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Home My WebLink About253565 01/22/16 u'��p'' CITY OF CARMEL, INDIANA VENDOR: 00351794 `� CHECK AMOUNT: $*******143.74* . ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CARMEL, INDIANA 46032, PO BOX 9001015 CHECK NUMBER: 253565 +,may,__/. LOUISVILLE KY 40290-1015 CHECK DATE: 01/22/16 <TpN 00' DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116601 143.74 GASOLINE Account Statement CCommercial Account Customer Service: CARMEL POLICE DEPARTMENT shellfleetcard.accountonline�com Shell Fleet Plus Card ® Account Inquiries: Account'Number: 065 129 116 1-800-377-5150 Fax 1.866-533-5302 Invoice Number: 0000000065129116601 Summary of Account Activity Payment Information Previous Balance $133.63 Current Due $143.74 Payments_ -___-_____m.-.-_ -$133__63 Past Due Amount + $0.00 _Credits -$1.5.57 Minimum Payment Due w = $143.74 Purchases ^_ +$159,3_1 _� W_-_-•--m�,_ _ �_._ - ____� _ _� ..____ ___ �. _ Debits_ +$0.00 Payment Due Date 01/31/16 ~ Late Fees 9 J +$0.00 Credit Line $4,250 New Balance $143.74 Credit Available $4,056 Total Transactions 6 Closing Date _ 01/06/16 Send Notice of Billing Errors and Customer Service Inquiries to: yNeXt Closing Date 02/04/16 SHELL P.O.Box 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Msg Prod_ Date Time ID Location/Description Quantity Code. Code Exempt Tax Amount —0 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 12/19 I I PAYMENT-THANK YOU i 1 I $133.63- Ir PURCHASES AND DEBITS C CARD NUMBER 0035 12/31. 11:10 10538892 5884 S WILBUR WRIGHT RD STRAUGHN IN 20.464 i�8 UNL $3.74 $40.09 _ 20.464 GAL UNLEADED $40._09 CARD NUMBER 0035 TOTAL i 20.46464 $40.09 CARD NUMBER 0036 01/04 14:17 0760744 1230 S RANGELINE RD CARMEL IN _ 6.420 } 8_ BLE $1.17 $12.07 1 6.420 GAL BLENDED $12.07 CARD NUMBER 0036 TOTAL 6.420 I $1.17 $12.07 CARD NUMBER 0037 12/09 23:53 0488544 8598 N MIGHIGAN RD INDIANAPOLIS IN I 17.328 GAL BLENDED $31.00 j + 12/16 14:04 10808774 2040 E WASHINGTON INDIANAPOLIS IN ( 18.255 1 8 UNL $3.34 $33.39 l 18.255 GAL UNLEADED $33.39 i 4 � t t CARD NUMBER 0037 TOTAL( 35.583 1 I $6.51 ! $64.39 CARD NUMBER 0040 T ( $E65 12/24 UN $27.3442iOLIOR GAL UNLEADED $27.34 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 This Account is Issued by Citibank,N.A. Information About Your Account Payment Other Than By Mail. When Your Payment WIII.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 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. ..D L✓ Q^ 0 T04563-H2-9366-8015.0001.00L--o--04/01/91-298.60-P--O-N-0-0-0-SHFLEET2--03/31/10-SH33-December 6,2015---- PLOCOMM OCT13 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 01/14/16 65129116601 $143.74 1110 101 I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer 003 si7 y� VOUCHER NO. WARRANT NO. SHELL CREDIT CARD CENTER ALLOWED 20 PO BOX 183019 IN SUM OF$ COLUMBUS, OH 43218-3019Fj � J $143.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. I ACCT#/Fund I AMOUNT Board Member: I 65129116601 I 42-314.00 I $143.74 1 hereby certify that the attached invoice(s), or 1110 101 bill(s) is (are)true and correct and that the materials or services itemized thereon for C�� ! which charge is made were ordered and received except Friday, January 15, 2016 Cost distribution ledger classification if claim paid motor vehicle highway fund