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Home My WebLink About240175 12/15/14 '• CITY OF CARMEL, INDIANA VENDOR: 00351794 a` ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******636.22* r' ate; CARMEL,'INDIANA 46032 Po BOX 183019 CHECK NUMBER: 240175 .9M,[T�j�l�` COLUMBUS OH 43218-3019 CHECK DATE: 12/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116412 636.22 065129116 Account Statement Commercial Account Customer Service: CARMEL-POLICE DEPARTMENT shel fleetcardacountonline�com Shell Fleet Plus Card Account Inquiries: Account Number: 065 129:116 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065129116412 Summary of Account Activity Payment Information Previous.Balance $769.64 Current Due .$636.22. moments -$769.64 Past Due Amount + $0.00 . Credits -$42.85 Minimum Payment,Due _ $636.22 Purchases +$679.07 Debits +$0.00 Payment Due Date 12/30/14 Late Fees +$0.00 Credit Line $4,250 New"Balance $636.22 Credit Available $3,613 Total Transactions 15 Closing Date 12/05/14 Send-Notice of Billing Errors and Customer Service Inquiries to: Next Closing Date 01/06/15 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 11/21 `.I I PAYMENT-THANKYOU I I I Er PURCHASES PURCHASES AND DEBITS C CARD NUMBER 0003 11/05 15:19 0562835 1230S RANGELINE RD CARMEL IN 13.200 8 UNL $2.42 $38.28 13.200 GAL UNLEADED $38.28 11/12 I� 14:54 0602169 1230S RANGELINE RD CARMEL IN 16.112 8 UNL $2.95 I $47.21 16.112 GAL UNLEADED $87.21 i CARD NUMBER 0003 TOTAL 29.312 $5.37 $85.49 CARD NUMBER 0004 I 11/20 11:19 0125468 9599 N MERIDIAN ST INDIANAPOLIS IN 14.481 8 UNL $2.65 $42.56 14.481 GAL UNLEADED $42.56 _ I CARD NUMBER 0004 TOTAL 14.481 $2.65 $42.56 CARD NUMBER 0006 11/10 08:51 0556696 7788 E 96TH ST FISHERS IN 20.894 8 UNL $3.82 $61.20 20.894 GAL UNLEADED $61.20 11/13 09:43 0033522 1201 S HOLT RD INDIANAPOLIS IN 10.493 8 i SUP $1.92 $30.01 10.493 GAL SUPER _ $30.01 iCARD NUMBER 0006 TOTAL 31.387 _ $5.74 $91.21 NOTICE:SEE REVERSESIDEFOR IMPORTANT-INFORMATIOM Pagel.of 4 = `^ This Account la Issued by Citibank,N.A. y__ Please detach and return lower portion with Yourpayment to insurepro-per credit Retain_upperportion fortour records, y 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 ofY our 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 isnot in proper form or`. day,based on Eastern time,that we receive your payment request. isnot 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 addressFo the front the.payment coupon. ,us to complete your payment by electronic debit.if.we do,the checking Proper Formm.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 recelve,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 orforeigncurrency please. Service 24 hours.a day,7 days a week Include your name and the last four digits of your account number. LZ L✓ ¢' o` L✓ T04563-H2-9366-8015-0001-00G-0---04/01/91-285-60-P--0--0-0-0-SHFLEET2---03/31/10-SH33-November 5,2014--- - PLOCOMM OCT13 Page 2 of 4 Account: **** **** **** 9116 TRANSACTIONS (cont.) Trans Trans Trans Msg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount CARD NUMBER 0007 11/08 10:53 0579037 1230 S RANGELINE RD CARMEL IN 24.011 1 8 UNL $4.39 $72.01 24.011 GAL UNLEADED $72.01 CARD NUMBER 0007 TOTAL 24.011 $4.39 I .$72.01 CARD NUMBER 0008 11/09. '� 13:57 _0235135 1360 N GREEN BROWNSBURG IN 16.655 8 UNL $3.05 $48.60 16.655 GAL UNLEADED $48.60 11/14 19:45 t; 0936930 1821 E 151ST ST CARMEL IN 9.111 , 8 UNL $1.67 $26.06' 9.111 GAL UNLEADED $26.06 1 11/17- .18:26 0631366 545 S RANGE LINE RD CARMEL IN 16.762 8 UNL $3.07 $47.27 16.762 GAL UNLEADED $47.27 I 11/25 16:34 0293522 3748 N HIGH SCHOOL RD INDIANAPOLIS IN 17.371 8 UNL $3.18 $50.36 17.371 UNLEADED 50.36 7 GAL $ 12/03 12:43 0018564 6998 E 21ST ST INDIANAPOLIS IN 12.371 8 UNL $2.26 $32.40 12.371 GAL UNLEADED $32.40 CARD NUMBER 0008 TOTAL 72.270 I ---_ .- --$13.23 1 $204.69_ CARD NUMBER 0009 - - -T- --- 11/11 15:03, 0596478 1230 S RANGELINE RD CARMEL IN 18.091 8 UNL $3.31 $53.19 I 18.091 GAL UNLEADED $53.19 1.1/25 16:16 j 0296764 4624 LAFAYETTE RD INDIANAPOLIS IN 20.475 8 UNL $3.75 $58.95 20.475 GAL UNLEADED $58.95 C-j _ _ _ CARD NUMBER 0009 TOTAL 38.566 $7.06 $112.14 L✓ Er CARD'NUMBER 0011 I C3 11/06 - 17:43 0569848 1230 S RANGELINE RD CARMEL IN 13.671 8 UNL $2.50 $41.00 r1J 13.671 GAL UNLEADED $41.00 11/14 13:26 0615922 1230S RANGELINE RD CARMEL IN 10.413 8 i UNL $1.91 $29.97 10.913 GAL UNLEADED CARD NUMBER 0011 TOTAL 24.084 $4.41 $70.97 GRAND TOTAL , 234.111 I $42.85 I _ $679.07 `I Message Codes: 1- Electronic Sale with Authorizationy 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. 234.111 Total Gallons Purchased in 2014 2,631.943 TAX EXEMPTION SUMMARY -- Description Amount - _sc - FEDERAL EXCISE TAX .234.1 GALLONS.GASOLINE ~� -$42:85 Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.Com Account: **** **** **** 9116 REOUESTADDITIONAL CARDS Control your fuel budget and track purchases with additional cards for every- employee. It's just another way we make it easier to manage your business with - Co a a I the Shell Fleet Plus Card. Not managing your account online? Sign up today! .. Phone Online -Call 1-800-377-5150 www.shellfleetcard.acc'ountonline.com 387 Er O IU Page;4,of 4 1-8007377-5150 shellfleetcard.accountonline.com i VOUCHER NO. WARRANT NO. _ Shell Fleet Plus ALLOWED 20 ' Processing Center IN SUM OF$ P.O. Box 183019 Columbus, OH 43218-3019 i $636.22 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/rITLE AMOUNT Board Members 1110 65129116412 42-314.00 $636.22 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 Thursday, December 11, 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 i Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 12/05/14 65129116412 Gasoline $636.22 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