HomeMy WebLinkAbout259752 06/16/16 CITY OF CARMEL, INDIANA VENDOR: 00351794
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******509.36*
CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 259752
LOUISVILLE KY 40290-1015 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193606 509.36 065 127 193
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
SHELL CREDIT CARD CENTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 9001015 IN SUM OF$ 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.
$509.36 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
000000006512719 42-314.00 $509.36 1 hereby certify that the attached invoice(s),or 6/13/16 000000006512719 department gasoline $509.36
3606 3606
1110 101 bill(s)is(are)true and correct and that the 1110 101
materials or services itemized thereon for
which charge is made were ordered and
received except
1 � _
✓I .r/ f Ml.'i
Tuesday,June 14,2016
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
Commercial Account
Customer Service:6 shellNeetcardeccountonlinecom CARMEL POLICE DEPARTMENT
Shell Fleet Plus Card 0 Account Inquiries: Account Number: 065 127193
1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065127193606
Summary of Account Activity Payment Information
Previous Balance $927.32 Current Due $509.36
Payments s -$927.32 Past Due Amount + $0.00
Credits _ -$42.67 Minimum Payment Due '$509.36
Purchases +$552.03 _ - -
Debits _ +$0.00_ Payment Due Date 06/30/16
Late Fees _ +$0.00 Credit Line_ $3,700
New Balance $509.36 - --
Total Transactions 16 Credit Available_ _ - $3,140_
Closing Date -�06/05/16 _
Send Notice of Billing Errors and Customer Service Inquiries to: Next Closing Date 07/06/16
SHELL
M P.O.Box 6406,Sioux Falls,SD 57117-6406
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TRANSACTIONS
Trans Trans Trans Msg Prod
Date Time ID LocationMescription Quantity Code Code Exempt Tax Amount
_j PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
05/20 l I PAYMENT-THANK YOU I j I l $927.32-
w PURCHASES AND DEBITS
C3 CARD NUMBER 0002
05/23 16:10 0330845 14554 HERRIMAN BLVD NOBLESVILLE IN 18.692 8 UNL $3.42 $42.60
i 18.692 GAL UNLEADED $42.60 i
CARD NUMBER 0002 TOTAL 18.692 _^ $3.42 $42.60.
CARD NUMBER 0006 i
o m 05/12 14:10 0792721 5600 LEESBURG PIKE FALLS CHURCH VA 12.440 8 UNL $2.28 $27.37
o v 12.440 GAL UNLEADED $27.37 l
0 05/16 { 06:46 0426320 6014 LEESBURG PIKE FALLS CHURCH VA 14.733 8 f MIS ( $2.70 I $31.67
'^ f DISCOUNT $0.73
14.733 GAL BLENDED $32.40
s
LL 05/16 115:05 0197798 2224 N 600 WEST GREENFIELD IN 14.651 t 8 I BLE $2.68 $31.94
U eI
e 14.651 GAL BLENDED $31.94 i
I _ I CARD NUMBER 0006 TOTAL 1 41.824 ! $7.66 $90.98
W LL
e CARD NUMBER 0015
05/30 11:32 02237438 4 116TH ST FISHERS IN 16.504 8 I BLE $3.02 $40.60
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v ! I 16.504 GAL BLENDED $40.60 I
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i CARD NUMBER 0015 TOTAL 16.504 $3.02 i $40.60
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NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 This Account Is Issued by Citibank,N.A.
y Please detach and return lower_portion with your payment to Insure proper credit. Retain 1.mper portion for your records. 41
Account: **** **** **** 7193
TRANSACTIONS (cont.)
Trans Trans Trans Msg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
CARD NUMBER 0016
05/25 18:38 0379446 1701 JACK KULTGENEXPY S WACO TX 8.192 8 UNL $1.50 $17:77
II 8.192 GAL UNLEADED $17.77
05/26 13:46 3 0354084 8501 BROADWAY ST SAN ANTONIO TX 7.932 8 UNL $1.45 $15.54
7.932 GAL UNLEADED $15.54
CARD NUMBER 0016 TOTAL 16.124 $2.95 $33.31
CARD NUMBER 0018
05/28 06:57 0722991 9510 E 126TH ST FISHERS IN 8.800 8 BLE $1.61 $22.01
8.800 GAL BLENDED $22.01
CARD NUMBER 0018 TOTAL 8.800 $1.61 ' $22.01
CARD NUMBER 0022
05/17 12:45 0569988 545 S RANGE LINE RD CARMEL IN 16.984 8 UNL F $3.11 $37.01
16.984 GAL UNLEADED $37.01 �J
05/25 13:01 0633784 545 S RANGE LINE RD CARMEL IN 21.500 8 UNL $3.93 $55.02
N �
In 21.500 GAL UNLEADED $55.02
N
M 05/31 16:53 0681619 545 S RANGE LINE RD CARMEL IN 20.580 I 8 ! UNL $3.77 $51.04
20.580 GAL.UNLEADED $51.04 1
NI CARD NUMBER 0022 TOTAL 59.064 j $10.81 $143.07
CARD NUMBER 0026
17:20 0013383 1005 N RILEY HIGHWAY SHELBYVILLE IN T �^ 10.431 8 UNL $22.96
{ 10.431 GAL UNLEADED $22.96
05/16
L� 05/24 16:38 i 0532200 1230 S RANGELINE RD CARMEL IN 11.542 8 BLE $2.11 ! $27.24
W11.542 GAL BLENDED $27.24
C3 �� I CARD NUMBER 0026 TOTAL 21.973 i 1 $4.02 $50.20
rij
CARD NUMBER 0034 _
06/04 14'5 16.033 8 B-0587691 1230 S RANGELINE RD CARMEL IN LE $2.93T $41.35
�- -
16.033 GAL BLENDED $41.35 - ��"
CARD NUMBER 0034 TOTAL 16.033 $2.93 $41.35
em
CARD NUMBER 0038
e v 05/27 13:29 0789552 7788 E 96TH ST FISHERS IN 16.736 8 BLE ��$3.06 ; $42.31
16.736 GAL BLENDED $42.31
06/03 07:28 0783696 9510 E 126TH ST FISHERS IN 17.411 , 8 BLE I $3.19 I $45.60
e I 17.411 GAL BLENDED $45.60
{ CARD NUMBER 0038 TOTAL 34.147 I I $6.25 $87.91
C,
GRAND TOTAL I 233.161 1 I $42.67 $552.03
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Message Codes: 1-Electronic Sale with Authorization 4 -Electronic Sale without Authorization 8-Electronic Sale at Pump
o P 2- Keyed Sale with Authorization 5 -Keyed Sale without Authorization 9-Manual Sale Iy
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YEAR-TO-DATE-SUMMARY
Total Gallons Purchased this Statement 233.161
Total Gallons Purchased in 2016 `: 2,067.596
TAX EXEMPTION SUMMARY
Description Amount
FEDERAL EXCISE TAX _
116.7 GALLONS GASOLINE $21.37
116.4 GALLONS GASOHOL -$21.30 .
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