243110 3 /16/2015 �o.,c�xM
�/ 4f� CITY OF CARMEL, INDIANA VENDOR: 00351794
j ® �l ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $**'*"'644.26*
,� CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 243110
.y,�roN�. COLUMBUS OH 43218-3019 CHECK DATE: 03/16/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65129116503 644.26 065-129-116
Account Statement
Commercial Account
6 Customer Service: CARMEL POLICE DEPARTMENT
shelMeetcard.accountoniine-com
Shell Fleet Plus Card Account Inquiries: Account Number: 065129116 ,
1-800-377-5150 Fax 1-866-533-5302 'Invoice Number: '0000000065129116503
Summary of Account Activity Payment Information
Previous Balance _ _ _$293.26 Current Due $644.26
Payments _ -- -$293.26 Past Due Amount~ _ + $0.00
Credits -$54.38— Minimum Payment Due v = $644.26
Purchases ~� +$698.64 ------- --_._� _� --._
_Debits _— _ +$0.00 Payment Due Date 03/31/15
Late Fees +$0.00 Credit Line $4,250
New Balance $644.26 ----- — ---------._T__
Total Transactions 19 Credit Available —_ — __$3,605
Closing Date _ _ 0_3/06/15
LSendNotice of Billing Errors and Customer Service Inquiries to: NAXt Closing Date04/05/15
Lox 6406,Sioux Falls,SD 57117-6406
The Shell Fleet Plus Card `
Shell Fleet Plus Card
Ir
SAME GREAT,. BENEFIT
TRANSACTIONS
Trans TransTrans Msg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
-PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
02/19 I PAYMENT-THANK YOU I I I ( $293.26-
PURCHASES AND DEBITS
CARD NUMBER 0035 _ _ __ ___
02/05 108:38 30 969 3850 T1230 S RANGELINE RD CARMEL IN —� i^~20.588 UNL $3.77 ~~ $49.18
NOTICE:SEE REVERSE SIDE FOR.IMPORTANT INFORMATION_ PageJ_gf 4 _ _ __ _ _ This Account is Issued_by Citibank,N.A.
L y Please detach and return lower portion with your ayment to Insure ro er credit. Retain u er ortion for our records. 4,
-------P- P aL- pp-P------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 of your statement to make
proper format 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$14.95 to use this service.
after that time will be credited as of the next day.Allow 5 to 7 days for The payment cutoff time for.Phone Payments is midnight Eastern
payments by regular mail to reach us.There may be a delay of up to time.This means that we will credit your account as of the calendar
5 days in crediting a payment we receive that is not in proper form or day,based on Eastern time,that-we receive your payment request.
is not sent to the correct address.The correct address for regular mail If you send an eligible check with this payment coupon,you authorize
is the address on the front of the payment coupon. us to complete your payment by electronic debit.If we do,the checking
Proper Form.For a payment sent by mail or courier to be in proper account will be debited In the amount on the check.We may do this as
form,you must: soon as the day we receive the check.Also,the check will be destroyed.
• Enclose a valid check or money order.No cash,gift cards, Report a Lost or Stolen Card Immediately.You may call Customer
or foreign currency please. Service 24 hours a day,7 days a week.
• .Include your name and the last four digits'of your account number.
—0
L✓ -
Er
T04563-H2-9366-8015-0001-OOL--O---04/01/91-288-60-P-0-N-0-0-0-SHFLEET2-03/31/10SH33-February 3,2015----
PLOCOMM OCT13
Page 2 of 4
VOUCHER NO. WARRANT NO.
Shell Fleet Plus i
ALLOWED 20
IN SUM OF$
Processing Center
P.O. Box 183019
Columbus, OH 43218-3019
$644.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I 65129116503 I 42-314.00 I $644.26 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
Thursda , March 12, 2015
4ZChief 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 65129116503 gasoline $644.26
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