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Home My WebLink About232694 05/20/14 CAq �%' '\f. CITY OF CARMEL, INDIANA VENDOR: 00351794 ® ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*****1,133.09* 9 ,?�; CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 232694 .giroN.c�. COLUMBUS OH 43218-3019 CHECK DATE: 05/20/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116405 1,133.09 065129116 Account Statement Customer Service: Commercial Account COCARMEL POLICE DEPARTMENT �J V sheliflm ardaccountonHnecom Shell Fleet Plus Card Account Inquiries: Acoourit Number:"".° 1065129116 1-800-377-5150 Fax 1-866-533-5302 I.Involde Number. 0000000065129116405 Summary of Account Activity Payment Information Previous Balance. $805,23Current Due $1,133,09 Payments -$805.23 W Past Due Amount _ + Credits _ -$69:06 Minimum Payment Due ^� _ $1,133.09 Purchases +$1,202.15 ---- Debits +$0.00 . Payment Due Date 05/31/14 . Late Fees +$0.00 Credit Line $4,250 New Balance $1,133,09 Total Transactions 22 Credit Available — $3,116 _Closing Date 05/06/14 LSHELL tice of Billing Errors and Customer service Inquiries to: Next Closing Date _ T 06/05/14 x 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Meg Prod Date .Time ID. Location/Description Quantity Code Code Exempt Tax Amount PAYMENTS CREDITS,FEES AND ADJUSTMENTS 16- 04/25 1 'j PAYMENT-THANK YOU $80523- cr._ .05%06 { DISCOUNT I I $9.72- o PURCHASES AND DEBITS CARD NUMBER 0002 04/10 16:47. 0129528 1230 S RANGELINE RD.CARMEL IN 20.272 8 UNL I $3.71 $75.01 20.272 GAL UNLEADED $75.01 04/15 23:49 0756841 545 S RANGE LINE RD CARMEL IN 24.660 8 UNL $4:51 $90.01 24.660 GAL UNLEADED $90.01 04/24 i 12:35 0589903 12166 E HADLEY PLAINFIELD IN 10.072 8 ( UNL $1.84 $39.00 10.072 GAL UNLEADED. $39.00 CARD NUMBER 0002 TOTAL 55.004 ( _ $10.06 $204.02 CARD NUMBER 0003 _ 04/17 .08:05 0007161 4933 LIMA RD/169 FORT WAYNEIIN 10.582 I8 UNL $1.94 $40A0 10.582 GAL UNLEADED $40.00 CARD NUMBER 0003 TOTAL 10.582 S1.l4 $40.00 CARD NUMBER 0004 04/09 16:20 0123323 1230 S RANGELINE RD CARMEL IN 15.350 8 UNL $2.81 $58.33 15.350 GAL UNLEADED $58:33 04/11 14:12 10135012-11,230 S RANGELINE:RD CARMEL IN 8.662 8 UNL $1.59 $32.05 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Pagel of 8 This Account Is Issued by Citibank,N.A. Please detach and return.lower portion withour pa ment.to Insure proper credit. Retain upper portion for your records. y Information About Your Account Payment Other Than By Mall. 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 t 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 form,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. r0 L✓ L✓ 0� 0 L✓ T04563-H2-9366-8015-0001-OOL-0---04/01/91-278-60-P--0--0-O-0-SHFLEET2---03/31A0-SH33-April 4,2014--- PLOCOMM OCT13 Pnna2ofR. 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $1,133.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members 1110 65129116405 42-314.00 $1,133.09 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 received except Tuesday, ay 13, 2014 4Z Chief of Police Title Cost distribution ledger classification if claimaid motor vehicle highway fund P 9 Y 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)) 05/06/14 65129116405 Fuel Charges $1,133.09 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