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Home My WebLink About238296 10/21/14 (9, CITY OF CARMEL, INDIANA VENDOR: 00351794 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECKAMOUNT: $*******625.96* CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 238296 COLUMBUS OH 43218-3019 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116410 625.96 GASOLINE Account Statement Commercial Account Customer Service: CARMEL POLICE DEPARTMENT V .shelHleetcardaocountonllnecom Shell Fleet Plus Card ✓' . Account Inquiries: Account Number: 065129116 0 1-800-377-5150 Fax 1-866-533.6302 Invo16e.Number: ,0000000065129116410: Summary of Account Activity Payment Information Previous Balance $704.17 Current Due $625.96 . moments _ -$704.17 Past Due Amount + $0.00" . Credits -$36.29 Minimum Payment Due = $625.96 Purchases +$662.25 - Debits ±$0.00 Payment Due Date 10/31/14, Late Fees +$0.00 ENext e " $4,250" New Balance $625.96 --- 3,574 ailable $ Total Transactions 12 ate � 10/06/14 T Send Notice of Billing Errors and Customer Service Inquiries to: ing Date 11/05/14 SHELL P.O.Box 6406,Sioux Falls,SD 57117-6406 TRANSACT/ONS Trans Trans Trans Meg Prod Date" Time ID Location/Description Quantity Code Code Exempt Tax Amount PAYMENTS,CREDITS,FEES AND ADJUSTMENTS L✓ " 09/19",f PAYMENT-THANK YOU I I $704.17- PURCHASES AND DEBITS CARD NUMBER 0003 T _ 09/15 15:02 0250357 1230 S RANGELINE RD CARMEL IN 9.820 8 UNL I $1.80 $34:00 i 9.820-GAL UNLEADED $34.00 I I 10/01 i 00:02 0005397 1230 WEST SR 32 LEBANON IN 14.634 8 f UNL $2.68 $46.80 14.634 GAL UNLEADED $46.80 I i 10/02 j 18:18 0017129 1230 WEST SR 32 LEBANON IN I 12.262 ++ 8 UNL $2.24 $99.24 ]___ 12.262 GAL UNLEADED $39.24 I CARD NUMBER 0003 TOTAL 36.716 _ $6.72 $120.04 CARD NUMBER 0004 _ _ _ 09/25. 14:34 0032060 .8703 COL H WEIR CK MEM D INDIANAPOLIS IN T 1 14.554 SUP P $2.66 $50.91 14.554 GAL SUPER $50.91 j 5.964 1 8 UNL $2.92 $53.29 09/29 13:38 0338889 1230 S RANGELINE RD CARMEL IN 1 { 15.964 GAL UNLEADED $53.29 { _ CARD NUMBER 0004 TOTAL 30.618 J $6.68 J $104.20 CARD NUMBER 0006__ _ _ 09/10 111:1.3 0639203 1 9599 N MERIDIAN ST INDIANAPOLIS IN I 18,E UNL $2.97 -! $57.29 I � . . -16.234 GAL UNLEADED $57.29 No.TICE_SgE_REVEASE=SIDE_F_OR IMPORTIANT INFORMATION Page 1 of 4 This Account Is Issued by Cltibank,N.A. - y: Please detach and return lower port(oh With our payment to Insure ro ercretllt Retain u e� ortlon for our records y -__Y-- p_p SP__P_ 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 aneligible check with this payment coupon;you authorise 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 we receive the check.Also,the check will be destroyed. . • Enclose n 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✓ Q' ,E3 L✓ T04563-H2-9366-8015-0001-00L--0---04/01/91-283-60-P-.0-0-0-0-SHFLEET2---03/31/10-SH33-September 5,2014--- PLOCOMM OGT13 Paas 2 of 4 Account: **** **** **** 9116 TRANSACTIONS(cont.) Trans Trans Trans Meg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount 09/12 17:43 0649590 1 2356 STATE RD 46 E NASHVILLE IN 14.390 1---8 UNL $2.63 $51.10 14..390 GPS UNLEADED $51.10 09/22, i 14:09 0519215 7024 N KEYSTONE AVE INDIANAPOLIS IN 16.544 I 8 UNL $3.03 $54.10 16.544 GAL UNLEADED $54.10 L 1 CARD NUMBER 0006 TOTAL 47.168 �! $8.63 � $162.49 CARD NUMBER 0007 10/04 114:23 10370148 1230 S RANGELINE RD CARMEL IN 28.341 8 UNL $5.19 $93.50 28.341 GAL UNLEADED. $93.50 j CARD NUMBER 0007 TOTAL I 28.341 $5.19 $93.50 CARD NUMBER 0008 09/18 16:44 0763896 2705 BLOYD AVE INDIANAPOLIS IN 17.844 8 UNL $3,27 $58.85 17.844 GAL UNLEADED $56.85 09/26 17:14 0552430 808 W MAIN ST CARMEL IN 18.984 8 UNL $3.47 $63.77 18.984 GAL UNLEADED $63.77 10/02 13:36 0774554 6402 W 10TH INDIANAPOLIS IN 18-7448 UNL $3.43 $59.40 18.744 GPS UNLEADED CARD NUMBER 0008 TOTAL , 55.572 $10:17 $182.02 GRAND TOTAL 198.315 I -$36.29 ( $662.25 Message Codes: 1- Electronic Sale with Authorization 4--Electronic Sale.without Authorization 8-Electronic Sale at.Pump. I —0 pp 2-Keyed Sale with Authorization 5-Keyed Sale without Authorization. . 9-Manual Sale C3 rU YEAR-TO-DATE SUMMARY Total Gallons Purchased this Statement 198.315 Total Gallons Purchased in 2014^� 2,136.855 TAX EXEMPTION SUMMARY Description Amount FEDERAL EXCISE TAX _ 198.3 GALLONS GASOLINE -$36.29 SAVE MONEY Financial Benefits ■ Lower your fuel costs with the Shell Fleet Plus Rebate Program AND MANAGE . No monthly,annual;or per card - - tE Convenience and Card Control PROGRAM ■ Purchase restriction's and driver-prompts help eliminate MORE unauthorized card usage -.■ ., Concise monthly reports by-driver,vehicle'or department-enables you to I stay ln.control of your drivers'activities without ever leaving your desk EFFICIENTLY ■ 24/7 online account management With the Shell Fleet Plus Card! ■ Limit the number of transactions per card, per day Thank you for your business and see you at a station soon! 956 Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com. VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus IN SUM OF$ Processing Center P.O. Box 183019 Columbus, OH 43218-3019 $625.96 ,ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 065129116410 42-314.00 $625.96 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 Wednesday, October 15, 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)) 10/15/14 065129116410 gasoline SID $625.96 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