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Home My WebLink About249573 09/23/15 (9, CITY OF CARMEL, INDIANA VENDOR: 00351794 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******291.07* CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 249573 COLUMBUS OH 43218-3019 CHECK DATE: 09/23/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116509 291.07 065-129-116 Account Statement Customer Service: Commercial Account CCARMEL POLICE DEPARTMENT shellfleetcard accountonlinacom C) Shell Fleet Plus Card Account Inquiries: Account Number: 065129116 1-800-377-5150 Fax 1-866-533-5302 � InvoiceNumber: 0000000065129116509 Summary of Account Activity Payment Information Previous Balance $302,96 Current Due $291.07 Payments __-$302.95 Past Due Amount + $0.00 . ^ Credits -$21.36 Minimum Payment Due $291.07 ^ Purchases +$312.42_ - Debits +$0,00 Payment Due Date 09/29/15 Late Fees +$0.00 Credit Line $4,250 New Balance $291.07 Credit Available $3,958 Total Transactions 11 Closing Date 09/04/15__ Send Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIng Date 10/06/15 SHELL P.O.Box 6406, 'SI, Falls,SD 57117-6406 Attention: New Pump Authorization Requirement (ACTION REQUIRED) Help prevent credit card fraud. For added security and protection, you and your employees may be asked to enter the business Er 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 2015 ZIP =mllll� Q ZIP out TRANSACTIONS Trans Trans Trans Msg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 08/29, I 1 'PAYMENT-THANK YOU l l I $302.95- PURCHASES AND DEBITS CARD NUMBER 0030 _ 08/07 1 06:06 i 0849588 1101 N CROSS POINTE BLVD EVANSVILLE IN ---�� 6.100 8� UNL $1.12 $17.10 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page i of 4 This Account is Issued by Citibank,N:A,- I. 4• _Please detach and return lower portion with your payment to Insure proper credit. Retain upper portion for your records, 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$14.95 to use this service. after that time will be credited as of the next day.Allow 5 to 7 days for The payment cutoff time for Phone Payments is midnight Eastern payments.by regular mail to reach us.There may be a delay of up to time.This means that we will credit your account as'of the calendar. 5 days in crediting a payment we receive that is not in proper form or day,based on Eastern time,that we receive your payment request . is not sent to the correct address.The correct address for regular mail If you send an eligible check with this payment coupon,you authorize is the address on the front of the payment coupon. us to complete your payment by electronic debit.If we do,the checking Proper Form.For a payment sent by mail or courier to be in proper account will be debited in the amount-on the check.We may do-this as. form,you must: soon as the day we receive the check.Also,the check will be destroyed. • Enclose a valid check or money order.No cash,gift cards, Report a Lost or Stolen Card Immediatem _Immediately.You may call Custoer or foreign currency please. Service 24.hours a day,7 days a week. • Include your name and the last four digits of your account number. —0 Er C3 T04563-H2-9366-8015-0001-OOL-0---04/01/91-294.60-P--0-N--0-0-O-SHFLEET2---03/31/10-SH33-August 6,2015---- PLOCOMM OCT13 Page 2 of 4 - VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF$ P.O. Box 183019 Columbus, OH 43218-3019 $291.07 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 65129116509 42-314.00 $291.07 1 hereby certify that the attached invoice(s), or i 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 Monday, Sepember 14, 2015 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)) 09/21/15 65129116509 Gas $291.07 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