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Home My WebLink About304243 10/20/16 9, "!eM\ CITY OF CARMEL, INDIANA VENDOR: 00351794 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $***, M 734.02 LOUISVILLE CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 304243 ''STUN�° LOUISVILLE KY 40290-1015 CHECK DATE: 10/20/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65127193610 734.02 GASOLINE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) SHELL CREDIT CARD CENTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 9001015 IN SUM OF$ 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. $734.02 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 $734.02 1 hereby certify that the attached invoice(s),or 10/13/16 000000006512719 department gas $734.02 3610 3610 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 n � c ✓q- f14 2t�"E5 -N"s Thursday, October 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 shelMeetcard.aocountonline oom Shell Fleet,Plus Card Account Inquiries: Account Number: . 065127193 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065127193610 -Summary of Account Activity Payment Information Previous Balance _ $633.88 _ _Current Due _ $734.02 Payments $633388— _Past Due Amount + $0.00 Credits x-$79.11 Purchase's +$813.13 Minimum Payment Due Y�^ _ $734.02 _ V - Debits - _ +$0.00 Payment Due Date 10/31116 Late Fees +$0.00 Credit Line $3,700 New Balance $734.02 Credit Available $2,8_6.5_ Total Transactions 23 _Closing Date _ 10/0.6/16 Send Notice of Billing Errors and Customer Service Inquiries to: Next Cl sing Date 11/04/16 v SHELL m P.O.Box 6406,Sioux Falls,SD 57117-6406 n N was Your.account will soon have added security with the ability to control W and track purchases by driver(s) ® thanks to a new custom 4-digit Driver ID to use at time of purchase. See inside for details. P Em O P O.O ..v .e v u TRANSACTIONS LL Trans. Trans Trans Meg Prod v e Date Time ID Location/Description Quantity Code Code Exempt Tax Amount N e PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 09/16 ` I PAYMENT-THANK YOU { ! I $633.88- no DISCOUNT I $11.14- u= PURCHASES AND DEBITS vo aw w 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 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. J AJ J T10640-H2-9366-8015-0001-OOL--0---04/01/91-307-56-P--0-N--O-O.O-SHFLEET2---03/31/10-SH33-September 5,2016---- PLOCOMM JUN16