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CITY OF CARMEL, INDIANA VENDOR: 00351794 d ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $ ...'"805.25* CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 230308 COLUMBUS OH 43218-3019 CHECK DATE: 03/26/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116403 805.25 065-129-116 Account Statement CCommercial Account Customer Service: CARMEL POLICE DEPARTMENT shellfleetcard accountonline com Shell Fleet Plus Card Account Inquiries: Account Number: 065'199116-11 ,.. 1-800-377-5150 Fax 1-866-533-5302 Invoice Number':;:0000000065129,116403, Summary of Account Activity Payment Information Previous Balance $428.77 Current Due $805.25 Payments -$428,77_ Past Due Amount T + $0.00 Credits -$44;85 - Minimum Payment Due _ $805.25 _ Purchases �� +$850.10_ ---- — - -- -- Debits _ ! _ +$0.00 T Payment Due Date 03/31/14 Late Fees +$0.00 Credit Line $4,250 New Balance $805.25 _Credit Available $3,394 Total Transactions 18 Closing Date 03/06/_14 LSendNotice of Billing Errors and Customer Service Inquiries to: Next Closing Date 04/04/14 Lox 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Meg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount —0 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS Ems, 02/20 I PAYMENT-THANK YOU I , $428.77- Er PURCHASES AND DEBITS CARD NUMBER 0002 _ 02/21 19:5T-—7 1 0354910 1545 S RANGE LINE RD CARMEL IN 25.680 8 i UNL 1 $4.70 i $87.80 25.680 GAL UNLEADED $87.80 i CARD NUMBER 0002 TOTAL 25.680 $4.70 $87.80 CARD NUMBER 0003 02/13 19:56 10879627 i 1821E 151ST ST CARMEL IN v^-- — 8.281 -T 8 UNL $1.52 $28.00 8.281 GAL UNLEADED $28.00 —! 02/20 01:01 1 0321786 14554 HERRIMAN BLVD NOBLESVILLE IN 14.243 8 UNL ! $2.61 $49.71 ` I( 1 14.243 GAL UNLEADED $49.71 j { 02/26 120:35 0383398 14554 HERRIMAN BLVD NOBLESVILLE IN 10.461 8 i� UNL i $1.91 $37.65 I 10.461 GAL UNLEADED $37.65 03/01 11:11 0408682 14554 HERRIMAN BLVD NOBLESVILLE IN 15.771 ! 8 UNL j $2.89 $58.18 15.771 GAL UNLEADED $58.18 I i I CARD NUMBER 0003 TOTAL 48.756 I ! $8.93 $173.54 CARD NUMBER 0004 02/08 13:44 0941393 9609 OLIO RD MCCORDSVILLE IN — 11.340 _8 UNL $2.08 $39.25 11.340 GAL UNLEADED $39.25 1� { �� NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION_ Page I of 4 _ This Account.is Issued.by,Citibank,N.A... Please detach and return lower portion with your payment to insure proper credit. Retain upper portion for your records. + �I Information About Your Account Payment Other Than By Mail. When Your Payment Will Be Credited.If we receive Your payment in Phone.Call the phone number on Page 1 of your statement to make proper form at our processing facility by 5 p.m.local time there,it will a payment.We may process your payment electronically after we be credited as of that day.A payment received there in proper form verify your identity.You will be charged$14.95 to use this service. after that time will be credited as of the next day.Allow 5 to 7 days for The payment cutoff time for Phone Payments is midnight Eastern payments by regular mail to reach us.There may be a delay of up to time.This means that we will credit your account as of the calendar 5 days in crediting a payment we receive that is not in proper form or day,based on Eastern time,that we receive your payment request. is not sent to the correct address.The correct address for regular mail If you send an eligible check with this payment coupon,you authorize is the address on the front of the payment coupon. us to complete your payment by electronic debit.If we do,the checking Proper Form.For a payment sent by mail or courier to be in proper account will be debited In the amount on the check.We may do this as farm,you must: soon as the day we receive the check.Also,the check will be destroyed. Enclose a valid check or money order.No cash,gift cards, Report a Lost or Stolen Card Immediately.You may call Customer or foreign currency please. Service 24 hours a day,7 days a week. • Include your name and the last four digits of your account number. o- O T04563-H2-9366-8015-0001-OOL--0---04/01/91-276-60-P--0--0-0-0-SHFLEET2---03/31/10-SH33-February 3,2014--- PLOCOMM OCT13 Page 2 of 4 Account: **** **** **** 9116 TRANSACTIONS (cont.) Trans Trans Trans Meg Prod Date Time ID Location/Description _ Quantity Code Code Exempt Tax Amount_ 02/12 T18:08 0763607 iii 1230 S RANGELINE RD CARMEL IN 7.370 8 UNL 1 $1.35 $25.06 I 7.370 GAL UNLEADED $25.06 I I r 111 02/20 13:35 0933903 I�I 9599 N MERIDIAN ST INDIANAPOLIS IN 10.450 i 8 j UNL $1.91 $35.95 I i 10.450 GAL UNLEADED $35.95 02/28 15:28 10649681 ( 11601 ALLISONVILLE RD FISHERS IN I 14.522 I 8 I UNL $2.66 $53.43 j I + 14.522 GAL UNLEADED $53.43 1 CARD NUMBER 0004 TOTAL 43.682 $8.00 I $153.69 CARD NUMBER 0006 02/0613:14 l-0755173 1 4624 LAFAYETTE RD INDIANAPOLIS IN 17.733 i 8 UNL -~ $3.25 $57.26 f ; 17.733 GAL UNLEADED $57.26 02/08 ` 12:51 f 0885020 12108 N EMERSON AVE INDIANAPOLIS IN j 14.041 8 UNL $2.57 $44.92 14.041 GAL UNLEADED $44.92 1 I 02/16 12:01 0924738 12108 N EMERSON AVE INDIANAPOLIS IN { 13.350 8 UNL j $2.44 ( $47.38 I 13.350 GAL UNLEADED $47.38 02/19 20:09 i 0540898 1 9510 E 126TH ST FISHERS IN ; 16.911 I 8 UNL I $3.09 I $59.51 I 16.911 GAL UNLEADED $59.51 02/21 17:03 0708818 i 2705 BLOYD AVE INDIANAPOLIS IN ! 13.172 i 8 UNL $2.41 { $44.26 i 13.172 GAL UNLEADED $44.26 02/25 ` 21:39 0730051 2705 BLOYD AVE INDIANAPOLIS IN 10.100 1 8 ! UNL ( $1.85 $33.32. f 10.100 GAL UNLEADED $33.32 02/26 } 09:21 { 0521542 i 2040 E WASHINGTON INDIANAPOLIS IN 12.372 8 UNL $2.26 $43.18 L-' 12.372 GAL UNLEADED $43.18 j Illi 117 02/27 20:52 0524884 2040 E WASHINGTON INDIANAPOLIS IN i 16.501 (; 8 UNL $3.02 i $61.04-/ C3 } 16.501 GAL UNLEADED $61.04 N CARD NUMBER 0006 TOTAL 114.180 j $20.89 $390.87 CARD NUMBER 0011 03/0--0 3 09:37 0876672 i 1230 S RANGELINE RD CARMEL IN - j 12.741 8 f�UNLT^ $2.33 $44.20 1 12.141 GAL UNLEADED $44.20 { I CARD NUMBER 0011 TOTAL 1 12.741 f j $2.33 $44.20 GRAND TOTAL , 245.039 i $44.85 $850.10 Message Codes: 1 - Electronic Sale with Authorization 4 - Electronic Sale without Authorization 8- Electronic Sale at Pump 2- Keyed Sale with Authorization 5 - Keyed Sale without Authorization 9- Manual Sale YEAR-TO-DATE SUMMARY Total Gallons Purchased this Statement 245.039 Total Gallons Purchased in 2014 532.067 _ _TAX-EXEMPTION_SUMMAR.Y _ Description Amount FEDERAL EXCISE.TAX` 245.0 GALLONS GASOLINE -$44.85 Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com Account: 9116 REQS UNSU ADDITIONAL CARDS Control your fuel budget and track purchases with additional cards for every employee. It's just another way we make it easier to manage your business with the Shell Fleet Plus Card. Not managing your account online? Sign up todayl Phone Online C -800-377-5150 Call I www.shellfleetcard.accountonline.com 387 J Ir C3 HUF MANAGHNG YOUR 0 Qtr Online account management has never been easier q) Q available anytime that fits your schedule. o Monitor your billed and unbilled transactions 13 View and download your statements and fleet reports by driver, vehicle and business unit [3 Make payments o Add or delete drivers and vehicles o Email us your questions and requests so ogn up now (e Page 4 of 4 1-800-377-5150 shelifleetcard.accou nton line.corn VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus IN SUM OF $ Processing Center P.O. Box 183019 Columbus, OH 43218-3019 $805.25 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116403 I 42-314.00 I $805.25 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 Monday, March 24, 2014 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)) 03/21/14 65129116403 gasoline $805.25 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