243109 3 /16/2015 (9,
CITY OF CARMEL, INDIANA ' VENDOR: 00351794 %«wONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: 9 623.25CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 243109
COLUMBUS OH 43218-3019 CHECK DATE: 03/16/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193503 623.25 065-127-193
Account Statement
Account
oCustomer Service: CARMELIal POLICE DEPARTMENT
sheilfleetcard.accountonlinecom
Shell Fleet Plus Card Account Inquiries: Account Number: 065-1,27193
1-800-377-5150 Fax 1-866-533-5302 Invoice Number: " 0000000065127193503
Summary of Account Activity Payment Information
_Previous Balance _ _$579.96 Current Due $623.25
Payments — -$579.96 Past Due Amount + $0.00
Credits _ -$53.19— Minimum Payment Due _ $623.25
Purchases +$676.44 — ------- — ----
Debits ^ +$0.00 Payment Due Date 03/31/15
Late Fees +$0.00 Itredit Line $3,700
y
New Balance $623.25 --_ -- ----
Total Transactions 19 _Credit Available _ __$3,076
Closing Date 03/06_/15__
LSendtice of Billing Errors and Customer Service Inquiries to: Next Closing Date 04/05/15
6406,Sioux Falls,SD 57117-6406
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TRANSACTIONS
Trans Trans Trans Meg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
PAYMENTS CREDITS,FEES AND ADJUSTMENTS
02/19 I 1 1 PAYMENT-THANK YOU { $579.96-
PURCHASES AND DEBITS
CARD NUMBER 0010 ___
02/14— 10:10 i 0078014 9510E 126TH ST FISHERS IN 16.462 ( 8 UNL $3.01 -~ $39.00
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION-—_ Page 1 of 4 This Account-Is IssuedbyCitibank,N.A.
y Please detach and return lower portion with our a ment to Insure proper credit. Retain upper tion for our records. y
-----P - ---Y--p y----------P--P------------ Pp-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$14.95 to use this service.
after that time will be credited as of the next day.Allow 5 to 7 days.for The payment cutoff time for Phone Payments is midnight Eastern
payments by regular mail to reach us.There may be a delay of up to time.This means that we will credit your account as of the calendar
5 days in crediting a payment we receive that is not in proper form or day,based on Eastern time,that we receive your payment request.
is not sent to the correct address.The correct address for regular mail
is the address on the front of the payment coupon. If you send an eligible check with this payment coupon,you authorize
us to complete your payment by electronic debit.if we do,the checking
Proper,Form.For a•payment sent by mail or courier to be in proper account will be debited In the amount on the check.We may do this as
form,you must: soon as the day we receive the check.Also,the check will be destroyed.
• Enclose a valid check or money order.No cash,gift cards, Report a Lost or Stolen Card Immediately.You may call Customer
or foreign currency please. Service 24 hours•a day,7 days a week.
• Include your name and the last four digits of your account'number.
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0
T04563-H2-9366-8015-0001-OOL--0--04/01/91-288-56-P-0-N-0-0-0-SHFLEET2--03/31/10SH33-February 3,2015----
PLOCOMM OCT13
Page 2 of 4
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
IN SUM OF$
Processing Center
P.O. Box 183019
Columbus, OH 43218-3019
$623.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1110 I 65127193503 I 42-314.00 I $623.25 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
i
Friday, March 13, 2015
/'Z 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))
03/12/15 65127193503 gasoline $623.25
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