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Home My WebLink About196702 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $593.28 CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218 -3019 CHECK NUMBER: 196702 CHECK DATE: 4/26/2011 DEPARTMENT ACCOUN PO NUMB INVOICE NUMBER AMOUN DESCRIPTIO 1110 4231400 065129116104 593.28 065 129 -116 www.shelitleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065- 129.116 12 065129116104 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 04 -05 -2011 04 -30 -2011 30 TELEPHONE: 1. 800.377 -5150 FAX: 1 -515- 226 -4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 625.10 .00 389.22 421.04 CR .00 593.28 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 04 -30 -2011 CARD IRANaAQIIOU TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 04 -01 PAYMENT THANK YOU 389.22 CR 0003 03 -13 14:41 0155754 5890 NATIONAL RD EAST RICHMOND IN 11.872 8 UNL 2.17 40.00/ 11.872 GAL UNLEADED S40.00 0003 03 -20 22:24 0961565 8924 E 116TH ST FISHERS IN 13.770 8 UNL 2.52 50.00 J 13.770 GAL UNLEADED $50.00 TOTAL CARD 0003 25.642 4.69 90.00 0007 03 -07 19:44 0992628 1230 S RANGELINE RD CARMEL IN 8.021 8 UNL 1.47 28.01 8.021 GAL UNLEADED $28.01 0007 03 -28 2327 0970061 9510 E 126TH ST FISHERS IN 22.515 8 UNL 4.12 83.06 22.515 GAL UNLEADED $83.06 TOTAL CARD 0007 30.536 5.59 111.07 0009 03 -08 06:25 0321992 5020 E 62ND ST INDIANAPOLIS IN 12.733 8 UNL 2.33 45.19 12.733 GAL UNLEADED $45.19 0009 03 -14 17:22 0466953 2040 E WASHINGTON INDIANAPOLIS IN 13.333 8 UNL 2.44 48.00 13.333 GAL UNLEADED $48.00 0009 03 -22 2325 0844225 1230 WEST SR 32 LEBANON IN 16.193 8 UNL 2.96 58.12 16.193 GAL UNLEADED $58.12 0009 03 -29 09:12 0327981 3748 N HIGH SCHOOL RD INDIANAPOLIS IN 16.893 8 UNP 3.09 59.28 16.893 GAL UNL PLUS $59.28 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 0018 GUG 1 7 2 110405 9366 8015 SH33 4906 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004906 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.shellffeetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 129 -116 12 065129116104 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 04 -05 -2011 04.30.2011 30 TELEPHONE: 1-800- 377 -5150 FAX: 1 -515- 226.4045 CARD --JBANSAQjIQLl TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 0009 03 -31 15:46 0335851 3748 N HIGH SCHOOL RD INDIANAPOLIS IN 15.143 8 UNP 2.77 57.06 15.143 GAL UNL PLUS 557.06 TOTAL CARD 0009 74.295 13.59 267.65 0010 03 -23 20:55 0135731 1230 S RANGELINE RD CARMEL IN 17.194 8 UNL 3.15 61.35' 17.194 GAL UNLEADED $61.35 0010 03 -28 11:34 0173690 1230 S RANGELINE RD CARMEL IN 8.621 8 UNL 1.58 30.01 8.621 GAL UNLEADED $30.01 0010 03 -28 2328 0970079 9510 E 126TH ST FISHERS IN 17.620 8 UNL 3.22 65.02 17.620 GAL UNLEADED 565.02 TOTAL CARD 0010 43.435 7.95 156.38 x; GRAND TOTAL 173.908 31.82 625.10 FEDERAL EXCISE TAX 173.9 GALLONS GASOLINE 31.82 CR 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 0018 GUG 1 7 2 110405 9366 8015 SH33 4906 NOTICE: SEE REVERS SI DE FO IMPORTANT INFORMATION P K EE P T H I S P FOR Y RECORDS 0004906 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. 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 06108 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $593.28 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #FfITLE AMOUNT Board Members 1110 65129116104 42- 314.00 $593.28 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 Wednesday, April 20, 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 bili(s)) 04/05/11 65129116104 monthly payment $593.28 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