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Home My WebLink About258713 05/18/16 CITY OF CARMEL, INDIANA VENDOR: 00351794 z ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $R•R R R M 8678 24R CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 258713 LOUISVILLE KY 40290-1015 CHECK DATE: 05/18/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116605 678.24 065 129 116 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SHELL CREDIT CARD CENTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 9001015 IN'SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service LOUISVILLE, KY 40290-1015 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $678.24 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 65129116605 42-314.00 $678.24 1 hereby certify that the attached invoice(s),or 5/16/16 65129116605 gasoline-SID $678.24 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for G which charge is made were ordered and received except - �tL —� Monday, May 16,2016 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Account Statement Customer Service: C CARMEL POLICE POLICE DEPARTMENT shellfleetcardaccountonlinecom Shell Fleet Plus Card Account Inquiries: Account Number: 065129116 1-800-377-5150 Fax 1-866-53375302 Invoice Number: 0000000065129116605 Summary of Account Activity Payment Information. Previous Balance _ $_677.7_8 Current Due $678.24 P_ay_ments -$677.78 Past Due Amount _ + Credits_ _ x$74.31 Purchases +$752.55 Minimum Payment Due $67 T v = 8.24 - - $67 Debits _ +$0.00 Payment Due Date 05/31/16 Late Fees _ +$0.00 Credit Line $4,250 New Balance $678.24 Credit Available $3,571 _ Total Transactions 27 Closing Date 05/06/16 Send Notice 0t Billing Errors and Customer Service Inquiries to: Next Cl sing Date 06/05/16 SHELL P.O.Box 6406,SI, Falls,SD 57117-6406 LnP N V -TRANSACTIONS Trans Trans Trans Meg Prod Date Time ID Location/Descrlptlon Quantity Code Code Exempt Tax Amount ..0 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS L-i 04/23 05/06 I DIAYMENT COUNT THANK YOU I i $677.78- Er $10.46- C3 PURCHASES AND DEBITS IIII CARD NUMBER 0030 _ 04/13 14:46 0028845 19599 N MERIDIAN ST INDIANAPOLIS IN 17.553 i 8 BLE $3.21 $38.60 17.553 GAL BLENDED $38.60 05/04 13:16 0595058 1230 WEST SR 32 LEBANON IN 11.535 8 BLE s $2.11 $25.02 m 11.535 GAL BLENDED $25.02 e v CARD NUMBER 0030 TOTAL 29.088 $5.32 $63.62 CARD NUMBER 0035 - _ 04/07 16:31 1 0109488 8501 E WASHINGTON ST INDIANAPOLIS IN _ 9.903 UNL $1.81 $19.40 9.903 GAL UNLEADED $19.40 1 LL 04/07 121:32 10726923 4700 S MICHIGAN AVE CHICAGO IL 14.273 8 UNL $2.61 $35.67 o ` 14.273 GAL UNLEADED $35.67 04/14 15:37 0008888 4624 LAFAYETTE RD INDIANAPOLIS IN 5.602 8 BLE $1.03 $12.00 0 0 5.602 GAL BLENDED $12.00 2- 04/15 09:23 0185009 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 11.221 8 SUP $2.05 $25.82 'v I 11.221 GAL SUPER $25.82 i CARD NUMBER 0035 TOTAL 40.999 $7.$0 $92.89 Oa -- -'-- -- --- 1.111T11C.CCC OC\ACOCC CIIIC CI M IRAMn=AAIT 1h1Cn0hAA-r1n K1 0-1-{C TMic Ann #is 1--i k,,PitikL, AI A Information About Your Account Payment Other Than By Mall. 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 thecheck.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. L✓ Er 0 LA T04563-H2-9366-8015-0001-OOL--O---04/01/91-302.60-P--0-N--0-O-O-SHFLEET2---03/31/10-SH33-April 5,2016---- PLOCOMM OCT13 .Account: .**** **** **** 9116 TRANSACTIONS (cont.) Trans Trans Trans Msg Prod Date Time ID -Location/Description Quantity Code Code Exempt Tax Amount CARD NUMBER 00_36 __ _ 04/07 12:24 i 02829391230 S RANGELINE RD CARMEL 1N^ 13.824 8 BLE i $2,53 I $25.70 13.824 GAL BLENDED $25.70 f 04/07 19:58 10290411 1230 WEST SR 32 LEBANON IN 9.752 8 BLE I $1.78 $20.47 9.752 GAL BLENDED $26.47 04/07 21:59 0726570 1 4700 S MICHIGAN AVE CHICAGO IL 10.092 8 UNL $1.85 $25.22 10.092 GAL UNLEADED $25.22 04/11 12:59 0299909 1230 S RANGELINE RD CARMEL IN 15.610 8 BLE $2.86 $32.47 15.610 GAL BLENDED $32.47 04/13 12:34 j 0167445 11601 ALLISONVILLE RD FISHERS, IN 13.905 8 BLE I $2.54 I $30.30 i { 13.905 GAL BLENDED $30.30 I f 04/15 18:57 0314252 .1821 E 151ST ST CARMEL IN 9.800 8 BLE I $1.79 $21.07 1 9.800 GAL BLENDED $21.07 05/05 12:40 10606616 1230 WEST SR 32 LEBANON IN 12.294 8 BLE $2.25 $26.42 {I{ 12.294 GAL BLENDED $26.42. } o I I CARD NUMBER 0036 TOTAL 85.277 $15.60 I $181.65 N -- CARD NUMBER 0037 N _ 04/06 21:56 0979153 1 2040 E WASHINGTON INDIANAPOLIS IN .15.113 8 UNL $2.77 ��$28.70 -15.113 GAL UNLEADED $28.70 i 04/08 11:53 0281741 1545 S RANGE LINE RD CARMEL IN 12.625 ` 8 UNL 11 $2.31 $26.50 12.625 GAL UNLEADED $26.50 04/11 17:10 'y 0455444 +3748 N HIGH SCHOOL RD INDIANAPOLIS IN 12.431 I 8 BLE $2.27 $27.35 lT- I1 12.431 GAL BLENDED $27.35 C3 04/14 10:07 0495408 1 6998 E 21ST ST INDIANAPOLIS IN 15.000 8 BLE ! $2.75 $33.00 r1J j 15.000 GAL BLENDED $33.00 04/18 13:16 0998005 2040 E WASHINGTON INDIANAPOLIS IN 16.000 8 UNL $2.93 $32.00 16.000 GAL UNLEADED $32.00 04/21 16:08, 1 0269126 3801 E NEW YORK INDIANAPOLIS IN 15.000 8 UNL I $2.75 $33.00 v 15.000 GAL UNLEADED $33.00 e v 04/27 10:40 0449512 1 2705 BLOYD AVE INDIANAPOLIS IN 13:612 8 UNL $2.49 $28.30 ° I 13.612 GAL UNLEADED $28.30 o I CARD NUMBER 0037 TOTAL 99.781 I $18.27 $208.85 CARD NUMBER 0038 _ 0 04/05 12:29 0129882 1 8190 ALLISONVILLE RD INDIANAPOLIS IN 14.022 8 BLE�� $2.57 $27.61 lj 14..022 GAL BLENDED $27.61 m e 04/07 15:020030908 2045 N POST RD INDIANAPOLIS IN 13.461 8 BLE. + $2.46 $28.27 0 0 13.461 GAL BLENDED $28.27 1 04/07 21:58 0726554 i 4700 S MICHIGAN AVE CHICAGO IL 15.922 8 UNL $2.91 $39.79 . . 15.922GAL UNLEADED $39.79 04/1212:48 0292128 1821 E 151 ST ST CARMEL IN 18.613 8 BLE $3.41 $40.93 w i II 18.613 GAL BLENDED $40.93 04/14 10:16 i 0315481 1 1230 S RANGELINE RD CARMEL IN 15.452 l+ 8 BLE $2.83 $33.67 5.452 GAL BLENDED $33.67 04/15 09:18 0321604 1 1230 S RANGELINE RD CARMEL IN 2.400 I 8 BLE I $0.44 $5.18 2.400 GAL BLENDED $5.18 CARD NUMBER 0038 TOTAL 79.870 $14.62 $175.45 CARD NUMBER 0039 _ 04/13 17:20 0026534 1-2224N600-WEST GREENFIELD IN 13.872 F8. BLE i~ $2.54 �` $30.09 13.872 GAL BLENDED $30.09 CARD NUMBER 0039 TOTAL 13.872 $2.54 f $30.09 GRAND TOTAL I 348.887 I I $63.85 $752.55 Message Codes: 1- Electronic Sale with Authorization 4-Electronic Sale without Authorization m 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 348.887 Total Gallons Purchased in 2016 1,155.338 1 Page 3 of 6 1-800-377-5150 shellfleetcard.accountonline.com Account: **** **** **** 9116 TAX EXEMPTION SUMMARY Description Amount FEDERAL EXCISE TAX 215.1 GALLONS GASOHOL -$39.37 133.7 GALLONS GASOLINE -$24.48 PUT YOUR AVAILABLE CREDIT TO WORK FOR YOUR BUSINESS. QUALITY FUELS CAR WASHES* Every Shell station offers high-quality Shell Keepyour vehicles looking their best, wherever Nitrogen Enriched Gasolines. your business takes you. = CONVENIENCE STORE* - LIGHT- - Keep your vehicles operating smoothly with Available at 2,100 Jiffy Lube locations nationwide. lubricants, windshield wipers and more. n - Find a station near you at vvww.she11.us/station1ocaior J V Page 4 of 6 1-800-377-5150 she]If leetcard.accountonIine.com Account:- DISCOUNT SUMMARY Disc Tier Product Disc Units Discount Location/Description Type Basis- Descr Disc% Cents. Purch Dollar Sales Amount PROGRAM DISCOUNT TDCPGO36 C U ALL FUELS 348.887 . �. $10.46 _ SUBTOTAL' TOTAL PROGRAM DISCOUNT $10.46 TOTAL DISCOUNT- ' f $10.46 Disc Type:%-Percent of Dollar Sales;C-'Cents,per Unit Tier Basis:U-Units Purchased;D-Dollar Sales inP 0 N 1-j Ir 0 LU v Y M p w M N e - c .J L7 - O Q Page 5 of 6 1-800-377-5150 shellfleetcard.accountonline.com