255656 03/01/16 ♦y ul CAgMf
�./ CITY OF CARMEL, INDIANA VENDOR: 00351794
j_ ® ,r ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******237.38*
CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 255656
9y��oN�o r' LOUISVILLE KY 40290.1015 CHECK DATE: 03/01/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65129116602 237.38 065129116
VOUCHER NO. WARRANT NO.
ALLOWED 20
SHELL CREDIT CARD CENTER
PO BOX 9001015
IN SUM OF$
LOUISVILLE, KY 40290-1015
$237.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
1110 I 65129116602 I 42-314.00 I $237.38 1 hereby certify that the attached invoice(s), or
101
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, February 15, 2016
4174 L'
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Account Statement
Commercial Account
//��►►�� Customer Service: CARMEL POLICE DEPARTMENT
Ly shelifleetcardaccountonline-com
Shell Fleet Plus Card . Account Inquiries: Account Number: 065 129.116
® 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: . 0000000065129116602
Summary of Account Activity Payment Information
Previous Balance $143.74 Current Due $237.38
Payments ��_$143.74 Past Due Amount + $0.00
Credits _ -$27.05 Minimum Payment Due -. $237.38
_Purchases 4 +$264.43 -_ _
Debits +$0.00 Payment Due Date 02/29/16
Late Fees ���+$0.00 Credit Line
New Balance $237.38 Credit Available $3,962 _
Total Transactions 9 Closing Date__ _ 02/04/16
Send Notice of Billing Errors and Customer Service Inquiries to:
HELL jNext Closing Date 03/06/16
S
P.O.Box 6406,Sioux Falls,SD 57117-6406
TRANSACTIONS
Trans Trans Trans Meg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
•-0 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
01/23 1 PAYMENT-THANK YOU I ( $143.74-
U_ PURCHASES AND DEBITS
C3 CARD NUMBER 0035 _
L-i
01/1--0�� 19:09 0277558 120 JOHN MCGHEE BLVD CARYVILLE TN 21.320 8�,UNL $3.90 $35.37
�T 21.320 GAL UNLEADED $35.37
01/12" ! 08:05 0224626 1811 SAM RITTENBURG BLVD CHARLESTON SC 26.204 8 UNL $4.80 . $45.57
26.204 GAL UNLEADED $45.57 .
01/15 20:08 0161646 443 AIRPORT ROAD ARDEN NC' I 24.615 8 UNL $4.50 I $47.73
24.615 GAL.UNLEADED... . $47.73 1 I
01/16 03:09 j 0830869 1230.S RANGELINE RD CARMEL,IN I 9.041 I 8 BLE $1.65 $15.00
I I 1 9.041 GAL BLENDED $15.00
01129 10:12 .0972380 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 4.731 8 SUP $0.87 $8.53
I 4.731 GAL SUPER $8.53
_ CARD NUMBER 0035 TOTAL`85.911 �_ $15.72 $152.20
CARD NUMBER 0036.
01/22 15:46 0461145 1230 WEST SR 32 LEBANON IN J� 9,463 BILE BLE j J $1.73 i $13.23
9.463 GAL BLENDED $13.23 I
v CARD NUMBER 0036 TOTAL 9.463 `_ ��w $1.73 ' m$13.23
Account: **** **** **** 9116
TRANSACTIONS (cont.)
Trans Trans Trans Meg Prod
Date Time ID Location/Description y� _ quantity Code Code _ Exempt Tax_ ` Amount
CARD NUMBER 0037
01/06 j 12:56 0963603 2705 BLOYD AVE INDIANAPOLIS IN 18.696—� 8 UNL I $3.42 $37.00
I� 18.696 GAL UNLEADED $37.00
01/11 j 20:06 0814491 8190 ALLISONVILLE RD INDIANAPOLIS IN 18.430 8 , BLE I $3.37 $35.00
1 18.430 GAL BLENDED $35.00
_ } _ CARD NUMBER 0037 TOTAL y 37.126 L $6.79 $72.00
CARD NUMBER 0040
01/28 17:41 0480871 19609 OLIO RD MCCORDSVILLE IN� 15.340 8 UNL — $2.81
$27.00
I 15.340 GAL UNLEADED $27.00
CARD NUMBER 0040 TOTAL I 15.340 $2.81 $27.00
GRAND TOTAL I 147.840 I I $27.05 $264.43
4 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 147.840
—0 Total Gallons Purchased in 2016 232.982
L✓
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D'
C3 TAX EXEMPTION SUMMARY
rU Description Amount
FEDERAL EXCISE TAX
110.9 GALLONS GASOLINE -$20.30
36.9 GALLONS GASOHOL -$6.75
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