182221 02/16/2010 1,, CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
I. L k ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $1,107.80
i.,' CARMEL, INDIANA 46032 PO BOX 183019
COLUMBUS OH 43218 -3019 CHECK NUMBER: 182221
CHECK DATE: 2/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 555.85 65127193002
1110 4231400 551.95 65129116002
www. shelJfleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEP.O. N INQUIRIES TO:
065 129 116 14 065129116002 SHELL CARD CEN
'CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, BOX IA 689081 5 03 68 9081
02 2010 02 2010 28 TELEPHONE: 1-800-377-5150
FAX: 1-515-226-4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
591.82 .00 473.31 513.18 CR .00 551.95
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 02 -27 -2010
CARD TRANSACTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
01 -23 PAYMENT THANK YOU 473.31 CR
0004 01 -06 09:45 0706655 9611 ALLISONVILLE RD INDIANAPOLIS IN 13.042 8 UNL 2.39 36.52
13.042 GAL UNLEADED 536.52
0004 01 -08 17:09 0640474 7024 N KEYSTONE AVE INDIANAPOLIS IN 19.043 8 UNL 3.48 52.94
19.043 GAL UNLEADED 552.94
0004 01 -15 04:54 0775338 9611 ALLISONVILLE RD INDIANAPOLIS IN 21.956 8 UNL 4.02 59.04/
21.956 GAL UNLEADED 559.04
0004 01 -16 14:18 0882068 00 EAST WEST 305 SOUTH KOKOMO IN 22.986 8 UNL 4.21 62.96
22.986 GAL UNLEADED 562.96
0004 01 -21 14:44 0721837 1229 N BLUFF RD GREENWOOD IN 16.082 8 UNL 2.94 40.19 I
16.082 GAL UNLEADED 540.19
0004 02 -01 09:25 0461756 1821 E 151ST ST CARMEL IN 16.686 8 UNL 3.05 42.85'
16.686 GAL UNLEADED 542.85
TOTAL CARD 0004 109.795 20.09 294.50
0008 01 -14 11:18 0095810 2104 N CAPITOL AVE INDIANAPOLIS IN 12.550 8 UNL 2.30 34.50
12.550 GAL UNLEADED 534.50
0008 01 -18 18:44 0990580 1230 S RANGELINE RD CARMEL IN 2.530 8 UNL 0.46 6.85
2.530 GAL UNLEADED 56.85
TOTAL CARD 0008 15.080 2.76 41.35
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
SCHEDULE OF LATE FEE
PERIODIC RATE ANNUAL MONTHLY MINIMUM BALANCE SUBJECT TO LATE FEE
(MONTHLY) PERCENTAGE RATE SEE REVERSE SIDE
0.000 0.00 0.00 .00
6057 0024 GUG 1 7 2 100202 9366 8015 SH26 5242
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION Pt EASE KEEP THIS PORTION FOR VOUR RECORDS
0005242 Page 1 of 2 FLET2GUG
I
www. sheNfleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 129 -116 14 065129116002 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
02 -02 -2010 02 -27 -2010 28 TELEPHONE: 1- 800-377 -5150
FAX: 1 -515- 226 -4045
CARD TRANSACTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0009 01 -12 10•10 0944595 1230 S RANGELINE RD CARMEL IN 9.782 8 UNL 1.79 27.39'✓
9.782 GAL UNLEADED 527.39
0009 01 -15 09:06 0966317 1230 S RANGELINE RD CARMEL IN 16.071 8 UNL 2.94 45.00
16.071 GAL UNLEADED 545.00
0009 01 -19 19:13 0997031 1230 S RANGELINE RD CARMEL IN 17.170 8 UNL 3.14 46.36
17.170 GAL UNLEADED 546.36
0009 01 -22 15:28 0014969 1230 S RANGELINE RD CARMEL IN 17.676 8 UNL 3.23 45.94
17.676 GAL UNLEADED 545.94
TOTAL CARD 0009 60.699 11.10 164.69
0010 01 -06 11:02 0903633 1230 S RANGELINE RD CARMEL IN 4.890 8 UNP 0.89 14.28
4.890 GAL UNL PLUS 514.28
0010 01 -06 11:19 0903716 1230 S RANGELINE RD CARMEL IN 27.500 8 UNL 5.03 77.00
27.500 GAL UNLEADED 577.00
TOTAL CARD 0010 32.390 5.92 91.28
GRAND TOTAL 217.964 39.87 591.82
FEDERAL EXCISE TAX
217.9 GALLONS GASOLINE 39.87 CR
TOTAL *FINANCE CHARGE' BILLED IN 2009 $0.00
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
6057 0024 GUG 1 7 2 100202 9366 8015 SH26 5242
NOTICE: SEEREVERSE.SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTON FOR YOUR RECORDS
0005242 Page 2 of 2 FLET2GUG
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 193 16 065127193002 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
02 2010 02 2010 28 TELEPHONE: 1- 800.377 -5150
FAX: 1 -515 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
596.90 .00 615.71 656.76 CR .00 555.85
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 02 -27 -2010
CARD TRANSACTION TRANS MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID TRANSACTION LOCATION DESCRIPTION QUANTITY CD CD TAX AMOUNT
01 -23 PAYMENT- THANK YOU 615.71 CR
0002 01 -15 12:58 0968198 1230 S RANGELINE RD CARMEL IN 13.222 8 UNL 2.42 37.01
13. GAL UNLEADED 537.01
0002 01 -16 14:55 0332114 1821 E 151ST ST CARMEL IN 13.483 8 UNL 2.47 36.00
13.483 GAL UNLEADED S36.00
0002 01 -19 06:28 0351296 1821 E 151ST ST CARMEL IN 10.630 8 UNL 1.95 27.65
10.630 GAL UNLEADED 527.65
0002 01 -23 09:40 0381798 1821 E 151ST ST CARMEL IN 13.844 8 UNL 2.53 35.00
13.844 GAL UNLEADED 535.00
TOTAL CARD 0002 51.179 9.37 135.66
0003 01 -18 13:30 0872887 515 WEST 30TH ST CONNERSVILLE IN 9.610 8 UNL 1.76 26.15
9.610 GAL UNLEADED 526.15
TOTAL CARD 0003 9.610 1.76 26.15
0004 01 -24 11:29 0948042 9599 N MERIDIAN ST INDIANAPOLIS IN 14.711 8 UNL 2.69 37.50
14.711 GAL UNLEADED 537.50
0004 01 -29 14:38 0156976 2104 N CAPITOL AVE INDIANAPOLIS IN 15.390 8 UNL 2.82 40.00
15.390 GAL UNLEADED 540.00
TOTAL CARD 0004 30.101 5.51 77.50
0005 01 -09 13:00 0096685 1900 N WESTERN AVE LAFAYETTE IN 13.320 8 UNL 2.44 37.31
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
SCHEDULE OF LATE FEE
PERIODIC RATE ANNUAL MONTHLY MINIMUM BALANCE SUBJECT TO LATE FEE
(MONTHLY) PERCENTAGE RATE SEE REVERSE SIDE
0.000 0.00 0.00 .00
6057 0024 MG 1 7 2 100202 9366 8015 SH26 5241
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0005241 Page 1 of 2 FLET2GUG
www. sheFlfleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER
065- 127 -193 16 065127193002 0 SEN INQUIRIES TO:
SHELL CARD CENTER
P.O BOX MOIN 689081
CLOSING DATE DUE DATE CYCLE DAYS DE ES, IA 50368 -9081
02 -02 -2010 02 -27 -2010 28 TELEPHONE: 1 -800377.5150
FAX: 1-515- 226 -4045
CARD TRANSACTION TRANS MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID TRANSACTION LOCATION DESCRIPTION QUANTITY CD CD TAX AMOUNT
13.320 GAL UNLEADED S37.31
TOTAL CARD 0005 13.320 2.44 37.31
0007 01 -05 17:03 0898437 1230 S RANGELINE RD CARMEL IN 13.933 8 UNL 2.55 39.00
13.933 GAL UNLEADED S39.00
0007 01 -22 08:45 0011452 1230 S RANGELINE RD CARMEL IN 15.015 8 UNL 2.75 39.01
15.015 GAL UNLEADED $39.01
TOTAL CARD 0007 28.948 5.30 78.01
0016 01 -05 14:33 0690610 7788 E 96TH ST FISHERS IN 15.684 8 UNL 2.87 43.90•
15.684 GAL UNLEADED S43.90
TOTAL CARD 0016 15.684 2.87 43.90
0018 01 -06 18:48 0073494 2166 E HADLEY PLAINFIELD IN 11.151 8 UNL 2.04 31.00•
11.151 GAL UNLEADED 531.00
0018 01 -25 18:00 0139600 2166 E HADLEY PLAINFIELD IN 15.130 8 UNL 2.77 36.01'
15.130 GAL UNLEADED S36.01
TOTAL CARD 0018 26.281 4.81 67.01
0022 01 -10 19:27 0154773 2434 N KEYSTONE AVE INDIANAPOLIS IN 16.682 8 UNL 3.05 46.36
16.682 GAL UNLEADED S46.36
TOTAL CARD 0022 16.682 3.05 46.36
0028 01 -24 13:38 0398826 1821 E 151ST ST CARMEL IN 16.000 8 UNL 2.93 40.00
16.000 GAL UNLEADED $40.00
TOTAL CARD 0028 16.000 2.93 40.00
0029 01 -21 10:24 0887810 00 EAST WEST 305 SOUTH KOKOMO IN 16.423 8 UNL 3.01 45.00/
16.423 GAL UNLEADED $45.00
TOTAL CARD 0029 16.423 3.01 45.00
GRAND TOTAL 224.228 41.05 596.90
FEDERAL EXCISE TAX
224.2 GALLONS GASOLINE 41.05 CR
TOTAL *FINANCE CHARGE' BILLED IN 2009 $0.00
Message Codes: 1 Electronic Sale with Authorization 4 Electronic Sale without Authorization 8 Electronic Sale at Pump
2 Keyed Sale with Authorization 5 Keyed Sale without Authorization 9 Manual Sale
6057 0024 GUG 1 7 2 100202 9366 8015 SH26 524]
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0005241 Page 2 of 2 FLET2GUG
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Shell Fleet Plus Purchase Order No.
Processing Center
P.O. Box 183019 Terms
Columbus, OH 43218 3019
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2/11/10 16 129116002 monthly payment 551.95
2/11/10 65127193002 monthly payment 555.85
Total 1 ,107.80
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
IN SUM OF$
Processing Center
P.O. Box 183019
Columbus, 01-1 43218 -3019
1,107.80
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
o °Tn INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 65129116002 314 551.95 bill(s) is (are) true and correct and that the
1110 65127193002 314 555.85 materials or services itemized thereon for
which charge is made were ordered and
received except
February 11 20 10
fRielhiLE 1) lel'
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund