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Home My WebLink About194460 02/15/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 4 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $367.94 s, it CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218 -3019 CHECK NUMBER: 194460 CHECK DATE: 211512011 D EPARTMENT ACCOUNT PO NUMBER INVO NU MBE R A MOUNT D ESCRIPTION 1110 4231400 065127193102 367.94 065127193102 www. shelifleetcard .accountonIine.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 127 -193 9 065127193102 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 02-03-2011 02- 28-2011 28 TELEPHONE: 1- 800377 -5150 FAX: 1- 515.226 -4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 391.12 .00 557.76 580.94 CR .00 367.94 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 02 -28 -2011 CARD TRANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 01 -21 PAYMENT THANK YOU 557.76 CR 0002 01 -10 14:50 0238287 1821 E 151ST ST CARMEL IN 13.392 8 UNL 2.45 41.25 13.392 GAL UNLEADED S41.25 0002 01 -16 11:04 0299370 1821 E 151ST ST CARMEL IN 13.931 8 UNL 2.55 40.40 13.931 GAL UNLEADED S40.40 0002 01 -19 12:57 0569954 1230 S RANGELINE RD CARMEL IN 13.263 8 UNL 2.43 41.90 13.263 GAL UNLEADED 541.90 TOTAL CARD 0002 40.586 7.43 123.55 0004 01 -18 12:30 0021667 2540 N HIGH SCHOOL RD SPEEDWAY IN 14.322 8 UNL 2.62 45.26 14.322 GAL UNLEADED $45.26 TOTAL CARD 0004 14.322 2.62 45.26 0007 01 -31 1821 0786285 9599 N MERIDIAN ST INDIANAPOLIS IN 10.220 8 UNL 1.87 32.40 10.220 GAL UNLEADED S32.40 TOTAL CARD 0007 10.220 1.87 32.40 0016 01 -09 11:54 0082446 9510 E 126TH ST FISHERS IN 15.444 8 UNL 2.83 48.17✓ 15.444 GAL UNLEADED 548.17 0016 01 -30 15:43 0313916 9510 E 126TH ST FISHERS IN 14.781 8 UNL 210 46.71 14.781 GAL UNLEADED 546.71 TOTAL CARD 0016 30.225 5.53 94.88 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 110203 9366 8015 SH33 5117 N S REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0005117 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 $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 www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 9 065127193102 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 02 -03 -2011 02-28-2011 28 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 0022 01 -15 1253 0290346 1821 E 151 ST STCARMEL IN 16.381 8 UNL 3.00 47.98 16.381 GAL UNLEADED $47.98 TOTAL CARD 0022 16.381 3.00 47.98 0028 01 -18 14:55 0785097 11601 ALLISONVILLE RD FISHERS IN 14.941 8 UNL 2.73 47.05 14.941 GAL UNLEADED $47.05 TOTAL CARD 0028 14.941 2.73 47.05 GRAND TOTAL 126.675 23.18 391.12 FEDERAL EXCISE TAX 126.6 GALLONS GASOLINE 23.18 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 0021 GUG 1 7 2 110203 9366 8015 SH33 5117 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0005117 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. It 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, n °—meet 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 06108 VOUCHER NO, WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $367.9 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1110 65127193102 42- 314,00 $367.94_ 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 Friday, February 11, 2011 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)) 02/03/11 65127193102 monthly payment $367.94 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