193015 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: $1,020.38
COLUMBUS OH 43218 -3019
CHECK NUMBER: 193015
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193012 1,020.38 065 127 -193
www.shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 -193 27 065127193012 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- 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,105.12 .00 1,936.76 2,021.50 CR .00 1,020.38
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 12 -31 -2010
CARD TRANSACTION I TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
11 -05 MISAPPLIED PYMT XFR SC 1,193.33 CR
11 -25 PAYMENT THANK YOU 743.43 CR
12 -06 DISCOUNT 15.39 CR
0002 11 -10 2103 0554980 1821 E 151 ST ST CARMEL IN 11.533 8 UNL 2.11 34.00
11.533 GAL UNLEADED $34.00
0002 11 -11 18:46 0563775 1821 E 151 ST ST CARMEL IN 10.680 8 UNL 1.95 31.40
10.680 GAL UNLEADED 531.40
0002 11 -14 15:45 0048702 4887 KENTUCKY AVE INDIANAPOLIS IN 13.350 8 SUP 2.44 39.25
13.350 GAL SUPER $39.25
0002 11 -18 2304 0637918 1821 E 151 ST ST CARMEL IN 14.720 8 UNL 2.69 49.45
14.720 GAL UNLEADED $39.45
WASH JOB $10.00
0002 11 -28 1329 0934844 2658 E THIRD ST BLOOMINGTON IN 14210 8 UNL 2.60 40.50
14.210 GAL UNLEADED 540.50
TOTAL CARD 0002 64.493 11.79 194.60
0003 11 -13 12:24 0503177 9510 E 126TH ST FISHERS IN 13.940 8 UNL 2.55 40.01
13.940 GAL UNLEADED $40.01
TOTAL CARD 0003 13.940 2.55 40.01
0004 12 -01 23:28 0182618 1230 S RANGELINE RD CARMEL IN 11.983 8 UNL 2.19 34.74
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 9371
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009371 Page 1 of 4 FILE (2GUG'
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
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
I
www.shelitleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 193 27 065127193012 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- 226 -4045
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
11.983 GAL UNLEADED $34.74
TOTAL CARD 0004 11.983 2.19 34.74
0006 11 -06 11:09 0982462 8924 E 116TH ST FISHERS IN 11.102 8 UNL 2.03 33.32 v/
11.102 GAL UNLEADED 533.32
0006 11 -23 10:19 0120543 1230 S RANGELINE RD CARMEL IN 12240 8 UNL 2.24 35.51
12.240 GAL UNLEADED 535.51
TOTAL CARD 0006 23.342 4.27 68.83 •t
0007 11 -05 1158 0985598 1230 S RANGELINE RD CARMEL IN 13.094 8 UNL 2.40 37.83Y
13.094 GAL UNLEADED $37.83
0007 11 -18 1434 0085589 1230 S RANGELINE RD CARMEL IN 13.804 8 UNL 2.53 38.50
13.804 GAL UNLEADED $38.50
0007 12 -05 1031 0270074 808 W MAIN ST CARMEL IN 14.333 8 UNL 2.62 43.00
14.333 GAL UNLEADED $43.00
TOTAL CARD 0007 41.231 7.55 119.33
0011 11 -14 19:19 0091926 15150 W COMMERCE RD DALEVILLE IN 7.311 8 UNL 1.34 21.00
7.311 GAL UNLEADED $21.00
0011 11 -30 0940 0167643 1230 S RANGELINE RD CARMEL IN 11.033 8 UNL 2.02 30.00
11.033 GAL UNLEADED $30.00
TOTAL CARD 0011 18.344 3.36 51.00 �`j
0016 11 -09 1825 0006726 8924 E 116TH ST FISHERS IN 15.964 8 UNL 2.92 47.40
15.964 GAL UNLEADED $47.40
0016 11 -15 18:46 0064667 1230 S RANGELINE RD CARMEL IN 15.722 8 UNL 2.88 45.58
15.722 GAL UNLEADED $45.58
0016 11 -20 1415 0216051 320 E SOUTHVIEW DR MARTINSVILLE IN 14.500 8 UNL 2.65 40.31
14.500 GAL UNLEADED $40.31
0016 11 -26 08:44 0084616 7788 E 96TH ST FISHERS IN 15.545 8 UNL 2.84 45.05
15.545 GAL UNLEADED $45.05
0016 12 -01 10:50 0176610 1230 S RANGELINE RD CARMEL IN 15.101 8 UNL 2.76 43.78
15.101 GAL UNLEADED 543.78
TOTAL CARD 0016 76.832 14.05 222.12
0017 11 -09 15:03 0097139 2039 E BIG BEAVER TROY MI 11833 8 UNL 2.53 41.50
13.833 GAL UNLEADED $41.50
0017 11 -18 17:19 0129601 11748 75TH ST KENOSHA WI 13.144 8 UNL 2.41 37.83
13.144 GAL UNLEADED $37.83
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
6057 0019 GUG 1 7 2 101206 9366 8015 SH26 9371
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009371 Page 2 of 4 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
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.
;Jute Your account is owned and serviced by Citibank (South Dakota), N.A.
PLOCOMM Rev 06/08
www.shelitleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 27 065127193012 SHELL CARD CENTER
P.O. BOX 669081
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- 226 -4045
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
TOTAL CARD 0017 26.977 4.94 79.33
0021 11 -12 08:49 0710723 2400 JONATHON MOORE PIKE COLUMBUS IN 24.501 8 UNL 4.48 72.50
24.501 GAL UNLEADED $72.50
0021 11 -16 01:08 0904466 633 W MAIN SR 32 WESTFIELD IN 10.912 8 UNL 2.00 30.02
10.912 GAL UNLEADED $30.02
TOTAL CARD 0021 35.413 6.48 102.52
0022 11 -11 09:05 0175133 808 W MAIN ST CARMEL IN 16.690 8 UNL 3.05 49.57
16.690 GAL UNLEADED $49.57
0022 11 -24 1431 0697557 1821 E 151 ST STCARMEL IN 17.345 8 UNL 3.17 49.59
17.345 GAL UNLEADED S49.59
TOTAL CARD 0022 34.035 6.22 99.16
0025 11 -05 13:54 0634352 7203 N MICHIGANRD INDIANAPOLIS IN 17.195 8 UNL 3.15 49.85
17.195 GAL UNLEADED $49.85
TOTAL CARD 0025 17.195 3.15 49.85
0028 11 -11 1753 0877076 633 W MAIN SR 32 WESTFIELD IN 15.314 8 UNL 2.80 43.63
15.314 GAL UNLEADED $43.63
TOTAL CARD 0028 15.314 2.80 43.63
GRAND TOTAL 379.099 69.35 1,105.12
FEDERAL EXCISE TAX
379.0 GALLONS GASOLINE 69.35 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 9371
NOTICE: SEE REVER SID FOR IM P O RTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009371 Page 3 of 4 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
$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
I
www. shelifleetcard .accountonIine.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 -193 27 065127193012 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
12 -06 -10 12 -31 -10 31 TELEPHONE: 1- 800-377 -5150
FAX: 1-515- 226 -4045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR CENTS PURCH SALES AMOUNT
PROGRAM TAX40002 D ALL FUELS 1,095.12 15.39
SUB -TOTAL 1539
TOTAL 15.39
TOTAL DISCOUNT 15.39
DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales
6057 0019 GUG 1 7 2 101206 9366 8015 SH26 9371
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009371 Page 4 of 4 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
$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 06,108
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Pr,ocessing Center
IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$1,020.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 6512793012 42 314.00 $1,020.38 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
Wednesday, December 15, 2010
h�WOIA.0 L LaMl
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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))
12/06/10 6512793012 payment for gasoline $1,020.38
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