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Home My WebLink About303065 09/15/16 `%��'-''°� CITY OF CARMEL, INDIANA VENDOR: 00351794 ® �\) ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******633.88* 9� ,=a CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 303065 M�r`uN�, LOUISVILLE KY 40290-1015 CHECK DATE: 09/15/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65127193609 633.88 065 127 193 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SHELL CREDIT CARD CENTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 9001015 IN SUM OF$ 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. $633.88 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 $633.88 1 hereby certify that the attached invoice(s),or 9/13/16 000000006512719 gasoline-department $633.88 3609 3609 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 e{ received except r Ya Tuesday,September 13,2016 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Account Statement Customer Service: Commercial Account CARMEL POLICE DEPARTMENT V shelifleetcardaomuntonline com Shell Fleet.Plus Card Account Inquiries: Account Number: 065.127193 . 1-800-377-5150 Fax 1-866-533-5302 Invoice'Number: .,0000000065127193609 Summary of Account Activity Payment Information Previous Balance _ $708.80 Current Due_ $633.88 ments � T$708.80� Past Due Amount _ + $0.00 Credits _ _-$69.20A Minimum Payment Due _ $633.88. Purchases +$703.08 -- ----- - ---� Debits _ �� T _ _ +$0.00 Payment Due Date 09/30/16 Late Fees +$0,00 Credit Line $3,700 New Balance $633.88 Credit Available _$2,966 Total Transactions 21. _Closing Date _ ^ 09/05/16 Send Notice of Bill]ng.Errors and Customer Service Inquiries to: Next Closing Date 10/06/16 SHELL v P.O.Box 6406,Sioux Falls,SD 57117-6406 Ln N NJ N N ' gas Your account will soon have added ® security with the ability to control w . and track purchases by driver(s) . C3- ' • thanks to a new custom 4-digit Driver ID to use at time of purchase. it a See inside,for details. N 10 00 e� TRANSACTIONS LL Trans Trans - Trans Msg Prod o Date Time ID Location/Description Quantity Code Code Exempt Tax Amount rn o. PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 0 08/19 PAYMENT-THANK YOU $708.80- 09/0 DISCOUNT I i i $9.74- PURCHASES AND DEBITS oc w J(J oa W a NOTICE:SEE REVERSE SIDE FOR IMPORTANT_INFORMATION Page 1 at 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 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. i L✓ -0 LU O L✓ T10640-H2-9366-8015-0001-OOL-0-04/01/91-306-56-P--0-N--0-O-0-SHFLEET2-03/31/10-SH33-August 5,2016-- PLOCOMM JUN16 i