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Home My WebLink About195806 03/29/2011 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: $389.22 COLUMBUS OH 43218 -3019 CHECK NUMBER: 195806 CHECK DATE: 3/29/2011 DEP ARTMENT A CCOUNT PO NUMBER INV OICE NU MBER AMOUNT DE 1110 4231400 065129116103 389.22 065 -129 -116 I www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 129 -116 9 065129116103 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 03- 06- 2011. 03 -31 -2011 -31 TELEPHONE: 1- 8 FAX: 1 -515- 226 -0045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 412.51 .00 464.65 487.94 CR .00 389.22 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 03 -31 -2011 CARD TRANSACTION I TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 02 -17 PAYMENT THANK YOU 464.65 CCRR 0003 02 -06 1 OG32489 6924 E 116TH ST FISHERS IN 17.165 8 UNL 3.14 53.71 17.165 GAL UNLEADED $53.71 TOTAL CARD 0003 17.165 3.14 53.71 0007 02 -08 0326 0727479 1230 S RANGELINE RD CARMEL IN 4.680 8 UNL 0.86 15.00 4.680 GAL.UNLEADED S15.00 0007 02 -09 1956 0743807 1230 S RANGELINE RD CARMEL IN 10.013 8 UNL 1.83 30.22 10.013 GAL UNLEADED $30.22 0007 02 -25 09:47 0149971 9599 N MERIDIAN ST INDIANAPOLIS IN 6.161 8 UNL 1.13 20.53 6.161 GAL UNLEADED $20.53 TOTAL CARD 0007 20.854 3.82 65.75 0009 02 -08 23:18 0585083 7788 E 96TH ST FISHERS IN 10.940 8 UNL 2.00 35.01 10.940 GAL UNLEADED $35.01 0009 02 -24 10:04 0139915 4221 S EMERSON AVE INDIANAPOLIS IN 17.601 8 UNL 3.22 59.14 17.601 GAL UNLEADED $59.14 0009 02 -27 17:57 0911214 1230S RANGELINE RD CARMEL IN 15.252 8 UNL 2.79 51.86 15.252 GAL UNLEADED $51.86 TOTAL CARD 0009 43.793 8.01 146.01 0010 02 -08 1620 0877027 9599 N MERIDIAN ST INDIANAPOLIS IN 25.571 8 UNL .4.68 80.04 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 0020 GUG 1 7 2 110306 9366 8015 SH33 4878 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004878 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 verity your identity. Note: Your account is owned and serviced by Citibank (South Dakota), N.A. PLOCOMM Rev 06/08 I www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065 -129 -116 9 065129116103 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 03 -06 -2011 03-31 -2011 31 TELEPHONE: 1-800-377-5150 FAX: 1.515- 2264045 CARD TRANS TRANSACTION LOCATION I DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 25.571 GAL UNLEADED $80.04 0010 02 -24 15:03 0667121 1230 WEST SR 32 LEBANON IN 19.881 8 UNL 3.64 67.00 19.881 GAL UNLEADED S67.00 TOTAL CARD 0010 45.452 8.32 147.04 GRAND TOTAL 127.264 23.29 412.51 FEDERAL EXCISE TAX 1272 GALLONS GASOLINE 23.29 OR TOTAL `FINANCE CHARGE' BILLED IN 2010 WOO 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 0020 GUG 1 7 2 110306 9366 8015 SH33 4878 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004878 Page 2 o12 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 tali 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 06106 VOUCHER NO. WARRANT NO. Shell Fleet Plus ALLOWED 20 Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $38 9.22 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 651291 16103 42- 314.00 $389.22 I 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 Thursday, March 24, 2011 C o P olice 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)) 03/06/11 65129116103 monthly payment $389.22 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