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306362
Q CITY OF CARMEL, INDIANA VENDOR: 00351794 CHECKAMOUNT: $*****1,670.84* ONE CIVIC SQUARE SHELL CREDIT CARD CENTERCARMEL, INDIANA 46032 LO BOX 9001015 90-1015 CHECK NUMBER: 306362 CHECK DATE: 12/21/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 1,066.84 65127193612 1110 4231400 604.00 65129116612 \ & 0 / \ r © I = ) / § 6 2 f § ) W / k / k k A 20 2 m @ U k 0 § % & 2 % & E % k \ z Q a@ F 3 § ) \ a Q > ® (L >CL ' ® ) ) » \ Cl) f K/ 9 k 0 0 /\ E $ 0 > | U) a k 2% q ) Z c N \ S t ^ # -Lc) g § 2 f Lo ©aG 22 2 2 02 §§ � � U © z_ \ � 2 Q / E BJim- M co w B 7 ew � � � \ /) k m E2 q I 7 0 k § 7 m k § \ 7 N $k k §) k ¢ 0 2 E @ cu ) \ } 3 0 / - e c c LL 8 £ § § m o 0 w o 2 5 2 $ ] & z % ) O \ $ \ z 0 w 9 � 2 « = E # # 9 [ ƒ § § 2 / j U < U- 04 . \ R E 2 $ CEkA % O o « e / tocc w LO 0§ ~ \ \ \ \ « # a §G & U _n > §© kO k UJ ƒ x > Q 0 m 2 d m o \ : 2 O z O 0 � § \: :\\ � � 3 » m a Account Statement Commercial Account V Customer Service: CARMEL POLICE DEPARTMENT Shell Fleet Plus Card ® Account Inquiries: Account Number 065129116 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065129116612 Summary of Account Activity Payment Information Previous Balance $123.29 Current Due $604.00 Payments -$123.29 Past Due Amount + $0.00 Credits -$68.62 Minimum Payment Due = $604.00 Purchases +$672.62 Debits +$0.00 Payment Due Date 12/31/16 Late Fees +$0.00 Credit Line $4,250 New Balance $604.00 Total Transactions 22 Credit Available $3,646 Closing Date 12/06/16 Send Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIng Date 01/06/17 SHELL P.O.Box 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Meg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount -0 PAYMENTS CREDITS FEES AND ADJUSTMENTS L� 12/02 PAYMENT-THANK YOU $123.29- Er 12/06 DISCOUNT $9.66- C3 PURCHASES AND DEBITS CARD NUMBER 0035 11/07 15:13 0107672 1230 S RANGELINE RD CARMEL IN 18.337 8 BLE $3.36 $38.49 18.337 GAL BLENDED $38.49 11/10 19:22 0194860 7788 E 96TH ST FISHERS IN 10.801 8 BLE $1.98 $21.17 10.801 GAL BLENDED $21.17 11/12 05:20 0513523 2166 E HADLEY PLAINFIELD IN 15.624 8 BLE $2.86 $28.89 15.624 GAL BLENDED $28.89 11/17 17:46 0266940 7788 E 96TH ST FISHERS IN 5.452 8 BLE $1.00 $12.00 5.452 GAL BLENDED $12.00 11/18 18:57 0467894 9510 E 126TH ST FISHERS IN 14.711 8 BLE $2.69 $32.07 14.711 GAL BLENDED $32.07 11/21 13:44 0874115 8703 COL H WEIR CK MEM D INDIANAPOLIS IN 20.288 8 UNL $3.71 $47.84 20.288 GAL UNLEADED $47.84 11/28 15:26 0360529 7788 E 96TH ST FISHERS IN 10.000 8 BLE $1.83 $23.01 10.000 GAL BLENDED $23.01 CARD NUMBER 0035 TOTAL 95.213 $17.43 $203.47 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 This Account is Issued by Citibank,N.A. ---------------------------------------------------Please detach and return lower portion with your payment to insurePropercredit_-Retain upper portion for your records_ i ----- ------------------- F- f « ( / 7 £ f § } C # k c ^ ] k [ LL � « _ 2 ¥ ■ K $ 0 2 ® R $ § 0 2 $cL ) ƒ § % z F ° Q $ @ a / k § \ / O > L # a r , - W i 2 § m = . �R Q U \m // Lio 0 f �\ CL 0 f k k\ CN k Z $ # k § '2ca § § o ) \ 2 / / z 7 0 t ( a2 kE \ k / F�o w \ a �7 a ƒ \ § § — ) m & � 2 0 oCD (D $ = o C147 / w § £ ( 7 04 co Csi m f ) 8 4) § . ) 7 { 4 k ® CL $ § \ k § ( 5 \ ) \ ) o 0 / / k ) $ 2 _ e y x e f 2 m e o 2 0 \ ■ m 0 7 0 R k S £ / E $ § ƒ < z £ z 7 \ | 0 co \\ _CO U k 2 0 E 2 C � w 2 \ G . . \ 0 g § c n !t- < « O . < � &_ y ' \\ - / / 7 a- \7 » \ q 7E - - _ [ : \\\/\\\. ) / 0 3 § o \> \ \ ULO w 0 2 > " 7 O R G D z < c 2 \% x, 32 ' o ƒ % q Q £ 3 O �_ # � a Mn D _j coL 5 0 IL § \ 3 E q . : . . Account Statement Commercial Account Customer Service: CARMEL POLICE DEPARTMENT am com Shell Fleet Plus Card ® Account Inquiries: Account Number: 065127193 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065127193612 Summary of Account Activity Payment Information Previous Balance $599.68 Current Due $1,066.84 Payments -$599.68 Past Due Amount + $0.00 Credits -$122.30 Minimum Payment Due = $1,066.84 Purchases +$1,189.14 Debits +$0.00 Payment Due Date 12/31/16 Late Fees +$0.00 Credit Line $3,700 New Balance $1,066.84 Total Transactions 39 Credit Available $2,533 Closing Date 12/06/16 L Notice of Billing Errors and Customer Service Inquiries to: Next Closing Date 01/06/17 LBox 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Meg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount _7 PAYMENTS CREDITS,FEES AND ADJUSTMENTS 12/02 PAYMENT-THANK YOU $599.68- W 12/06 DISCOUNT $17.22- C3 PURCHASES AND DEBITS CARD NUMBER 0002 11/04 14:04 0294587 102 NW 4TH ST CONCORDIA MO 11.080 8 UNL $2.03 $22.15 11.080 GAL UNLEADED $22.15 11/04 21:10 0814053 10346 S STATE ROAD 39 CLAYTON IN 19.108 8 UNL $3.50 $42.00 19.108 GAL UNLEADED $42.00 CARD NUMBER 0002 TOTAL 30.188 $5.53 $64.15 CARD NUMBER 0005 11/13 14:30 0065581 7602 N SHADELAND AVE INDIANAPOLIS IN 16.312 8 BLE $2.99 $31.63 16.312 GAL BLENDED $31.63 11/19 21:00 0131474 1230 S RANGELINE RD CARMEL IN 13.220 8 BLE $2.42 $28.82 13.220 GAL BLENDED $28.82 11/27 13:31 0332031 14126 BERGEN BLVD NOBLESVILLE IN 15.865 8 UNL $2.90 $31.70 15.865 GAL UNLEADED $31.70 12/02 16:38 0066076 2658 E THIRD ST BLOOMINGTON IN 14.840 8 BLE $2.72 $30.72 14.840 GAL BLENDED $30.72 12/04 11:38 0553305 8924 E 116TH ST FISHERS IN 17.097 8 BLE $3.13 $37.58 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 6 This Account is Issued by Citibank,N.A. --------------- Please detach and return lower ortll r with our pa ment to insure proper credit. Retain up er portion for our records. -------------------------p------- ----y----------------------------p---------Y---------------------------