245368 05/18/15 ;,y u!..44gbf CITY OF CARMEL, INDIANA VENDOR: 00351794
`� CHECK AMOUNT: $****"`296.05*
® , ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
r. CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 245368
"L _j r COLUMBUS OH 43218-3019 CHECK DATE: 05/18/15
ITON GO•
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65129116505 296.05 065-129-116
Account Statement
Commercial Account
/�►� Customer Service: CARMEL POLICE DEPARTMENT
V shellfleetcardlaocountonline oom
Shell Fleet Plus Card Account Inquiries: Account Numbers 065129,116
1-800-377-5150 Fax 1-866-533-5302 [InOiceNurn'be'n 00000000651291`16505;
Summary of Account Activity Payment Information
Previous Balance $272.20Current Due $296.05
Payments -$272.20 _ Past Due Amount + $0.00
Credits -$24.30 Minimum Payment Due = $296.05
Purchases +$320.35
Debits _ +$0.00 Payment Due.Date 05/31/15
Late Fees +$0.00 Credit Line $4,250
New Balance $296.05
Total Transactions 11 Credit Available $3,903
Closing Date 05/06/15
L
Notice of Billing Errors and Customer Service Inquiries to: Next Closing Date 06/05/15
LBox 6406,Sioux Falls,SD 57117-6406
Y " f
The Shell: Fleet Plus Card
Shell Fleet Plus Card
Era
a
p SAM E G REA B EN E F ITS.t -
3.
TRANSACTIONS
Trans Trans Trans Msg Prod
Date Time ID Locatlon/Description Quantity Code Code Exempt Tax Amount
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
04/22 ' I I I PAYMENT-THANK YOU I I I I $272.20-
PURCHASES AND DEBITS
CARD NUMBER 0035 _
„�! 04/05 T18:02 0916114 18703 COL H WEIR CK MEM D INDIANAPOLIS IN 1 9.533 1 8 SUP — $1.74 1 $21.44
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,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 vie 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.
. r✓
L✓
Er
O
L✓
T04563-H2-9366.8015-0001-OOL--0---04/01/91-290-60-P--0-N-0-0.0-SHFLEET2---03/31/10-SH33-April 5,2015----
PLOCOMM OCT13
Account: **** **** **** 9116
TRANSACTIONS(cont.)
Trans` Trans Trans Msg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
9.533 GAL SUPER $21.44
CARD NUMBER 0035 TOTAL 9.533 $1.74 $21.44
CARD NUMBER 0036
04/08 16:39 0258251 1230 S RANGE INE RD CARMEL IN 19.254 8 UNL $3.52 $46.00
19.254 GAL UNLEADED $46.00
CARD NUMBER 0036 TOTAL 19.254 $3.52 $46.00
CARD NUMBER 0037
04/06 12:25 0569392 7902 W 10TH ST INDIANAPOLIS IN 16.714 8 UNL $3.06 $35.25
16.714 GAL UNLEADED $35.25
04/24 08:39 0039297 2434 N KEYSTONE AVE INDIANAPOLIS IN 8.472 8 SUP $1.55 $22.02
8.472 GAL SUPER $22.02
04/29 15:00 0529438 2045 N POST RD INDIANAPOLIS IN 16.991 8 UNL $3.11 $44.16
16.991 GAL UNLEADED $44.16
CARD NUMBER 0037 TOTAL 42.177 $7.72 $101.43
CARD NUMBER 0038
05/05 :11:23. 0395111 1230 S RANGE INE RD CARMEL IN 3.000 8 UNL $0.55 $7.62
3.000 GAL UNLEADED $7.62
CARD'NUMBER 0038 TOTAL 3.000 $0.55 $7.62
CARD NUMBER 0040
04/21 20:20 0419259. 8924 E 116TH ST FISHERS IN 13.692 8 UNL $2.51 $30.11
•."0 13.692 GAL.UNLEADED $30.11
L--' 04/26 11:03 0434605 9609 OLIO RD MCCORDSVILLE IN 11.423 8 UNL $2.09 $28.32
Li
Er 11.423 GAL UNLEADED $28,32
0�
C3 05/02 18:34 0158089 2320 CHESTER BLVD.RICHMOND IN 13.191 8 UNL $2.41 $33.77
rU 13.191 GAL UNLEADED $33.77
05/03 08:19 0385575 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 4.491 8 SUP $0.82 $12.14
4.491 GAL SUPER $12.14
CARD NUMBER 0040 TOTAL 42.797 $7.83 $104.34
CARD NUMBER 0042
04/14 15:56 0286542 1230 S RANGELINE RD CARMEL IN 16.071 F 8 I UNL $2.94 $39.52
16.071 GAL UNLEADED $39.52
CARD NUMBER 0042 TOTAL 16.071 + $2.94 $39.52
GRAND TOTAL I 132.832 $24.30 I $326.35-
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
E
R-TO-DATE SUMMARY
l Gallons Purchased this Statement 132.832
Gallons Purchased in 2015 831.6941.
TAX EXEMPTION SUMMARY
'Description Amount
FEDERAL EXCISE TAX
132.8 GALLONS GASOLINE -$24.30
Page 3 of 4 1-800-377-5150 she]If leetcard.accountonline.com
Account: **** **** **** 9116
SAVE MONEY Finandal Benefit§
AND MANAGE . a Lower your fuelcosts with the Shell Fleet Plus Rebate Program -
■ No monthly,annual,.or_per card fees ,
YOUR FLEETConvenience -and Card-Con'l
POGRAM ■ Purchase restrictions and�driver prompts help-eliminate.-
MORE unauthorized card usage.
■ Concise_month) re orts°b driver,yehicle-or de artment enables you to
Y. p. .. X P..
EFFICIENTLYstay in control of yourdrivers activities'Witheut ever leaving your desk:'
■ 24/7 online account management
With the Shell Fleet Plus Card! o Limit,the number of transactions per card,,per day
.Thank • • • o - • • You • • stpfion, soon!
956
E.
0
rLi
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
$296.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 65129116505 I 42-314.00 I $296.05 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
Wednes ay, May 13, 2 15
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))
05/13/15 65129116505 gasoline $296.05
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