HomeMy WebLinkAbout196701 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $970.65
CARMEL, INDIANA 46032 PO BOX 183019
(9D COLUMBUS OH 43218 -3019 CHECK NUMBER: 196701
CHECK DATE: 4126/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193104 970.65 065 -127 -193
www. shelifleetcard .accounionline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES
SHELL CARD CENTER
065- 127 -193 22 065127193104 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
N EW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,039.19 .00 882.34 950.88 CR .00 970.65
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 04 -30 -2011
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
04 -01 PAYMENT THANK YOU 882.34 CR
04 -05 DISCOUNT 14.78 CR
0002 03 -06 1140 0800011 4887 KENTUCKY AVE INDIANAPOLIS IN 12.812 8 SUP 2.34 45.60
12.812 GAL SUPER $45.60
0002 03 -10 1142 0014928 1230 S RANGELINE RD CARMEL IN 13.490 8 UNL 2.47 46.25
13.480 GAL 'UNLEADED $46.25
0002 03 -12 15:15 0943803 1821 E 151 ST ST CARMEL IN 13.661 8 UNL 2.50 50.00
13.661 GAL UNLEADED $50.00
0002 03 -17 0932 0000158 1821 E 151ST ST CARMEL IN 11.321 8 UNL 2.07 39.50
11.321 GAL UNLEADED $39.50
0002 03 -20 13:01 0329771 380 N THIRD ST TERRE HAUTE IN 13.662 8 UNL 2.50 47.00
13.662 GAL UNLEADED $47.00
0002 03 -24 1726 0092460 1821 E 151 ST ST CARMEL IN 13.342 8 UNL 2.44 47.10
13.342 GAL UNLEADED S47.10
TOTAL CARD 0002 78.278 14.32 275.45
0003 04 -01 14:42 0162354 515 WEST 30TH ST CONNERSVILLE IN 10.152 8 UNL 1.86 37.37
10.152 GAL UNLEADED $37.37
TOTAL CARD 0003 10.152 1.86 37.37
0005 04 -02 09:49 0065425 8924 E 116TH ST FISHERS IN 12.430 8 UNL 2.27 45.00
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
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 9375
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009375 Page 1 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
www. shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065- 127 -193 22 065127193104 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 TRANS6CTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
12.430 GAL UNLEADED S45.00
TOTAL CARD 0005 12.430 2.27 45.00
0006 03 -09 14:42 0901207 1821 E 151 ST ST CARMEL IN 13.952 8 UNL 2.55 48.01
13.952 GAL UNLEADED $48.01
TOTAL CARD 0006 13.952 2.55 48.01
0007 03 -14 13:01 0678706 808 W MAIN ST CARMEL IN 14.693 8 UNL 2.69 53.75✓
14.693 GAL UNLEADED S53.75
0007 03 -28 07:13 0668830 2166 E HADLEY PLAINFIELD IN 13.300 8 UNL 2.43 46.02
13.300 GAL UNLEADED $46.02
0010 03 -13 1614 0674473
TOTAL 7 9W MA ND/ 0007 5 TROY OH 10.662 8 UNL 5.95 37
10.662 GAL UNLEADED $37.96
TOTAL CARD 0010 10.662 I 1.95 37.96
0016 03 -09 13:46 0581850 4333 STATE RD 26 E LAFAYETTE IN 12.080 8 UNL 221 40.82
12.080 GAL UNLEADED $40.82
0016 C3 -11 16:57 0794875 7788 E 96TH ST FISHERS IN 6.840 8 UNL 1.25 25.05
6.840 GAL UNLEADED $25.05
TOTAL CARD 0016 18.920 3.46 65.87
0021 03 -14 20:35 0457390 1360 N GREEN BROWNSBURG IN 27.322 8 UNL 5.00 100.00
27.322 GAL UNLEADED $100.00
0021 03 -19 09:54 0948380 8924 E 116TH ST FISHERS IN 7.550 8 UNL 1.38 20.01
7.550 GAL UNLEADED $20.01
TOTAL CARD 0021 34.872 6.38 120.01
0022 03 -12 22:57 0070482 IND. 3 8 TROJAN LANE NEW CASTLE IN 16.051 8 UNL 2.94 58.09
16.051 GAL UNLEADED S58.09
0022 03 -18 15:10 0017467 1821 E 151ST ST CARMEL IN 8.832 8 UNL 1.62 30.03
8.832 GAL UNLEADED $30.03
0022 03 -26 21:53 0715581 104 S MAIN ST RUSHVILLE IN 16.350 8 UNL 2.99 58.70
16.350 GAL UNLEADED $58.70
0022 03 -31 1434 0950246 7788 E 96TH ST FISHERS IN 17.312 8 UNL 3.17 64.04
17.312 GAL UNLEADED $64.04
TOTAL CARD 0022 58.545 1032 210.86
0024 03 -07 10:59 0325928 9599 N MERIDIAN ST INDIANAPOLIS IN 11.470 8 UNL 2.10 40.0
11.470 GAL UNLEADED $40.02
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 GUS 1 7 2 110405 9366 8015 SH33 9375
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009375 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
$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:
SHELL CARD CENTER
065. 127.193 22 065127193104 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 TRANSaCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
TOTAL CARD 0024 11.470 2.10 40.02
0028 03 -24 13:39 0593913 633 W MAIN SR 32 WESTFIELD IN 16.583 8 UNL 3.03 58.87
16.583 GAL UNLEADED 558.87
TOTAL CARD 0028 16.583 3.03 58.87
GRAND TOTAL 293.857 53.76 1,039.19
FEDERAL EXCISE TAX
293.8 GALLONS GASOLINE 53.76 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 9375
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009375 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$970.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 65127193104 42- 314.00 $970.65 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 bill(s))
04/05/11 65127193104 monthly payment $970.65
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