189229 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
CHECK AMOUNT: $1,488.02
CARMEL, INDIANA 46032 PO BOX 183019
�..�a COLUMBUS OH 43218 -3019
CHECK NUMBER: 189229
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193008 668.49 GASOLINE
1110 4231400 065129116008 819.53 GASOLINE
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 12 -1 1 22 065129116008 SHELL CARD CENTER
a P.O. Po Box sa9061
Ca OSIN6 DATE DUE DATE CYCLE DAYS DES MOINES, IA 50366 -9081
08 -06 -2010 08- 31.2010 31 TELEPHONE: 1- 800 -377.5150
FAX: 1- 515 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
878.50 .00 499.52 558.49 CR 00 819.53
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 08 -31 -2010
CARP TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
07 -22 PAYMENT THANK YOU 499.52 C RR
0003 0724 21:23 0228452 9611 ALUSONVILLE RD INDIANAPOLIS IN 16.482 8 UNL 3.02 46 -15J
i
16.4S-[ GAL ONLEADF'U :46.
0003 00 -OS 10:39 0299685 8924 E 116TH ST FISHERS IN 16.243 8 UNL 2.97 45.32
16.243 GAL UNLEADED S45.32
TOTAL CARD 0003 32.725 5.99 91.47 7
0004 07 -1 i i8:45 02b0655 9599 N MERIDIAN Si' INDIANAPOLIS IN 12.303 8 UNL 225 31.73
12.303 GAL UNLEADED 531.73
0004 07 -14 09:50 0298679 9599 N MERIDIAN ST INDIANAPOLIS IN 11.820 8 UNL 2.16 30.26
11.820 GAL UNLEADED S30.26
0004 07 -14 20:04 0162347 1230 WEST SR 32 LEBANON IN 16.870 8 UNL 3 -09 48.25;
16.870 GAL UNLEADED $48.25
0004 07 -19 08:10 0160560 11601 ALLISONVILLE RD FISHERS IN 7.341 8 UNL 1.34 20.19
7.341 GAL UNLEADED $20.19
0004 07 -19 08.11 0160598 11601 ALLISONVILLE RD FISHERS IN 7.140 8 UNL 1.31 1965
7.140 GAL UNLEADED 519.65
0004 07 -21 1931 0302422 1821.E 151STSTCARMEL IN 11.000 8 UNL 2.01 30 -57
11.000 GAL UNLEADED 530.57
TOTAL CARD 0004 56.474 12.16 180.65
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 0017 GUG 1 7 2 100806 9366 8015 SH26 7669
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
GOO 1669 Page I of 3 F1_ET2GUG
Information About Your Account
Report a Lost or Stolen Card Immediately: Our Customer Service Representatives are available by phone 24 hours a day,;7
days a week.
Payment Instructions: We must receive your payment in proper form at our processing facility by 5 p.m. local time there. If we
do, it will be credited as of that day. A payment received at the processing facility in proper form after that time will be credited as
of the nett day. Allow 5 to 7 days for payments by regular mail to reach us. There may be a delay of up to 5 days in crediting a
payment we receive that is not in proper form or is not sent to the correct address. The correct address for a payment sent by
regular mail is the address listed on the return envelope or on the front of the payment coupon. If you wish to send a payment by
express courier, you must call us for the correct address at the Customer Service number shown on the front of this statement.
Proper Form. For a payment sent by mail or courier to be in proper form, you must:
Enclose a valid check or money order. No cash or foreign currency please.
Include your name and account number on the front of your check or money order.
If you send an eligible check with the payment coupon, you authorize us to complete your payment by electronic debit. It
we do, the checking. account will be debited in the amount on the check. We may do this as soon as the day we receive
the check. Also, the check will be destroyed.
Optional Pay by Phone Service. You may use this optional service any time to make a payment by phone. You will be charged
$14.85 to use this service. Call by 5 p.m. Eastern time to have your payment credited as of that day. If you call after that time,
your payment will be credited as of the next day. We may process your payment electronically after we verify your identity.
Note: Your account is owned and serviced by Citibank (South Dakota), N.A.
PLOCOMM Rev 06/08
www.shetifteetcard.accountonline.com
ACCOUNT NU;IBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-129-116 22 065129116008 SHELL CARD CENTER
P.O. BOX 689081
L OSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9061
08 -2010 08 -31 -2010 31 TELEPHONE: 1. 800377 -5150
FAX: 1- 515 226 -4045
CARD TRANSaCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
0006 07 -21 15:12 0188086 8924 E 116TH ST FISHERS IN 17.165 8 UNL 3.14 47.00
17.165 GAL UNLEADED $47.00
0006 07 -31 46:51 0263616 1230 S RANGELINE RD CARMEL IN 11.782 8 UNL 2.16 31.80
11.782 GAL UNLEADED $31.80
TOTAL CARD 0006 28.947 5.30 78.80 f
0007 07 -08 01:56 0076406 9611 ALLISONVILLE RD INDIANAPOLIS IN 17.682 8 UNL 3.24 45 -781/
17.682 GAL UNLEADED $45.78
0007 07 -21 1402 0190538 1230 S RANGELINE RD CARMEL IN 16.254 8 UNL 2.97 45.01
16.254 GAL UNLEADED S45.01
0007 07 -27 1840 0234286 1230 S RANGELINE RD CARMEL IN 15.421 8 UNL 2.82 43.16
15.421 GAL UNLEADED $43.18
0007 07 -29 18:11 0283275 1230 WEST SR 32 LEBANON IN 15362 8 LINT 2.81 41.48/
15 -362 SAL UNLEADED $41.48
TOTAL CARD 0007 64.719 11.84 175.45
0008 07 -26 09:49 0222364 1230 S RANGELINE RD CARMEL IN 16 691 8 UNL 3 -05 46.72
16.691 GAL UNLEADED $46.72
0008 08 -02 08:44 0299537 9611 ALLISONVILLE RD INDIANAPOLIS IN 15273 8 UNL 2.79 CO
15.273 GAL UNLEADED $40.00
TOTAL CARD 0008 31.964 5.84 86.72
0009 07 -21 15:05 0176156 11601 ALLISONVILLE RD FISHERS IN 5.231 8 UNL 0.96 14.23
5.231 GAL UNLEADED $14.23
0009 07 -22 09:11 0202259 9611 ALLISONVILLE RD INDIANAPOLIS IN 10.011 8 UNL 1.83 27:02
10.011 GAL UNLEADED $27.02
0009 07 -29 18:25 0283457 1230 WEST SR 32 LEBANON IN 13.542 8 UNL 2.48 36.55
13.542 GAL UNLEADED $36.55
TOTAL CARD 0009 28.784 5.27 77.80
0010 07 -08 1427 0106088 1230 S RANGELINE RD CARMEL IN 16.184 8 UNL 2 96 43.05✓
16.164 GAL UNLEADED S43.OS
0010 07 -26 1333 0224238 1230 S RANGELINE RD CARMEL IN 28 045 8 UNL 5.13 78.50/
28.045 GAL UNLEADED 578.50
0010 07 -29 18'.26 0283440 1230 WEST SR 32 LEBANON IN 24 475 8 UNL 4.48 66.06
24.475 GAL UNLEADED $66.06
TOTAL CARD 0010 68304 12.57 187.61
GRAND TOTAL 322.317 58.97 878.50
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 0017 GUG 1 7 2 100806 9$66 8015 SH26 7669
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007669 Page 2 of 3 FLET2GUG
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ACCOUNT NLWBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-129-116 22 065129116008 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08.06.2010 08 -31 -2010 31 TELEPHONE: 1 -800.377-5150
FAX: 1.515- 226 -0045
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
FEDERAL EXCISE TAX
322.3 GALLONS GASOLINE 58.97 CR
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 0017 GUG 1 7 2 100806 9366 8015 SH26 7669
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007669 Page 3 of 3 FLET2GUG
I
www.sheiltleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 -19 P.O. BOX 3 19 065127193008 CENTER
P.O. BOX 669081
C -IOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08 -06 -2010 08 -31 -2010 31 TELEPHONE: 1- 800-377-6150
FAX: 1- 515 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
716.40 .00 482.76 530.67 OR .00 668.49
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 0 8-31 -2010
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
07 -22 PAYMENT THANK YOU 482.76 CR
0002 07 -15 09:14 0148197 1230 S RANGELINE RD CARMEL IN 12.590 8 UNL 2.30 36.01
12.590 GAL UNLEADED $36.01
0002 07 -26 10:51 0222851 1230 S RANGELINE RD CARMEL IN 12.571 8 UNL 2.30 35.20
12.571 GAL UNLEADED $35.20
0002 07 -28 1159 0364893 2166 E HADLEY PLAINFIELD IN 11191 8 UNL 2.16 31.00
11.791 GAL UNLEADED $31.00
0002 08 -03 11:16 0280784 1230 S RANGELINE RD CARMEL IN 14.264 8 UNL 2.61 38.50
14.264 GAL UNLEADED $38.50
TOTAL CARD 0002 51.216 9.37 140.71
0003 07 -14 1024 0141176 1230 S RANGELINE RD CARMEL IN 5.881 8 UNL 1.08 15.88
5.881 GAL UNLEADED $15.88
0003 07 -25 1341 0108837 2224 N 600 WEST GREENFIELD IN 9.953 8 UNL 1.82 27.77
9.953 GAL UNLEADED $27.77
TOTAL CARD 0003 15.834 2.90 43.65
0005 07 -29 21:20 0251702 8924 E 116TH ST FISHERS IN 22.107 8 UNL 4.05 60.11
22.107 GAL UNLEADED $60.11
TOTAL CARD 0005 22.107 4.05 60.11
0006 07 -27 07:22 0228874 1230 S RANGELINE RD CARMEL IN 12.410 8 UNL 227 34.75
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 0017 GUG 1 7 2 100806 9366 8015 SH26 4957
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
000455*/ Page 1 of 2 FLET2GUG
www.sheiltleetcard .accountonline.com
ACCOUNT NI ,1MBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065.127 -193 19 065127193008 SHELL CARD CENTER
P.O. BOX 689081
PLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08 -06 -2010 08 -31 -2010 31 TELEPHONE: 1. 8003773150
FAX: 1 -515- 226 -4005
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
12.410 GAL UNLEADED $34.75
0006 07 -28 15:49 0240580 1230 S RANGELINE RD CARMEL IN 13.750 8 UNL 2.52 38.50
13.750 GAL UNLEADED $38.50
0006 08 -02 2205 0277517 1230 S RANGELINE RD CARMEL IN 11.503 8 UNL 2.11 31.06
11.503 GAL UNLEADED $31.06
TOTAL CARD 0006 37.663 6.90 104.31
0007 07 -12 08:49 0127811 1230 S RANGELINE RD CARMEL IN 14.820 8 UNL 2.71 40.00
14.820 GAL UNLEADED $40.00
0007 07 -21 22:12 0193888 1230 S RANGELINE RD CARMEL IN 14.981 8 UNL 2.74 41.50/
14.981 GAL UNLEADED $41.50
TOTAL CARD 0007 29.801 5.45 81.50
0011 07 -07 19:39 0058644 7788 E 96TH ST FISHERS IN 9.492 8 UNL 1.74 25.25
9.492 GAL UNLEADED $25.25
TOTAL CARD 0011 9.492 1.74 25.25
0016 07 -27 1342 0364547 1821 E 151 ST ST CARMEL IN 14.710 8 UNL 2.69 40.16✓
14.710 GAL UNLEADED 540.16
0016 08 -03 10:39 0280552 .230 S RANGELINE RD CARMEL IN 16.083 8 UNL 2.94 43.41
16.083 GAL UNLEADED $43.41
TOTAL CARD 0016 30.793 5.63 83.57
0022 07 -24 21:51 0201897 2510 TEAL RD LAFAYETTE IN 16.360 8 UNL 2.99 45.81
16.360 GAL UNLEADED $45.81
TOTAL CARD 0022 16.360 2.99 45.81
0025 08 -03 11:58 0233619 1551 N ILLINOIS INDIANAPOLIS IN 16.071 8 UNL 2.94 45.00/
16.071 GAL UNLEADED $45.00
TOTAL CARD 0025 16.071 2.94 45.00
0028 07 -10 1202 0078295 633 W MAIN SR 32 WESTFIELD IN 15.835 8 UNL 2.90 41.14
15.835 GAL UNLEADED $41.14
0028 07 -27 13:59 0364695 1821 E 151 ST ST CARMEL IN 16.611 8 UNL 3.04 45.35
16.611 GAL UNLEADED $45.35
TOTAL CARD 0028 32.446 5.94 86.49
GRAND TOTAL 261.783 47.91 716.40
FEDERAL EXCISE TAX
261.7 GALLONS GASOLINE 47.91 CR
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 0017 GUG 1 7 2 100806 9366 8015 SH26 4957
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0004957 Page 2 of 2 FLET2GUG
Prescribed kY State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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 lleetPlus 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))
8/19/10 6512911600 monthly payment 819.53
8/19/10 6512719300 monthly payment 668.49
Total 1 488.02
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
SH Fleet Plus IN SUM OF
Processing Center
P.O. Box 1830199
Columbus OH 43218 --3019
1,488,02
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
1110 65127193008 314 668.49 bill(s) is (are) true and correct and that the
11 65129116008 314 819.53 materials or services itemized thereon for
which charge is made were ordered and
received except
August 19 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund