991: 1:34 67 1 S 34 118 33: 7 3$ ,To CC#fAL$ 3IIG 855 1.,378 96 :.. 159 85; �22711 69 g4 ... PERIOD AVERAGE:PPU ''" 3.285 YTD AVERAGE:PPU "" 3.565 .... TO ENSURE MORE AC CURAT MILEAGE REPOR ING,VEHICLE DISTANCE 3TATISTICS A E NOT CAL ULATED WHEN KEY C DOMEI ER READI GS ARE NOT WITHIN N ACCEPT BILE RANGE. TRANSACTION CODES: EXCEPTION CODES: OF=Outdoor Payment Terminal ET=Purchase End Time wM PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 NOV-01-2013 TO NOV-30-2013 Purchase Activity Report PAGE OF 4 CiaR13 E+IlJh9�F„1;t CREZI�>£MT30SSING VlHCCL)?:.t:ASS!<T lb�NT)�'tlR:. <VEHICt6:pESCR1PTIpN `:PLATE(ST) VkN 10004 '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 23,609 11-03 18:22 2905 E State Roa Shelbyvill IN F Driver OP 23,894 UNL 13.791 3.299 45.50 5.17- 40.33 2.48- 11-17 18:26 2905 E State Roa Shelbyvill IN F Driver OP 24,539 UNL '13.644 3.089 42.15 4.93- 37.22 2.46- _. .: PERIOD OTALS 930: 27 435 87 65 101 D 77 55 : 494 .* x 0$ 2 YTD T9TgL5. ..s. 1 i5 33$ 48A S3 51.70 d 83 d 35 .. PERIOD AVERAGES:DPU,PPU,C PD 33.80 3.195 0.09 YTD AVERAGE:PPU *"" 3.403 ***** TO ENSURE MORE ACCURATE MILEAGE REPOR ING,VEHICLE DISTANCE TATISTICS ARE NOT CAL ULATED WHEN KEY CDOME1 ER READIIN GS ARE NOT WITHIN N ACCEPTABLE RANGE, TRANSACTION CODES: OP=Outdoor Payment Terminal PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 NOV-01-2013 TO NOV-30-2013 Purchase Activity Report PAGE 3 OF 4 VCAWNUMSIM CARO EMBOSSING: . .. .. 1 AS -V w 10007 DATE TIME SITE ADDRESS PROMPT TRAIN ODOM. PROD UNITS COST/ FUEL$ OTHER EXEMPT NET$ REPORTED EXC. MM-DD INFO CODE UNIT $ TAX TAX CODES PREVIOUS ODOMETER 9,816 11-26 09:37 1010S Peru St Cicero IN F Driver OP 1,653 UNL 2.049 3.358 6.88 0.77- 6.11 .........:.: d ....................................................................... .. ...................d.... ....... ......:::—, ......... , .X I I�................ .......................—............ ..... ..0....3..7- wu... .uo w 037 YTDTOTALS .. 512 36 —. ...... .. 45610 .......................... PERIOD AVERAGE:PPU 3.358 YTD AVERAGE:PPU 3.586 TO ENSURE MORE ACCURATE MILEAGE REPOR ING,VEHICLE DISTANCE 3TATISTICS AF E NOT CALGULATED WHEN KEY C DOME ER READI GS ARE NOT WITHIN IN ACCEPTABLE RANGE. TRANSACTION CODES: OF=Outdoor Payment Terminal 14M MARATHON This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 A., — NOV-01-2013 TO NOV-30-2013 Financial Summary PAGE I OF 2 DEPARTMENT DESCRIPTION FEES PURCHASES TOTAL FEES& QTY COST/FEE TOTAL FEES FUEL$ OTHER$ EXEMPTED TAX NET$ PURCHASES ACCOUNT TOTALS Unleaded Regular 229.20 26.21- 202.99 ::: :::.:.......... ......................................—...... .. .......... ...... .. 1 1 ..I .......... ............ ii'. 229120:��: .....................6b&�� .......... ................................................................ ..... ... ... . ....................... .... .. ............... ............... .......... y .............. 3 1506 ......................... ... . ....... rA .......... ...... 2779, ...... .......................... :5 ............ ........... ........XX., 43, ...... . ......... .. . ... ................................... :...1.11,.......... 111 ....... ......... ...... .......... ACCOUNTS RECEIVAKE SUMMARY-Invoice 349'41171 PREVIOUS BALANCE 686.83 PAYMENTS 685.83- PURCHASES 202.99 DEBITS 0.00 CREDITS 0.00 ANCILLARIES 0.00 ------------- AMOUNT DUE 202.99 L MARATHON This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 ® NOV-01-2013 TO NOV-30-2013 Exception Summary PAGE OF 2 GMlAS EXG)±PT1NS .. . . 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 1 52.38 FC FUEL COST/TRANS 0 0.00 FD FUEL TRANS/DAY 0 0.00 MT MANUAL TRANS 0 0.00 PR ALLOWED PRODUCTS 0 0.00 ST PURCHASE START TIME 0 0.00 TU FUEL UNITS/TRANS 0 0.00 TOTAL 1 CARg5:1a4T VSELY CARD USAGE TYPE CARD NUMBER DESCRIPTION IDENTIFIER DATE LAST USED Asset 0001 AUG-31-2013 0003 0005 OCT-05-2013 0006 0008 AUG-04-2013 0009 0010 OCT-01-2013 0011 AUG-11-2013 0012 0013 0014 0015 0016 0017 0018 0019 PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 NOV-01-2013 TO NOV-30-2013 Exception Summary PAGE OF 2 . CAIik.Sh1QT u5t3 GQNT . CARD USAGE TYPE CARD NUMBER DESCRIPTION IDENTIFIER DATE LAST USED 0020 OCT-11-2013 0021 TOTAL CARDS:18 PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 ® NOV-01-2013 TO NOV-30-2013 Site Summary PAGE OF 2 BRAND ADDRESS CITY STATE/ POSTAL NO. FUEL UNITS FUEL$ OTHER$ EXEMPT NET$ PROVINCE CODE TRANS TAX MARATHON 1010 S Peru St Cicero IN 46034 1 2.049 6.88 0.77- 6.11 12512 E 116th St Fishers IN 46037 3 40.991 134.67 15.34- 119.33 2905 E State Road 44 Shelbyville IN 46176 2 27.435 87.65 10.10- 77.55 PERIOD T.(1TALS <: 6 70A75 229 2a 0 00„;; .. 26.21 2Q2'99. RIM MARATHON This page is intentionally left blank. PARENT ACCOUNT: REPORT FOR: CARMEL POLICE DEPT CARMEL POLICE DEPT MARATHON 7560-00-112248-0 ® NOV-01-2013 TO NOV-30-2013 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 -12.89 Federal Excise Gasoline Unblended 70.470 229.20 0.18300 FEDERAL TOTALS 92.89:;: 70 47r3: 229 20. IN 356000972 AUG-17-2014 -13.32 State Sales Gasoline Unblended 70.470 229.20 0.07000 -12.69 State Excise Gasoline Unblended 70.470 229.20 0.18000 ENSlA1TOTAL.S.. =1832 _. 12ff9 .. .. . ACCOUNT TOTALS -26.21 -12.69 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 $202.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 34974171 ` 42-314.00 I $202.99 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 Wednesday, December 11, 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)) 11/30/13 34974171 gasoline $202.99 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