248686 08/26/1 5 9'�
CITY OF CARMEL, INDIANA VENDOR: 00351794
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: S"""'*633.27"
CARMEL, INDIANA 46032 PO Box 183019 CHECK NUMBER: 248686 COLUMBUS OH 43218-3019 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193508 633.27 065-127-193
Account Statement
CCommercial Account
Customer Service:
CARMEL POLICE DEPARTMENT
shellfleMcardaccountonlinecom
Shell Fleet Plus Card Account Inquiries: Account Number: `665'127 193,
IN 1-800-377-5150 Fax 1-866-533-5302 Invoice-Number:,-00000000651271.93508
el Summary of Account Activity Payment Information
Previous Balance $801.69 Current Due $633.27
Payments - -$801-.69- Past Due Amount + $0.00
Credits -$49.96 _.
_._ Minimum Payment Due = $633.27
Purchases +$683.23 ---- ------ ------- - - -- -
Debits +$0.00- Payment Due Date 08/31/15
Late Fees +$0.00 Credit Line $3,700
New Balance $633.27 -
Credit Available _ _ $2,816
Total Transactions 17 Closing Date_ �- - _ 08/06/15
LSendNotice ofBilling Errors and Customer Service Inquiries to: Next Closing Date 09/04/15
L
Box 6406,Sioux Falls,SD 57117-6406
Affentn@)noo How PUMP
(ACTION REQUIRED)
.moo Help prevent credit card fraud. For added security and protection, you and your employees may be asked to enter the business
C3 five-digit Billing ZIP Code when making a purchase at the pump. Please provide all employees with the Billing ZIP Code and
make sure they are aware of this change. Thank you for your cooperation and see you at a Shell Station soon.
Beginning June 2015 and throughout 2®151 ZAP a ZOD �
S-. -
TRANSACTIONS
Trans Trans Trans Msg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
07/25 I I I PAYMENT-THANK YOU { ! $801.69-
PURCHASES AND DEBITS
CARD NUMBER 0002
07/27 l 11:16 0941138 4 3801 N POST ROAD INDIANAPOUS IN J �� 9.681 8 UNL $1.77 i v $24.00—
-N0'IC-E:ccc oc�r_occ cine_raq-IMPERTAPT'"'�^4nnnrinni.__- -_ ,-o,�e_�_ot_a___�__ ._— _y__ ___ --�_Thls.eccount.is-Issued.by-Citibank-,.N_A.— _ __
do Ploaca rlotarh anri roti vn Inwor nnrtinn with vni it navmant to insi ira nrnnor crnrlit Ratain i inn—nnrtinn fnr vni v rornrrlc" 4,
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 we do,the checkinq
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.
Ld
a
r✓
T04563-H2-9366-8015-0001-OOL--0---04/01/91-293-56-P--O-N--O-O-O-SHFLEET2---03/31/10-SH33-July 6,2015----
PLOCOMM OCT13
Page 2 of 4
Account: **** **** **** 7193
TRANSACTIONS (cont.)
Trans Trans Trans Msg Prod
Date Time _ ID Location/Description Quantity Code Code Exempt Tax Amount
9.681 GAL UNLEADED --_�_ $29_00_--___- I j
CARD NUMBER 0002 TOTAL 1 9.681 j { S1.77 I $24.00
CARD NUMBER 0015
07/17 17:20 0530857 14230 W US HIGHWAY 24 REMINGTON IN 15.223 8 ! UNL T S2.79 - $40.48
! 15.223 GAL UNLEADED $40.48
07/24 09:28 i 0704767 j 1821 E 151ST ST CARMEL IN ! 16.620 i 8 i UNL + S3.04 $39.39
16.620 GAL UNLEADED $39.39
i
CARD NUMBER 0015 TOTAL ! 31.84355.83 i 579.87
CARD NUMBER 0022
__ 3 1--------
07/10 n ` 0306274 1 545 S RANGE LINE RD CARMEL IN -- - 16.471 -8 ! UNL - 53.01 !
08:11 $45.28
! I 16.471 GAL UNLEADED $45.28
07/16 14:13 ' 0355008 !545 S RANGE LINE RD CARMEL IN 19.894 8 UNL j S3.64 { $52.90
i
t � I 19.894 GAL UNLEADED $52.90 ! '
07/29 i 13:17 0452813 545 S RANGE LINE RD CARMEL IN 23.041 8 UNL 54.22 $51.59
j I 23.041 GAL UNLEADED $51.59
08/05 i 13:59 0509810 j 545 S RANGE LINE RD CARMEL IN 15.170 8 ! UNL $2.78 i $37.00
11 I 15.170 GAL UNLEADED $37.00 4 I
CARD NUMBER 0022 TOTAL 74.576 _ ! S13.65 $186.77
CARD NUMBER 0023
07/11 19:53 k 00 41582 9609 OLIO RD MCCORDSVILLE IN - j 16.490 j -8 8-UNL T - S3.02�� 542.71
16.490 GAL UNLEADED $42.71
I
CARD NUMBER 0023 TOTAL I 16.490 j j S3.02 j $42.71
CARD NUMBER 0024
LLJ -
O 07/ ---09 16:55 10028647 14554 HERRIMAN BLVD NOBLESVILLE IN 17.231 8 UNL i S3.15 $45.32
ru
+ I 17.231 GAL UNLEADED $45.32
;
07/21 1 17:35 ; 0245530 7788 E 96TH ST FISHERS IN 1 14.891 { 8 i UNL S2.73 j $36.32
# 14.891 GAL UNLEADED $36.32 I 1 I
i CARD NUMBER 0024 TOTAL ! 32.122 ' S5.88 i $81.64
CARD NUMBER 0025
_�.1-� ._.- _
07/17 1 10:32 i 0785287 1230 S RANGELINE RD CARMEL IN L 15.785 I 8 UNL I 52.89 7 1.01
15.785
I i 15.785 GAL UNLEADED $41.01 j {
07/27 10:13 0840546 j 1230 S RANGELINE RD CARMEL IN 14.473 I 8 i UNL $2.65 ; $33.13
I
14.473 GAL UNLEADED $33.13 ( {
08/02 i 18:25 0186882 18924 E 116TH ST FISHERS IN 15.920 8 i UNL $2.91 $39.80
1 ' 15.920 GAL UNLEADED $39.80 I
1 CARD NUMBER 0025 TOTAL 46.178 i $8.45 $113.94
CARD NUMBER 0026
07/15 i 19:02 10820662 808 W MAIN ST CARMEL IN 15.244 i 8 i UNL $2.79 ` $40.84
15.244 GAL UNLEADED $40.84
1 CARD NUMBER 0026 TOTAL ! 15.244 $2.79 ' S40.84
-.--- -_1
CARD NUMBER 0034
08/05 ! 18:11 i 0896514 1 1230 S RANGELINE RD CARMEL IN-y - - - - j ~16.982 8 -UNL i -- S3.11 i - S41.25
16.982 GAL UNLEADED 541.25 i -
^ CARD NUMBER 0034 TOTAL 16.982 �^ $3.11 t $41.25
CARD NUMBER 0038
07/10 2-1-:1-8-1 0436600 19510 E 126TH ST FISHERS IN - 1 16.082T 8 UNL S2.94 $42.12
j i 16.082 GAL UNLEADED $42.12 i
07/28 C 13:24 ' 0033654 s 692 S STATE RD 135 GREENWOOD IN 13.746 j 8 f UNL $2.52 i $30.09
i+ 13.746 GAL UNLEADED $30.09 1
i CARD NUMBER 0038 TOTAL 29.828 i ! fi S5.46 $72.21
GRAND TOTAL 272.944 $49.96 $683.23
j Message Codes: 1- Electronic Sale with Authorization 4 - Electronic Sale without Authorization 8- Electronic Sale at Pump
t 2- Keyed Sale with Authorization 5 - Keyed Sale without Authorization 9-Manual Sale #
YEAR-TO-DATE SUMMARY
Total Gallons Purchased this Statement 272.944
Total Gallons Purchased in 2015 ~- 2,325.641
Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com
Account: **** **** **** 7193
TAX EXEMPTION SUMMARY
Description Amount
FEDERAL EXCISE TAX
272.9 GALLONS GASOLINE -$49.961
(OUR
(OHIUMN I(MWES THME
0
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• Monitor your billed and unbilled o View and download statements
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ru 814
Hew Shefl Asee Mus Card Secuir'nV Requ'aremen2
(ACTION REQUIRED)
ZIP Code prompting at the pump will be rolling out to most areas in June 2015 and throughout 2015.
Our goal is to help prevent credit card fraud and unauthorized charges.
For added security and protection, you and your employees may be asked to enter the business five-digit
Billing ZIP Code when making a purchase at the pump. Please provide all employees with the Billing ZIP
Code and make sure they are aware of this change.
-_Thank you-for-y.our-cooperation and see-you-at-a-Shell.Station=soon.--
416
Page 4 of 4 1-800-377-5150 shellfleetcard.accountonline.com
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))
08/18/15 000000651271935 monthly payment $633.27
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF $
P.O. Box 183019
Columbus, OH 43218-3019
$633.27
ON ACCOUNT OF APPROPRIATION FOR
Carmei Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 1)00000651271931 42-314.00 I $633.27 1 hereby certify that the attached invoice(s), or
bills) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, August 20, 2015
�Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund