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Home My WebLink About301891 08/18/16 � CITY OF CARMEL, INDIANA VENDOR: 00351794 ® ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT:.$*******291.40* CARMEL, INDIANA 46032 PO Box 9001015 CHECK NUMBER: 301891 LOUISVILLE KY 40290-1015 CHECK DATE: 08/18/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116608 291.40 065 129 116 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SHELL CREDIT CARD CENTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 9001015 IN SUM OF$ 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. $291.40 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 000000006512911 42-314.00 $291.40 1 hereby certify that the attached invoice(s),or 8/15/16 000000006512911 gasoline-SID $291.40 6608 6608 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 yv C2' d mak.: Tuesday,August 16,2016 Tim Green Chief of Police 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Account Statement Customer Service: r\� Commercial Account //��►►�� CARMEL POLICE DEPARTMENT V shelifleetcard.accountonline com Shell Fleet Plus Card Account Inquiries: Account Number 065129 116 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065129116608 Summary of Account Activity Payment Information _Previous Balance _ _ _ $460.90 Current Due $291.40 _moments w �� 1460.90 Past Due Amount + $0:00 Credits _ x$28.51 Minimum Payment Due = $291.40 Purchases_ T +$319.91 _ — Debits _ +$0.00 Payment Due Date 08/30/16 Late Fees +$0.00 New Line $4,250 New Balance $291.40 " Total Transactions 10 Credit Available $_31908 _ Closing Date 08/05/16 _ Send Notice of Billing Errors and Customer Service Inquiries to: Next Cl sing Date09/05/16 SHELL r P.O.Box 6406,Sioux Falls,SD 57117-6406 LnP N N Choosethe engine P protection • get. Ir C3 Shell 0 . . _ Premium n o n' 'm N O'O .O P ~O O h" TRANSACTIONS Trans Trans Trans Msg Prod e Date Time ID Location/Description Quantity Code Code Exempt Tax Amount N o PAYMENTS,CREDITS,FEES AND ADJUSTMENTS n o 07/22 I I l PAYMENT-THANK YOU I l l l ( $460.90- PURCHASES AND DEBITS N= CARD NUMBER 0035 08/03! 12:31 0902676 1230 S'RANGELINE RD CARMEL IN _r 16.712 8 BLE $3.06 $35.08 '. oa LU a NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 6 This Account is Issued by Citibank,N.A. 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 after we be credited as of that day.A payment received there in proper form verify your identity.There is no fee for this service.The payment cutoff after that time will be credited as of the next day.Allow 5 to 7 days for time for Phone Payments is midnight Eastern time.This means that we payments by regular mail to reach us.There may be a delay of up to will credit your account as of the calendar day,based on Eastern time, 5 days in crediting a payment we receive that is not in proper form or 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 willbe 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. r✓ L✓ Ir O 61. T10640-H2-9366-8015-0001-OOL--O•--04/01/91-305-60-P--0-N--O-O-O-SHFLEET2---03/31/10-SH33-July 6,2016---- PLOCOMM JUN16 Account: **** **** **** 9116 TRANSACTIONS (cont.) Trans Trans Trans Msg Prod Date Time ID Location/Description _ _Quantity Code Code Exempt Tax _Amount 16.712 GAL BLENDED $35.08 CARD NUMBER 0035 TOTAL _ 16.712 $35.08 CARD NUMBER 0036 _ .37 07/18 19:04 0161760 1821 E 151ST ST CARMEL IN T `T 15.456 l 8Y BLE $2.83 $33 15.456 GAL BLENDED $33.37 07/24 17:46 0849588 1230 S RANGELINE RD CARMEL IN 17.911 8 BLE $3.28 $36.88 17.911 GAL BLENDED $36.88 08/02 20:15 i 0859405 1230 WEST SR 32 LEBANON IN 17.734 8 BLE $3.25 $34.92 17.734 GAL BLENDED $34.92- _ _ CARD NUMBER 0036 TOTAL 51.101 $9.36 $105.17 CA_RD.NUMBER 0037 0 07/06 22:20 0421271 2705 BLOYD AVE INDIANAPOLIS IN 15.797 8 UNL $2.89 $30.00 15.797 GAL UNLEADED $30.00 07/14 19:55 0567040 8924 E 116TH ST FISHERS IN 14.165 8 BLE I $2.59 '$32.00 14.165 GAL BLENDED $32.00 07/28 08:30 0722751 8310 ROCKVILLE RD INDIANAPOLIS IN 13.902 8 UNL $2.54 $26.40 P a 13.902 GAL UNLEADED $26.40 07/29 21:24 0007989 6995 E US HIGHWAY 36 AVON IN 15.000 8 BLE I $2.75 $33.00 15.000 GAL BLENDED $33.00 II 08/02 14:11 0363713 6308 OAKLANDON RD INDIANAPOLIS IN I 15.055 8 UNL $2.76 $31.00 15.055 GAL UNLEADED $31.00 } L� CARD NUMBER 0037 TOTAL 73.919 $13.53 $152.40 CARD NUMBER 0038 __ O O8/02-'20:12 0688432 2120 N LEBANON ST LEBANON IN 13.986 8 UNL $2.56 $27.26 ru 13.986 GAL UNLEADED $27.26 CARD NUMBER 0038 TOTAL 13.986 $2.56 $27.26 GRAND TOTAL 155.718 ) { $28.51 I $319.91 e v Message Codes 1- Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Pump a- mN 2 Keyed Sale with Authorization 5-Keyed Sale without Authorization 9-Manual Sale t Ln v LL S YEAR-TO-DATE SUMMARY Total Gallons Purchased this Statement 155.718 �LL e o 0 Total Gallons Purchased in 2016 1,726.714 .+N Me LU 0 Q o N e oa TAX EXEMPTION SUMMARY W° Description Amount: FEDERAL EXCISE.-TM 58.7 GALLONS GASOLINE ' �-$10.75 96.9 GALLONS GASOHOL -$17.76 V R Page 3 of 6 1-800-377-5150 shellfleetcard.accountonline.com Account: ***'` **** **** 9116 n- 0 ruIL aJ y IL Shell V-Power`NiTRO+ Premium Gasoline provides the BEST TOTAL engine protection you can get. Shell V Power`NiTRO+Premium Gasoline has unsurpassed protection against gunk and corrosion,and superior protection againstwear.No other premium gasoline can say that.Not one. Learn more at shell.us/vpower i Page 4 of 6 1-800-377-5150 shellfleetcard.accountonline.com