The URL can be used to link to this page

Home My WebLink About193016 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CARMEL, INDIANA 46032 PO BOX 183019 CHECK AMOUNT: $508.68 COLUMBUS OH 43218 -3019 CHECK NUMBER: 193016 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116012 508.68 065 129 -116 I www.shelifieL-tcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 129 -116 11 065129116012 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 12 -06 -2010 12 -31 -2010 31 TELEPHONE: 1- 800.377.5150 FAX: 1-515- 2264045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 1,736.04 .00 1,350.50 2,577.86 CR .00 508.68 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 12 -31 -2010 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 11 -05 PAYMENT THANK YOU 1,986.51 CR 11 -25 PAYMENT THANK YOU 557.32 CR 11 -24 MISAPPLIED PYMT XFR SC 1,193.33 0003 11 -07 18:24 0339911 2320 CHESTER BLVD. RICHMOND IN 15.590 8 UNL 2.85 46.77 15.590 GAL UNLEADED $46.77 0003 11 -27 18:13 0149906 1230 S RANGELINE RD CARMEL IN 16.034 8 UNL 2.93 44.56 16.034 GAL UNLEADED 544.56 0003 12 -02 14:59 0186940 1230 S RANGELINE RD CARMEL IN 16.374 8 UNL 3.00 47.47 16.374 GAL UNLEADED 547.47 TOTAL CARD 0003 47.998 8.78 138.80 0006 11 -06 07:38 0156141 808 W MAIN ST CARMEL IN 14.741 8 UNL 2.70 44.21 v 14.741 GAL UNLEADED S44.21 TOTAL CARD 0006 14.741 2.70 44.21 0008 11 -06 1023 0089185 6955 S EMERSON INDIANAPOLIS IN 17.632 8 UNL 3.23 52.88 y 17.632 GAL UNLEADED $52.88 TOTAL CARD 0008 17.632 3.23 52.88 0009 11 -06 23:29 0954677 7788 E 96TH ST FISHERS IN 10.333 8 UNL 1.89 31.00V 10.333 GAL UNLEADED 531.00 0009 11 -23 22:54 0068486 7788 E 96TH ST FISHERS IN 10.372 8 UNL 1.90 30.07 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 0019 GUG 1 7 2 101206 9366 8015 SH26 4973 NOTICE: SEE REVE SID FOR IMPORTANT INFOR MATION PL K EEP T HIS PORTION FOR YOUR RECORDS 0004973 Page 1 of 2 FLET2GUG 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 S14.95 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 i www. shellfl eetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 129 -116 11 065129116012 SHELL CARD CENTER P.O. BOX 689067 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 12- 06-2010 12.31 -2010 31 i o TELEPHONE: 1- 800-377 -5150 FAX: 1- 515 226 -4045 CARD TRANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 10.372 GAL UNLEADED $30.07 TOTAL CARD 0009 20.705 3.79 61.07 0010 11 -06 13:59 0157479 808 W MAIN ST CARMEL IN 10.000 8 UNL 1.83 30.00✓ 10.000 GAL UNLEADED $30.00 0010 11 -13 11:00 0184176 808 W MAIN ST CARMEL IN 24.722 8 UNL 4.52 73.40 24.722 GAL UNLEADED $73.40 0010 11 -19 1037 0091751 1230 S RANGELINE RD CARMEL IN 25.755 8 UNL 4.71 69.0 25.755 GAL UNLEADED S69.00 0010 12 -05 15:20 0271361 808 W MAIN ST CARMEL IN 24.450 8 UNL 4.47 73.35 24.450 GAL UNLEADED $73.35 TOTAL CARD 0010 84.927 15.53 245.75 GRAND TOTAL 186.003 34.03 542.71 FEDERAL EXCISE TAX 186.0 GALLONS GASOLINE 34.03 CR TOTAL 'FINANCE CHARGE' BILLED IN 2010 $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 0019 GUG 1 7 2 101206 9366 8015 SH26 4973 NOTICE: SEE REVERSE SIDE FO IMP INFORMATIO PLEASE KEEP THIS PORTION FOR YOUR R 0004973 Page 2 of 2 FLET2GUG 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. o 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. PLOCOMM Rev 06/08 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $508.68 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1110 65129116012 42- 314.00 $508.68 1 hereby certify that the attached invoice(s), or 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 i I Tuesday, December 14, 2010 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/06110 65129116012 payment for gasoline for SID $508.68 1 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