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Home My WebLink About237092 09/16/14 CITY OF CARMEL, INDIANA VENDOR: 00351794 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******652.48* CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 237092 COLUMBUS OH 43218-3019 CHECK DATE: 09/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193 652.48 GASOLINE Account Statement Customer Service: CommerciafAccount //��*►�� CARMEL POLICE DEPARTMENT V shelifleetcard ac oountonline-com Shell Fleet Plus Card :Q Account Inquiries: Account Number: 065127193 :^ 1-800-377-5150 Fax 1-866-533-5302 -Invoice,Number: 0000000065127193409 Summary of Account Activity Payment Information Previous Balance _ $850.20 Current Due _ $652.48 moments -�� -$850.20 Past Due Amount + $0.00 Credits _ -$35.96 Minimum Payment Due _ $652.48 Purchases _ +$688.44 - - Debits _ +$0.00 Payment Due Date 09/30/14 Late Fees +$0.00 Credit Line _ $3,700 _ New Balance $652.48 Credit Available _ $2,997 Total Transactions 13 Closing Date _ 09/0_5/14 Send Notice of Billing Errors and Customer Service Inquiries to: Next Closing Date - 10/06/14 SHELL P.O.Box 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Msg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount -.l PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 08/21 I i PAYMENT-THANK YOU I I $850.20- LJ PURCHASES AND DEBITS C CARD NUMBER 0003 _ _ 08/09 13:45 i 0824284 {i 7788 E 96TH ST FISHERS IN 18.702 8 UNL $3.42 $66.58 1 18.702 GAL UNLEADED $66.58 08/30 18:13 1 0998203 {7788 E 96TH ST FISHERS IN 17.791 8 UNL $3.26 $63.16 17.791 GAL UNLEADED $63.16 I CARD NUMBER 0003 TOTAL 36.493 j _$6,68 1 $129.74 CARD NUMBER 0006 _ 08/10 19:45 ! 0494195 1229 N BLUFF RD GREENWOOD IN -�- 8.571-r 8 - UNL -^ $1.57 i- $30.00 I 8.571 GAL UNLEADED $30.00 I - CARD NUMBER 0006 TOTAL 8.571_ j $1.67 $30.00 CARD NUMBER 0013 _ 09/04 12:34 0808477 8 W227 STATE RD 252 EDINBURGH IN _ 13.820 8 I UNL _ $2.53 $48.37 i 13.820 GRL UNLEADED $48.37 I CARD NUMBER 0013 TOTAL 13.820 I � $2.53 $48.37 CARD NUMBER 0015 _ .- 08/14 00:27 0318964 951011 6TH ST FISHERS I - $39.00 I 11.370 I 8 UNL $2.08 $39,00 F_ I_ -__-_NOTICE:.SEE REVERSE SME-FOR IMPORT6NT INFORMATION __ __ Pie 1_of 4 _ - _ -_ This Accovn'-'--1sa+.ad.hv Citlba"4-n! 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 mailIf 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 form,you must: soon as the day vie 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. Ld C3 L✓ T04563-H2-9366-8015.0001-OOL--0---04/01/91-282-56-P--0--0-0-0-SHFLEET2---03/31/10-SH33-August 6,2014--- PLOCOMM OCT13 Account: **** **** **** 7193 TRANSACTIONS (cont.) Trans, .Trans Trans. Mag Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount -� -� CARD NUMBER 0015 TOTAL 11.370 �v -� S2.08 _ti$39.00 CARD NUMBER 0016 _ 08/08 1 10:27 0259838 9510 E 126TH ST FISHERS IN 14.513 8 UNL ( $2.666 $51.64 14.513 GAL UNLEADED $51.64 j CARD NUMBER 0016 TOTAL 14.513 $2.66 $51.64 CARD NUMBER 0018 08/19 19:461 0294843 1821 E 151ST ST CARMEL IN 16.903 8 UNL I $3.09 I $58.47 16.903 GAL UNLEADED $58.47 If 08/27 23:31 0362749 1821 E 151ST ST CARMEL IN 16.094 8 UNL $2.95 $54.72 16.094 GAL UNLEADED $54.72 09/02 20:08 0406827 1821 E 151ST ST CARMEL IN 16.251 8 UNL i $2.97 $57.87 -LL - �16.251,GAL UNLEADED $57.87 CARD NUMBER 0018 TOTAL 49.248 $9.01 _ $171.06 CARD NUMBER 0023 08/10 08:24 0695932 801 W MAIN WEST DUNDEE IL 12.552 UNL j -$2.30 $43.43 12.552 GAL UNLEADED $43.43 08/10 13:41 0813691 I-94,EXIT 4 713 HWY 12 HUDSON WI 13.721 8 I UNL $2.51 $46.64 13.721 GAL UNLEADED $46.64 I i 08/16: 1.1:48 0868174 517 MALL DR SCHAUMBURG IL 13.793 8 UNL I $2.52 $51.56 13.793 GAL UNLEADED .$51.56 CARD NUMBER 0023 TOTAL 40.066 $7.33 $141.63 CARD NUMBER 0033 - LU 08/14 10:14 10841536 545 S RANGE LINE RD CARMEL IN 22.390 8 Ii UNL T $4.10 - $77.00 O i 22.390 GAL UNLEADED $77.00 I rLi CARD NUMBER 0033 TOTAL 22.390 1 f $4,10 $77.00 GRAND TOTAL I 196.471 $35.96 ( $688.44 Message Codes: 1- Electronic Sale with Authorization 4-Electronic Sale without Authorization 8- Electronic Sale at Pump I 2-Keyed Sale with Authorization 5-Keyed Sale without Authorization 9-Manual Sale YEAR-TO-DATE SUMMARY Total Gallons Purchased this Statement 196.471 Total Gallons Purchased in 2014 2,049.300 TAX EXEMPTION SUMMARY Description Amount FEDERAL EXCISE TAX 196.4 GALLONS GASOLINE ,- -$35.96 _ Y>i Page 3 of 4 1-800-377-5150 shelifleetcard.accountonline.com i Account: '`*** **** **** 7193 , . i 11 NOT MANAGING YOUR ACCOUNT ONLINE? s Online account management has never been easier- rff available anytime that fits your schedule. ■ Monitor your billed and unbilled transactions ■ View and download your.statements and fleet reports by driver, vehicle and business unit. ■ Make payments ■ Add or delete drivers and vehicles ■ Email us your questions and requests Sign up now at www.shelifleetcard.accountonline.com W 0 ru Page 4 of 4 1-800-377-5150 shellfleetcard.accountonline.com VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF$ P.O. Box 183019 Columbus, OH 43218-3019 $652.48 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department A,n,,f -H- 5b 5 1-2-7 /'7-3 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 65127193409 42-314.00 $652.48 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 Friday, September 12, 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)) 09/12/14 65127193409 Gasoline $652.48 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