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Home My WebLink About308370 02/22/17 CITY OF CARMEL, INDIANA VENDOR: 00351794 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******255.29* CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 308370 LOUISVILLE KY 40290-1015 CHECK DATE: 02/22/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116702 255.29 GASOLINE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351794 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SHELL CREDIT CARD CENTER IN SUM OF$ CITY OF CARMEL PO BOX 9001015 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. LOUISVILLE, KY 40290-1015 Payee $255.29 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 65129116702 42-314.00 $255.29 1 hereby certify that the attached invoice(s),or 2/14/17 65129116702 SID gasoline $255.29 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except ,Thursday, February 16,2017 Green,Tim 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 CCommercial Account Customer Service: CARMEL POLICE DEPARTMENT shellfleetcardaccountonlinecom Shell Fleet Plus Card Account Inquiries: Account Numberi . 065 129 116 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: 0000000065129116702 Summary of Account Activity Payment Information Previous Balance $223.06 Current Due $25529 P y ents _ __-$22106 _ Past Due Amount + $0.00 Credits -$23-99 Minimum Payment Due — _ $255.29 Purchases - +$279.28 ---- --- - ---- ---- Debits Payment Due Date 02/28/17 Late Fees _ +$0.00 Credit Line _ $4,250 New Balance $255.29 Credit Available Y - —_� --- $3,944 Total Transactions 10 Closing Date _ 02/03/17 Send Notice of Billing Errors and Customer Service Inquiries to: Next Closing Date ~J` J 03/06/17 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 .o PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 01/22 PAYMENT-THANK YOU I 1 $223.06- 0- PURCHASES AND DEBITS C3 CARD NUMBER 0030 _ 01/2009:05 0627471 1010 S PERU ST CICERO IN 16.063 8 UNL f $2.94 $34.20 16.063 GAL UNLEADED $34.20 `�- + CARD NUMBER 0030 TOTAL 14 16.063 h - $2.94-1- - $34.20- CARD NUMBER 01/25 15:27—0471011 545 S RANGE LINE RD CARMEL IN I 13.000 1 8 UNL $2.38 I M$26.00 13.000 GAL UNLEADED $26.00 i 01/30 11:49 0417782 1230 S RANGELINE RD CARMEL IN 2.991 j 8 BLE $0.55 $5.86 l 2.991 GAL BLENDED 1 � l CARD NUMBER 0035 TOTAL 15.991 -� -_ T_ l $2.93 I $31.86 - CARD NUMBER 0036 01/09 14:42 0335166 11230 S RANGELINE RD CARMEL IN ^—`—r 14.311 ( 8 BLE $2.62 $32.33 14.311 GAL BLENDED $32.33 01/26 119:27 0851865 17788 E 96TH ST FISHERS IN 12.933 8 BLE $2.37 $27.03 I12.933 GAL BLENDED $27.03 01/30 122:38 0699934 1010 S PERU ST CICERO IN 14.033 , 8 UNL I $2.57 $30.86 114.033 GAL UNLEADED $30.86 Account: **** **** **** 9116 TRANSACTIONS (cont.) Trans Trans Trans Meg Prod Date Time ID Location/Description _ _ Quantity Code Code Exempt Tax Amount_ CARD NUMBER 0036 TOTAL �_ 41.277 ��—�— S7 56 $90.22 CARD NUMBER 0037 01/12^ 16:10 0537076 2040 E WASHINGTON INDIANAPOLIS IN T I 13.9308 f-LINE —�- $2.55 $31.05 13.930 GAL UNLEADED $31.05 01/23 15:37 0606830 2040 E WASHINGTON INDIANAPOLIS IN 15.087 8 i UNL $2.76 $31.20 15.087 GAL UNLEADED $31.20 01/27 09:35 0615948 110598 N COLLEGE AVE INDIANAPOLIS IN 13.372 8 UNL $2.45 $27.40 13.372 GAL UNLEADED $27.40 01/31 12:37 0680868 14887 KENTUCKY AVE INDIANAPOLIS IN 15.305 8 UNL $2.80 I $33.35 15.305 GAL UNLEADED $33.35 CARD NUMBER 0037 TOTAL 57.694 I $10.56 $123.00 GRAND TOTAL I 131.025 I $23.99 I $279.28 Message Codes: _a 1- Electronic Sale with Authorization'e J 4-Electronic Sale without Authorization 8- Electronic Sale at Pump 2- Keyed Sale with Authorization 5 -Keyed Sale without Authorization 9-Manual Sale YEAR-TO-DATE SUMMARY ..n Total Gallons Purchased this Statement 131.025 L✓ Total Gallons Purchased in 2017 ~� 237.352 Cr0 ru TAX EXEMPTION SUMMARY Description Amount FEDERAL EXCISE TAX 30.2 GALLONS GASOHOL -$5.54 100.7 GALLONS GASOLINE -$18.45 "CONTROL� EXPENSES.AND .SAVE 'IMONEY. DO .IT ALLWITH -SHELL FLEET PLUS C/4RD. ■ Earn up.to per gallon rebate with ■ Limit purchases by'the time of the day and/or _ the 5_hell Fleet Plus R_ebgte_Prograrr+*` the day,of the week • a No.rnonthly fee, no annual fee- no Acceptance at.over 14,000 Shell stations and card fee participating Jiffy.Lube°locations, ■ Purchase restrictions and driver prompts help Need additional cards eliminate unauthorized card usage at no extra cost? .. ■ Concise monthly fleet reports by driver; Cdll,1-800-377-'5150. vehicle, department and'inore Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com