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Home My WebLink About191954 11/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 0 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $557.32 CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218 -3019 CHECK NUMBER: 191954 CHECK DATE: 11122/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116011 557.32 065 -129 -116 www.shelitleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 129 -116 14 065129116011 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 11-05-2010 11 -30 -2010 30 TELEPHONE: 1- 800377-5150 FAX: 1 -515 226 -4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 596.22 .00 793.18 38.90 CR .00 1,350.50 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 11 -30 -2010 Please see the enclosed notice of change in terms for important information. CARD TRANS CT TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 0005 10 -28 1 10:33 0922351 1230 S RANGELINE RD CARMEL IN 11672 8 UNL 2.50 38.011/ 13.672 GAL UNLEADED $38.01 TOTAL CARD 0005 13.672 2.50 38.01 0006 10 -07 1746 0051755 808 W MAIN ST CARMEL IN 14.623 8 UNL 268 40.93 V 14.623 GAL UNLEADED S40.93 0006 10 -16 07:42 0082057 808 W MAIN ST CARMEL IN 15.650 8 UNL 2.86 44.29 15.650 GAL UNLEADED $44.29 0006 10.21 21:15 0100339 808 W MAIN ST CARMEL IN 19223 8 UNL 3.52 54.96 19.223 GAL UNLEADED $54.96 TOTAL CARD 0006 49.496 9.06 140.18 0007 10 -11 10:11 0810697 9599 N MERIDIAN ST INDIANAPOLIS IN 15.931 0 UNL 2.92 45.07 1S.931 GAL UNLEADED $45.07 0007 10 -19 10:50 0859504 1230 S RANGELINE RD CARMEL IN 11.613 8 UNL 2.13 32.031 11.613 GAL UNLEADED $32.03 0007 1 10 -25 17:55 0866996 7788 E 96TFI ST FISHERS IN 14.483 8 UNL 2.65 40.83 14.483 GAL UNLEADED $40.83 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 0021 GUG 1 7 2 101105 D 9366 8015 SH26 4830 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR Y OUR R ECORDS 0004830 Page 1 of 2 _,-----'\FLET2GUG Information About Your Account Report a Lost oz Stolen Card Immediately:. Our Customer Service Representatives are available by phone 24 hours a day, 7 days a week Payrnont instructions: We must receive your payment in proper form at our processing facility by 5 p.m. local time there. If we do. it %i,l be cred ted as of that day. A payment received at the processing facility in proper form after that time will be credited as of the next 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. 14 you send an eligible check with the payment coupon, you authorize us to complete your payment by electronic debit. If �Aje 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 514.95 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. shellfleetcard .accountonfine.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 129 -116 14 065129116011 SHELL CARD CENTER P.O. BOX 669081 CLOSING DATE DUE DAME CYCLE DAYS DES MOINES, IA 50368 -9081 11 -05 -2010 11 -30 -2010 30 i o TELEPHONE: 1- 800 -377 -5150 FAX: 1 -515- 226 -4045 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0007 42.027 7.70 117.93 0008 10 -08 1136 0779173 1230 S RANGELINE RD CARMEI. IN 13.821 8 UNL 2.53 39.53 13.821 GAL UNLEADED 539.53 0008 11 -01 0929 0953182 1230 S RANGELINE RD CARMEL IN 20.536 8 UNL 176 56.64✓ 20.536 GAL UNLEADED $56.64 TOTAL CARD 0008 34.357 6.29 96.17 0009 10 -19 1051 0859512 1230 S RANGELINE RD CARMEL IN 17.836 8 UNL 3.26 49.214/ 17.836 GAL UNLEADED S49.21 0009 10 -22 21.18 0726406 1201 S HOLT RD INDIANAPOLIS IN 10.493 8 SUP 1.92 30.00 10.493 GAL SUPER S30.00 0009 10 -25 19.27 0905380 1230 S RANGELINE RD CARMEL IN 7.140 8 UNL 1.31 20.00 7.140 GAL UNLEADED $20.00 TOTAL CARD 0009 35.469 6.49 99.21 0010 10 -27 2004 0119750 808 W MAIN ST CARMEI. IN 26.505 8 UNL 4.85 74.72 26.505 GAL UNLEADED S74.72 0010 11 -02 0932 0468843 1821 E 151STSTCARMEL IN 10.993 8 UNL 2.01 30.00/ 10.993 GAL UNLEADED 530.00 TOTAL CARD 0010 37.498 6.86 104.72 GRAND TOTAL 212.519 38.90 596.22 FEDERAL EXCISE 1AX 212.5 GALLONS GASOLINE 38.90 CR OVERSIGHT IN PUTTING YOUR PAYMENT IN TH MAIL? CALL 1-888- 304 -5075 TO PAY BY CHECK OVE THE PHONE 24 HOURS A DAY. HAVE YOUR CHEC BOOK READY WHEN YOU CALL. 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 0021 GUG 1 7 2 101105 D 9366 8015 SH26 4830 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 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 next 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. If 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 $14.95 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. PLOC OMM Rev 06/08 Prescribers by 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 Fleet Plus Purchase Order No. Processing Center Terms P.O. Box 18301.9 Columbus, OH 43218 -3019 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/1.6/1 65129116011 monthly payment 5 Total 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 Siell Fleet Plus Processing Center IN SUM OF P? ?0. Box 183019 Columbus, OH 43218 -3019 557.32 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoices or 1110 65129116011 314 557.32 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 November 1.6 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund