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Home My WebLink About239181 11/19/14 CITY OF CARMEL, INDIANA VENDOR: 00351794 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $**'**'*470.59' CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 239181 9M«oN COLUMBUS OH 43218-3019 CHECK DATE: 11/19/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65127193411 470.59 065127193 Account Statement Customer Service: Commercial Account CCARMEL POLICE DEPARTMENT .shelifleetcard a000untoniine conn Shell Fleet Plus CardAccount Inquiries: Account Number: , 065,127,193 ' w 0 1-800-377-5150 Fax 1-866-533-5302 ,Invoice Number 0000000.065127,193411: Summary of Account Activity. Payment Information Previous.Balance $846.26 Current Due $470.59 Payments _ -$846.26 Past Due Amount + $0.00 Credits _ -$29.76~ Minimum Payment Due _ $470:.59 Purchases +$500.35 -- Debits. _ _ +$0'.00 Payment Due Date 11/30/14 Late Fees +$0.00 Credit Line $3,700 New.Balance $470.59 Credit Available $3,229 Total Transactions 13 Closing Date 11/05/14.. Send Notice of Billing Errors and Custorner 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 -J, PAYMENTS,CREDITS,FEES AND ADJUSTMENTS -0 10/24 PAYMENT-THANK YOU W. 10/24 I PAYMENT-THANK YOU i I $840,26- C3 PURCHASES AND DEBITS CARD.NUMBER 0003 10/18° "12:43 } 0388884 17788 E 96TH ST FISHERS IN 241 8 UNL�� $2.61 - }~ $44.15 14. 14.241 GAL UNLEADED $44.15 I CARD NUMBER 0003 TOTAL 14.241 I i $2.61 1I $44.15 CARD.NUMBER 0606 _ T 10/18 ( 14:43 0111369 320 E SOUTHVIEW DR MARTINSVILLE IN 6.510 8 UNL $1.19 $20.00 .6.510 GAL UNLEADED $20.00 CARD NUMBER 0006 TOTAL 6.510 � $1.19 $20.00 - CARD NUMBER 0015 10/06 10:21' 0018358 201 W 38TH ST INDIANAPOLIS IN 6.350 j 8 UNL $1.16 $20.01 6.350-GAL UNLEADED $20.01 { 10/12 07:29 0922328 9510 E 126TH ST FISHERS IN 6.211 8 UNL $1.14 $20.02 ' 6.211 GAL UNLEADED $20.02 10/21 10:11 '0472936 1230 S RANGELINE RD CARMELIN 13.600 I 8 UNL $2.49' $4-0.80- 13.600 GAL UNLEADED $40.80 i CARD NUMBER 0015.TOTAL 26.161 $4.79 .I y $80.83 ��>_N9.T!CF.cFE_RG�iGncF-S1DE.FOR!MPGR-'F4NT��cOon4Al"iE?1�----� c_Oe 7_et�-------•�-- -" - —:Thic:��crri is-Icr�� ,.. ..... -.- 4, Please detach and return lower portion with vour pavment.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.Allows 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 e 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'Last 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 LU 0 1 . T04563-H2-9366-8015-0001-OOL--0---04/01/91-284-56-P--O--0-O-0-S HFLEET2---03/31/10-S H33-October 6,2014---. PLOCOMM OCT13 o n,.f n Account: **** **** **** 7193 TRANSACTIONS(cont.) I. Trans Trans Trans Msg Prod Date • Time ID Location/Description Quantity Code Code Exempt Tax Amount CARD NUMBER 0016 10/17 08:45 0972208 9510E 126TH.ST FISHERS IN 16.163 8 } UNL 1 $2.96 $48.49 16.163 GAL UNLEADED $48.49 1 CARD NUMBER 0016 TOTAL 16.163 , $2.96 $48.49 CARD NUMBER 0018 10/24. 07:30 0769877 1821 E 151ST ST CARMEL IN 8.461 8 UNL $1.55 $26.73 8.461 GAL UNLEADED $26.73 I � _- i - Y- CARD NUMBER 0018 TOTAL 8.461 ; $1..55 L $26.73 CARD NUMBER 0022 .11/03 09:23 0513085 1545 S RANGE LINE RD CARMEL IN 23.310 8 UNL $4.27 $69.00 23.310 GAL UNLEADED $69.00 CARD NUMBER 0022 TOTAL 23.310 , $4.27 $69.00 CARD NUMBER 0024' 10/06 16:07 10870162 19510 E 126TH ST FISHERS IN 15.634 8 UNL $2.86 $50.00 i 15.634 GAL UNLEADED $50.00 i 10/21 18:34 10754275' j 14126 BERGEN BLVD NOBLESVILLE IN 10.371 I 8 SUP j $1.90 $31.00 - 10.371 GAL--SUPER $31.00 1 CARD NUMBER 0024 TOTAL 26.005 $4.76 I $81.00 CARD NUMBER 0025 - 10/27 17:05 0691329 808 W MAIN ST CARMEL IN 14A30 8 UNL $2.64 $45.89 ---- 14.430 GAL UNLEADED $45.89 CARD NUMBER 0025 TOTAL 14.430 I $2.64 $45.89_ `n CARD NUMBER 0027 _ C3 10/21 15:3-8� 0 9 50 9599 N MERIDIAN ST INDIANAPOLIS IN 13.050 8UNL $2.39 $42.01 ru j 13.050 GAL UNLEADED $42.01 , 1- { CARD NUMBER 0027 TOTAL 13.050 $2.38 fl $42.01 CARD NUMBER 0038 11/01T 10:3.2 0125641 `.9510 E 126TH ST FISHERS IN �� 14.230 I 8 UNL $2.60 $42.25 14.230 GAL UNLEADED $42.25 . CARD NUMBER 0038 TOTAL 14.230 l $2.60 $42.25 GRAND TOTAL I :162.581 I $29.76 . . $500.35 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 162.561 Total Gallons Purchased in 2014 2,476.297 TAX EXEMPTION'SUMMARY Description Amount FEDERAL EXCISE TAX 162.5 GALLONS GASOLINE �`� �~ � -$29.76. Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com Account: **** *'** **** 7193 NOTMANAGING YOUR ! ; i II � {ACCOUNT ONLINE? I Online account management has never been easier- available anytime that fits your schedule. I ( ■ Monitor your billed and unbilled transactions ■ View and download your statements and fleet reports i I by driver, vehicle and business unit ■ Make payments i ■ Add or delete drivers and vehicles ® Email us your questions and requests � I Sign up now at www.shelifleekard.accountonline.com t w ru Page 4 of 4 1-800-377-5150 shellfleetcard.accountonline.com VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF$ P.O. Box 183019 Columbus, OH 43218-3019 $470.59 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 65127193411 42-314.00 $470.59 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the apmaterials or services itemized thereon for 6 which charge is made were ordered and received except Thursda , November 13, 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)) 11/12/14 65127193411 monthly payment $470.59 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