252519 12/15/15 0r C�y�f
"\ CITY OF CARMEL, INDIANA VENDOR: 00351794
„• ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******849.72*
s. CARMEL, INDIANA 46032 PO BOX 183019 CHECK NUMBER: 252519
�M„iON`�d; COLUMBUS OH 43218-3019 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193512 849.72 GASOLINE
Account-Statement
Commercial Account
Customer Service: CARMEL POLICE DEPARTMENT
shelMeetcard.aocountonline com
Shell Fleet:Plus Card Account Inquiries: Account Number: 065127193
1-800-377-5150 Fax 1-866-533-5302 Invoice Number. 0000000065127193512
Summary of Account Activity Payment Information
Previous Balance . $659.37 Current Due $849.72
Payments x$659.37 ry Past Due Amount y + $0.00
Credits -$103.24__ Minimum Payment Due _ $849.72
Purchases +$952.96 — —
_DebitsT +$0.00 Payment Due Date 12/31/15
Late Fees V ~� +$0.00 Credit Line $3,700
New Balance $849.72 --- — — —Total.Transactions 33 -Credit Available � $2,800~
Closing Date _ _ 12/06/15
Ltice of Billing Errors and Customer Service Inquiries to: Next Closing Date 01/06/16x 6406,Sioux Falls,SD 57117-6406
Attention: New Pump Authorization Requirement:
(ACTION_ REQUIRE®)
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 2015 Z,� 0. ZIP III=*
TRANSACTIONS
Trans' Trans Trans Msg Prod
__j
Date . Time ID Location/Description Quantity Code' Code Exempt Tax . Amount,
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
11/21 PAYMENT-THANK YOU I II i I $659.37- ,
12/06_ j DISCOUNT ! ` t L $14.54- '
PURCHASES AND DEBITS _
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 afterwe
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.
A
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T04563-H2-9366-8015-0001-OOL--0---04/01/91-297-56-P--0-N--0-0.0-SHFLEET2---03/31/10-SH33-November 5,2015----
PLOCOMM OCT13
Account: **** **** **** 7193
TRANSACTIONS(cont.)
Trans. Trans Trans Meg Prod
Date Time ID . Location/Description_ _ _ Quantity Code Code Exempt Tax Amount
CARD NUMBER 0002 ^
11/1 153:50 0147256 5602 HWY 30 HIGH RIDGE MO 14.346 8 y UNL $2.63 `$27.10
14.346 GAT, UNLEADED $27.10 1 I
11/16 06:54 0219493 689 SW REGIONAL BENTONVILLE AR 12.480 I 8 UNL $2.28 $23.70
12.480 GAL UNLEADED $23.70
11/20 15:13 097851018201 HIGHWAY 66 PACIFIC MO j 14.977 8 I UNL $2.74 $29.79
14.977 GAL UNLEADED $29.79BE --� �-
CARD NUMBER 0002 TOTAL 41.803 $7.65 �. _ $80.59 ,
CARD NUMBER 0015
11/15 19:41 0767939 9599 N MERIDIAN ST INDIANAPOLIS IN 16.880 8 BLE $3.09 $33.76-
16.880 GAL BLENDED $33.76
12/09 00:56 0271387 i 11601 ALLISONVILLE RD FISHERS IN 16.636 I 8 BLE $3.04. $33.24
16.636 GAL BLENDED $33.24
CARD NUMBER 0015 TOTAL 33.516 $6.13 $67.00
CARD NUMBER 0018
11/18 05:04 0454819 { 1821.E 151 ST ST CARMEL IN i 11.173 8 BLE $2.04 $20.00
-1
. ( 1.173 GAL BLENDED .. _ - .$20.0.0•.� I. -
12/05 17:19 0562926 { 1821 E 151ST ST CARMEL IN 5.291 8. BLE $0.97 $10.00
I 5.291 GAL.BLENDED $10.00 I
I
CARD NUMBER 0018 TOTAL i 16.464 $3.01 ^$30.00
CARD NUMBER 0022
11/07 10:40 i 0930073 14554 HERRIMAN BLVD NOBLESVILLE IN 19.684 j 8 UNL I $3.60 I $43.09
`0 19.684 GAL UNLEADED $43.09
W
C3 11/11 ( 09.40 0241307 545 S RANGE LINE RD CARMEL IN 21.051 8 UNL I $3.85 I $41.45
21.051 GAL UNLEADED $41.45
11/27 11:04 0356105 j 545 S RANGE LINE RD CARMEL IN 17.563 8 UNL $3.21 $29.84
17.563 GAL UNLEADED $29.84
12/03 18:24 0402974 545 S RANGE LINE RD CARMEL IN 23.127 8 UNL I $4.23 $46.00
" 23.127 GAL UNLEADED $46.00
_^ CARD NUMBER 0022 TOTAL 81.425 I $14.89 I $160.38
CARD NUMBER 0023
11/30 08:47 1 0052159 1 2166 E HADLEY PLAINFIELD IN 14.351 8 BLE ( $2.63 I $26.68
14.351 GAL BLENDED $26.68
CARD NUMBER 0023 TOTAL j 14.351 i $2.63 $26.68
CARD NUMBER 0025
11/05 18:18. 10746685 2040 E WASHINGTON INDIANAPOLIS IN 15.882 1 8 UNL $2.91. i $35.72
V15.882 GAL UNLEADED $35.72
.11/09 17:42 0167460" 1229 N BLUFF RD GREENWOOD IN 13.252 8 UNL $2.43 $29.01
II ..13.252 GAL UNLEADED $29.01
11/13 00:00 0252007 17788 E 96TH ST FISHERS IN 15.940 8 'UNL $2.92 $33.14
15.940 GAL UNLEADED $33.14
11/_14 13:38 01 1229 N BLUFF RD GREENWOOD IN = 15.340 8 . BLE- - $2.81 f $30.68
' 15 340 GAI, BLENDED $30:68 = - I'^- L--
11/24 00:44 0461947 ; 14126 BERGEN BLVD NOBLESVILLE IN I 15.946 i 8 sup. J $2.92 $29.31
I
r 15.946 GAL SUPER $29.31
11/29 20:48 0723023:320 E SOUTHVIEW DR MARTINSVILLE IN 14.211 ! 8 1.BLE 1 $2.60 $26.43
14.217 GAL BLENDED $26.43
11/30 13:25 0645499 9042 W WASHINGTON ST INDIANAPOLIS IN + 18.726 8 UNL f $3.43 $35.00
18.726.GAL UNLEADED $35.00
12/03 13:30 10654442 9042 W WASHINGTON ST INDIANAPOLIS IN 11.500 8 UNL. $2.10 $23.00
11.500 GAL UNLEADED $23.00
I
CARD NUMBER 0025 TOTAL 120.803 $22.12 $242.29
CARD NUMBER 0026
11/18 16:59 0008607 1808 W MAIN ST CARMEL IN 13.820 8 UNL I $2.53 ( $27.64
13.820 GAL UNLEADED $27.64
11/23 13:53 0040584 808 W MAIN ST CARMEL IN 14.000 8 UNL $2.56 $26.04
14.000 GAL UNLEADED $26.04
CARD NUMBER 0026 TOTAL j_ 27.820 Y_ $5.09 $53.68
CARD NUMBER 0032 _
11/19 18:26 0443895 4758 RIVER RD SCHILLER PARK IL 11.452 8 UNL $2.10. $26.33
I 11.452 GAL UNLEADED $26.33
CARD NUMBER 0032 TOTAL uY11.452 $2.10 l $26.33 .
Page 3 of 6 1-800-377-5150 shellfleetcard.accountonline.com
Account: **** **** **** 7193
TRANSACTIONS (cont.)
Trans Trans Trans Msg Prod
Date Time ID Location/Description _ _ Quantity Code Code_Exempt Tax Amount
CARD NUMBER 0034
11/05 8:1410427138 +1230 S RANGELINE RD CARMEL IN 14.733 1 8 UNL T - $2.70 $32.40
I ii 14.733 GAL UNLEADED $32.40 1 '
11/19. 08:54 0512657 f 1230 S RANGELINE RD CARMEL IN I 13:115 11 8 BLE I $2.40 i $24.25
13.115 GAL BLENDED _$24.25
11/19 20:01 10516286 {1230 S RANGELINE RD CARMEL IN 1 15.760 8 1 BLE I $2.88 j $29.00
15.760 GAL-BLENDED $29.00
12/02 08:37 1 0585976 !1230 S RANGELINE RD CARMEL IN 13.705 8 1 BLE $2.51 j $22.60
13.705 GAL BLENDED $22.60 I
__ CARD NUMBER 0034 TOTAL 57313 $10.49 _ $108.25
CARD NUMBER 0035
11/30 13:33 0072371 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 13.271 -i 8 j SUP $2.43 $26.53
{ 13.271 GAL SUPER $26.53 1 I
I CARD NUMBER 0035 TOTAL 13.271 ! $2.43 i $26.53
CARD NUMBER 0038 _
11/10 08:41 0732412 9510 E 126TH ST FISHERS IN i- 15.845 8 UNL $2.90 I $32.15
--1 _ -_-1--- -15:845"-GAL UNLEADED $32.15 -
1 L 1
11/11 109:09 0074575 1 1206 E EADS PKWY(US 50)LAWRENCEBURG IN 13.161 i 8 UNL $2.41 { $25.52
j13.161 GAL UNLEADED $25.52 I
11/11 i 15:28 1 0762948 12301 S LIMESTONE/LEFFEL SPRINGFIELD OH 9.422 8 I UNL $1.72 ` $20.73
9.422 GAL UNLEADED, $20.73 I I 1
L-i 11/12 16:46 1 0763979 1 9510 E 126TH ST FISHERS IN 15.484 I 8 UNL I $2.83 $29.87
-0 i 15.484 GAL UNLEADED $29.87
O 11/18 11:15 0351197 16308 OAKLANDON RD INDIANAPOLIS IN j 12.553 8 , UNL $2.30 $22.96
ru
12.553 GAL UNLEADED $22.96 I I 1
j I f CARD NUMBER 0038 TOTAL 66.465 j 1 1 $12.16 ` $131.23
GRAND TOTAL I 484.683 I I $88.70 $952.96
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
YEAR-TO-DATE SUMMARY
Total Gallons Purchased this Statement 484.683
Total Gallons Purchased in 2015 3,868.604
TAX EXEMPTION SUMMARY
Description Amount
FEDERAL EXCISE-TAX --- _ _--- - _-- _ -- - ---__-_-- _--
348.2 GALLONS GASOLINE -�-$63.73
136.4 GALLONS GASOHOL $24.97
Page 4 of 6 1-800-377-5150 shellfleetcard.accountonline.com
.Account: **** **** **** 7193
DISCOUNT SUMMARY
Disc Tier Product Disc Units Discount
Locatlon/Descrlptlon Type Basis Descr Disc% Cents Purch Dollar Sales Amount
PROGRAM DISCOUNT
TDCPGO36 — C U I ALL FUELS I I 484.683 I i $14.54
SUBTOTAL I �� ; _ ( I $14.54
TOTAL PROGRAM DISCOUNT �^ l $14.54
TOTAL DISCOUNT I $14.54
Disc Type:%-Percent of Dollar Sales;C-Cents per Unit Tier Basis:U-Units Purchased;D-Dollar Sales
I
MNAGING YOUR ACCOUNT
U CC®!J T l
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814
New. Shell Fleet Plus Cart! Security Requirement
(ACTION REQUIRED) MOWN
ZIP Code prompting at the pump will be rolling out to most areas in June 2015 and,throughout 2015.
'Our goal.is to.helD prevent credit card fraud and unauthorized charges.
.11 L
ed security and protection, you and your employees may be asked to enter the businessive-d-d git
ZIP Code when making a purchase at the pump. Please provide all employees.with the Billing ZIP
nd make sure they are aware of this change.
you for your cooperation and see you at a Shell Station soon.
419 -
i
Page 5 of 6 1-800-377-5150 shellfleetcard.accountonline.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center IN SUM OF$
P.O. Box 183019
Columbus, OH 43218-3019
�I
$849.72 �I
J
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 65127193512 I 42-314.00 I $849.72 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
Frida , December 11, 2015
1 ✓•
Chief of Police
Title
:I
Cost distribution ledger classification if
claim paid motor vehicle highway fund f
i
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))
12/11/15 65127193512 monthly payment $849.72
i
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