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Home My WebLink About239182 11/19/14 V' CITY OF CARMEL, INDIANA VENDOR: 00351794 ® ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $* '769.64' �. ?4 CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 239182 COLUMBUS OH 43218-3019 CHECK DATE: 11/19/14 rrox DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116411 769.64 065129116 Account Statement Customer Service' Commercial Account //��►►�� CARMEL POLICE DEPARTMENT �m� V shellfleetcard accountonlinetcom Shell Fleet Plus Card r� Account Inquiries: Account Number: 065129116 M.1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 000000006512911641.1 Summary of Account Activity Payment Information Previous Balance $625.96 Current Due _ $769,64 Payments ' _ -$625.96 Past Due Amount + $0.00 Credits _ -$47.75 Minimum Payment Due = $769.64 Purchases +$817.39 Debits +$0.00 Payment Due Date 11/30/14 Late Fees +$0.00Credit Line $4,250 New Balance $769.64 _Credit Available $3,380 Total Transactions 18 Closing Date 11/05/14 _ Send Notice of Billing Errors and Customer Service Inquiries to: Next ClOsing Date 12/05/14 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 -0 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 10/24 1 PAYMENT-THANK-YOU i + I $625.96- Er PURCHASES AND DEBITS " O CARD NUMBER 0004 _ L�' - 10/08 09:24- 0664961 11601 ALLISONVILLE RD FISHERS IN 12.903 I 8 UNL $2.36 l $40.00 I 12.903 GAL UNLEADED $40.00 10/12 18:09 0889311 8190 ALLISONVILLE RD INDIANAPOLIS IN 15.564 8 UNL $2.85 $51.02. " 15.564 GAL UNLEADED - $51.02 10/26 19:25 , 0541813 i 8703 COL H.WEIR CK MEM D INDIANAPOLIS IN 15.931 { 8 SUP $2.92 $51.30 1 15.931 GAL SUPER $51.30 10/31 10:43 0616219 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 4.810 8 SUP $0.88 $14.43 4.810 GAL SUPER $14.43 CARD NUMBER 0004 TOTAL 49.208 $9.01 $156.75 CARD NUMBER 0006 .10/13 18:09 0556368 18924 E 116TH ST FISHERS IN 17.561 i 8 UNL $9.21 $56.53 17.561 GAL UNLEADED $56.53 10/17 12:00 0819573 9609 OLIO RD MCCORDSVILLE IN 16.041 I 8 UNL $2.94 $48.75. 16.041 GAL UNLEADED $48.75 10/18 14:49 0414532 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 1.830 8 SUP $0.33 $5.81 _ 1.830 GAL SUPER N!z1�E?SEE REJERSE._GlL�SF R'"^o TPrlT=1NFC�RMATIQN, D??s_i-�}-n_- _ d__ -ThisA►ccounttgjssuacLby_Citlbank,N.A--_-_i 4o Please detach and return lower portion with your payment to Insure proper credit. Retain upper portion for your records. + 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,thafwe 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 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. —0 h-+ Er E3 LJ T04563-H2-9366-8015-0001-OOL--0---04/01/91-284-60-P--0--0-0-0-SHFLEET2---03/31/10-SH33-October 6,2014--- PLOCOMM OCT13 r 0 M A Account: **** **** **** 9116 TRANSACTIONS(cont.) Trans Trans Trans Msg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount CARD NUMBER 0006 TOTAL 35.432 _ $6.48 $111,09 CARD NUMBER 0008 _ 10/08 09:29 0605352 808 W MAIN ST CARMEL IN 17.890 8 UNL ( $3.27 $57.25 17.890.GAL UNLEADED $57.25 { 10/10 20:16 0682542 1821.E 151ST ST CARMEL IN 12.750 8 I UNL $2.33 $41.30. 12.750 GAL UNLEADED $41.30 l 10/13 09:51 0627257 808 W MAIN ST CARMEL IN 18.971 8 UNL $3.47 $61.45 19.971 GAL UNLEADED $61.45 { 10/16. 08:10 0390187 6598 N MIGHIGAN RD INDIANAPOLIS IN 16.192 8 UNL $2.96 $49.55 16.192 GAL UNLEADED $49.55 I , 10/23 07:43 0431528 8598 N MIGHIGAN RD INDIANAPOLIS IN 17.371 8 UNP $3.18 $60.80 17.371 GAL UNL PLUS $60.80 10/27 09:23 0688838 j 808 W MAIN ST CARMEL IN 18.612 8 UNL l $3.41 $59.56 18.612 GAL UNLEADED $59.56 10/29 05:59 0157966- 1360 N GREEN BROWNSBURG IN 14.494 8 UNL $2.65 $43.31 14.494 GAL UNLEADED $43:31 l - 10/31 -14:19 0971705 12434 N KEYSTONE AVE INDIANAPOLIS IN 17.975 8 SUP $3,29 $53.19 17.975 GAL SUPER $53.19 1 11/02 08:18 0153320 2166 E.HADLEY PLAINFIELD IN 15.345 8 UNL _ $2.81 $44.01 { 15.345 GAL UNLEADED $44.01 .A 11/04 13:08 0979740 12705 131-OYD AVEINDIANAPOLIS IN 16.034 8 I UNL I $2.93 $44.88 L✓ 1 16.034 GAL UNLEADED $44.88 I 1 L-i Er � CARD NUMBER 0008 TOTAL 165.634 ; ; $30.30 $515.30 O CARD NUMBER 0011 IU 10/24 108:16 0490888 1230 S RANGELINE RD CARMEL IN 10.703 6 UNL $1.96 $34.25 { I 10.703 GAL UNLEADED CARD NUMBER 0011 TOTAL 10.703 i $1.96 $34.25 1 GRAND TOTAL 260.977 { $47.75 I $617.39 i 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 260.977 Total Gallons Purchased in 2014 2,397.832 TAX EXEMPTION SUMMARY Description Amount IFEDERAL EXCISE TAX 260.9 GALLONS GASOLINE � -� �- _--V-'� -$47.75 �' Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com i Account: **** **** **** 9116 I , NOT MANAGING YOUR ACCOUNT . ONLI NE? ' Online account management has never been easier- I i >' i evadable anytime that fits your schedule. � l + I + ■ Monitorour billed and unbilled transactions ■ View and download your statements and fleet reports j Y I• I by driver, vehicle and business unit ■ Make payments I li i ■ Add or delete drivers and vehicles ■ Email us your questions and requests i Sign up now at www.shellfleekard.accountonline.com I _ Er ..0 O ru Page 4 of 4 1-800-377-5150 shellfleetcard.accountonline.com VOUCHER NO. WARRANT NO. Shell Fleet Plus ALLOWED 20 Processing Center IN SUM OF$ P.O. Box 183019 Columbus, OH 43218-3019 $769.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116411 I 42-314.00 $769.64 I 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, November 12, 2014 Of J Chief of Police i 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)) 11/12/14 65129116411 monthly payment $769.64 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