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327930 07/25/18
9, ��� CITY OF CARMEL, INDIANA VENDOR: 00351794 j;® 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $*******962.69* LOUISVILLE r' CARMEL, INDIANA 46032 PO BOX 9001015 CHECK NUMBER: 327930 �"Irud�` LOUISVILLE KY 40290-1015 CHECK DATE: 07/25/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116807 962.69 GASOLINE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351794 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SHELL CREDIT CARD CENTER IN SUM OF$ 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 $962.69 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 65129116807 42-314.00 $962.69 1 hereby certify that the attached invoice(s),or 7/19/18 65129116807 SID gas $962.69 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 Tuesday,July 24, 2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Account Statement Commerclal Account //��►►�� Customer Service: CARMEL POLICE DEPARTMENT S�� sheilfleetcard a000untonUne com Shell Fleet Plus Card -Account Inquiries: Account Number:: 065129116 © 1-800-377-5150 Fax 1-866-533-5302 Invoice Number: ,0000000065129116807 Summary of Account Activity Payment Information Previous Balance _ $824.31 Current Due _ $962.69 Payments _ 4824.31 Past Due Amount + $0.00 Credits .-$76.09 Minimum Payment Due u _ $962.69 Purchases +$1,038.78 Debits +$0.00 Payment Due Date 07/31/18 Late Fees +$0.00Credit Line $4,250 New Balance $962.69 Credit Available $3,181 Total Transactions . 21 Closing Date 07/06/18 LSendNotice of Billing Errors and Customer Service Inquiries to: Next Closing Date 08/06/18 L ox 6406,Sioux Falls,SD 57117-6406 TRANSACTIONS Trans Trans Trans Meg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount u PAYMENTS,CREDITS,FEES AND ADJUSTMENTSJ 06/22 PAYMENT f 824.31- 07/06 1 DISCOUNT THANK YOU I i $$10.71- 3 PURCHASES AND DEBITS CARD NUMBER 0030 06/06' -10:34 0398529 Shell 57442110400 INDIANAPOLIS IN 15:713 8BLE $2.88 $45.57 15.713 GAL BLENDED $45.57 06/14 10:21 0893123 Shell 57444808208 CARMEL IN 19.006 8 UNL $3.48 $56.98 19:006 GAL UNLEADED $56.98 06/15 14:43 0904359 Shell 57444808208 CARMEL IN 8.380 8• UNL $1.53 $25.15 8.380 GAL UNLEADED $25.15 06/20 17:53 0945527 Shell 57442110102 CARMEL,IN 21.435 8 BLE $3.92 $63.00' 21.435 GAL BLENDED $63.00 06/27 13:35 0258244 Shell 57442111209 FISHERS IN 16.672 8 BLE $3.05 $50.00 16 672 GAL BLENDED $50.00 _ �� CARD NUMBER 0030 TOTAL 1 81.206 $14.86 $240.70 CARD NUMBER 0031 06/18 12:17 0932277 Shell 57442110102 CARMEL IN 16.332 I 8 BLE $2.99 $48.00 16.332.GAL BLENDED $48.00 07/03 , 13:20 0008359 Shell 57442110102 CARMEL IN I 17.763 I 8 BLE $3.25 $55.05 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 yourpayment to insure proper credit, Retain upper portion for your records. 4, Account Ending;in 9116 TRANSACTIONS(cont.) Trans Trans , Trans Msg Prod Date Time ID Location/Description Quantity Code Code Exempt Tax Amount 17.763 GAL BLENDED . $55.05 CARD NUMBER 0031 TOTAL I 34.095 t- --_ $6.24 $163.05 CARD NUMBER 0035 06/05. 09:16 0867457 ,Shell_57442110102 CARMEL IN 19.650, 8 BLE $3.60 $56.20 19.650 GAL BLENDED $56.20 �!! 06/11 15:50 0897884 .Shell 57442110102 CARMEL IN 15.381 8 BLE' I $2.81 $42.90 15.381 GAL BLENDED $42.90 06/22 09:03 0952994 Shell 57442110102 CARMEL IN 9.861 8 BLE $1.80 $27.11 9.861 GA'L,BLENDED $27.11 06/27 11:21 0529495 Shell 57442112108 INDIANAPOLIS IN 14.474 8 BLE $2.65 + $42.54 14.474 GAL BLENDED $42.54 CARD NUMBER 0035 TOTAL 59.366 $10.86 $168.75 CARD NUMBER 0636 ^� 06/05 13:31 0868737 Shell 574421 1 01 02 CARMEL IN 13,.891 8 BLE $2.54 $39.73 . 13.891 GAL.BLENDED $39.73 06/07 14:36 0878694 Shell 57442110102 CARMEL IN 19.890 8 BLE $3.64 _ $56.09 19..890:GAL BLENDED $56.09- 06/18 " 15:50 0960351 : Shell 57442110706 CARMEL IN - 20.861 8 BLE $3.82 $61..75 20.861 GAL BLENDED $61.75 .06/28: 19:49 0241109 'Shell 57442110508INDIANAPOLIS 1N 16.060 8 BLE $2.94 $48.18 . A 16.060 GAL BLENDED $48.18 j. 07/03 15:18 0135293 Shell 57442111803 INDIANAPOLIS IN 15.561 8 BLE- $2.85 $47.93 �-- 15."561 GAL BLENDED $47.93 :1 07/05 12:43 .0144063 Shell 57444807200 INDIANAPOLIS IN i 13.451 I 8 UNL $2.46 $37.65 1J 13,451 GAL UNLEADED. $37.65 CARD NUMBER 0036 TOTAL 99.714 $18.25 $291.33 CARD NUMBER 0037 _ 06/17: 21:04 0952960 Shell 57442110706 CARMEL IN 21.831 8 BLE $4.00 $64.60 21.831 GAL:BLENDED $64.60 06/19 21:51 0562306 Shell 57428159701 LAWRENCEBURG IN 17.222 .8 UNL $3.15 $47.00 17.222, GAL UNLEADED $47.00 06/23, - 17:06 0384172 Shell 12496014007,INDIANAPOLIS IN- 21-.060 8 UNL $3.85 $56.00 21.066 GAL,-UNLEADED $56.00 06/27 13:08 0977272 Shell:57442110102 CARMEL IN 22.761 8 BLE $4.17 , $67.35 22.761 GAL BLENDED $67.35 CARD NUMBER 0037 TOTAL 82.874 $15.17 $234.95. GRAND TOTAL { 357.255 $65.38 $1,038.78 , Message Codes: 1-Electronic Sale with Authorization 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 Total'Gallons Purcha6ed,this Statement' 357.255 Total Gallons Purchased in 2018 2,071.457 TAX EXEMPTION SUMMARY Description Amount FEDERAL EXCISE TAX' 278.1 GALLONS GASOHOL �_�___._._��...�_________._._._��_ •$50:91 79.1 GALLONS GASOLINE 414.47 Page 3 of 4 1-800-377-5150, shellfleetcard.accountonline.com