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CITY OF CARMEL, INDIANA VENDOR: 00351794_ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: S*"""`**701.21CARMEL, INDIANA 46032 Po Box 9001015 CHECK NUMBER: 321002
LOUISVILLE KY 40290-1015 CHECK DATE: 01/25/18
DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER. AMOUNT DESCRIPTION
1110 4231400 65127193801 701.21 GASOLINE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00351794
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
$701.21
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
65127193801 42-314.00 $701.21 1 hereby certify that the attached invoice(s),or 1/16/18 65127193801 CPD gasoline $701.21
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
r; _ 0 Thursday,January 18,2018
4 Jim Barlow
Chief
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: Commercial Account nn
CARMEL POLICE DEPARTMENT `J
shellfleetcardacoountonlinacom
Shell Fleet Plus Card Account Inquiries: Account Number: 065127193
1-800-377-5150. Fax 1-866-533-5302 Invoice Number: 0000000065127193801
Summary of Account Activity Payment Information
Previous Balance _ $464.25 _ Current Due $701.21
moments -$464.25 _Past_Due Amount _ + $0.00 _
_Credits_ _ $53.28 Minimum Payment Due $701.21
-_Purchases ~�^ _ +$754.49 _
Debits +$0.00, Payment Due Date 01/30/18_ .
Late Fees. +$0.00 Credit Line $3,700
New Balance $701'21 Credit Available $2,898
Total Transactions 17 Closing Date 01/05/18
L
tice of Billing Errors and Customer Service Inquiries to: Next Closing Date 02/02/18
6406,Sioux Falls,SD 57117-6406
WITH THE FUEL REWARDSO PROGRAM
See
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0
•- for detailsi
TRANSACTIONS
Trans Trans Trans Msg Prod
.Date Time ID Location/Description Quantity Code Code Exempt Tax. Amount
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
12/17 1 1 1 PAYMENT-THANK YOU 1 1 $464.25-
PURCHASES AND DEBITS
CARD NUMBER 0005
12/17 110:53 1 0502468 Shell 57446394207.INDIANAPOLIS IN � 12.985 8 UNL $2.38 $32.32
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 6 This Account Is Issued by Citibank,N.A.