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Home My WebLink About197528 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 'i. ONE CIVIC SQUARE SHELL CREDIT CARD CENTER s tl. CARMEL, INDIANA 46032 PO BOX 153019 CHECK AMOUNT: $1,027.64 COLUMBUS OH 43218 -3019 CHECK NUMBER: 197528 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193105 1,027.64 GASOLINE www.shelitleetcard.acc ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 20 065127193105 P.O. BOX CENTER P.O. BOX 669081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -2011 05 -31 -2011 31 TELEPHONE: 1- 800 -377 -5150 FAX: 1.515- 226 -4045 NEW HAR O ES FLEET FEE PREVIOUS 03594 OR BALANCE PAYMENTUMENTS LATE NEW 02764CE PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 05 -31 -2011 The "ANNUAL PERCENTAGE RATE" includes all transaction and periodic finance charges imposed this billing period on all balances on which finance charges were imposed. If the "ANNUAL PERCENTAGE RATE" is NIA, no finance charges (after adjustments) were imposed this billing period. Finance charges may be accruing on promotional balances and may be billed to your account under the terms of the promotional offer. Refer to the corresponding APR for the APR that applies to each balance. CARD TRANS kCTION TRANS IRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 04.28 PAYMENT THANK YOU 970.65 CR 05 -06 DISCOUNT 15.65 CR 0002 04 -10 1234 0370585 4887 KENTUCKY AVE INDIANAPOLIS IN 11.941 8 SUP 2.19 44.90 11.941 GAL SUPER $44.90 0002 04 -18 1643 0044172 9611 ALLISONVILLE RD INDIANAPOLIS IN 13.621 8 UNL 2.49 52.70 13.621 GAL UNLEADED $52.70 0002 04 -23 0943 0154682 1821 E 15 1 ST ST CARMEL IN 9.371 8 UNL 1.71 36.55 9.377. GAL UNLEADED S36.55 I— 0002 04-25 17:16 0112193 9611 ALLISONVILLE RD INDIANAPOLIS IN 12.983 8 UNL 2.38 51.40 L 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 O I -ATE 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 110506 9366 8015 SH33 8791 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0008791 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 paym ent we, receive that;is,n.ot in proper 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: o Enclose a valid check or money order. No cash or foreign currency please. o 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.shellfleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065 127 -193 20 065127193105 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 06 2011 05 31 2011 31 i o TELEPHONE: 1 8003773150 FAX: 1 -515- 226.4045 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 12.983 GAL UNLEADED $51.40 0002 04 -30 09:16 0243196 1821 E 151ST ST CARMEL IN 12.642 8 UNL 2.31 52.20 12.642 GAL UNLEADED $52.20 0002 05 -04 11:40 0202101 1230 S RANGELINE RD CARMEL IN 13.441 8 UNL 2.46 57.65 13.441 GAL UNLEADED $57.65 TOTAL CARD 0002 73.999 13.54 295.40 t• 0003 05 -04 0735 0199752 1230 S RANGELINE RD CARMEL IN 14.143 8 UNL 2.59 60.66 14.143 GAL UNLEADED $60.66 TOTAL CARD 0003 14.143 2.59 60.66 0007 04 -05 17'.03 0250191 1230 S RANGELINE RD CARMEL IN 14.583 8 UNL 2.67 56.00 14.583 GAL UNLEADED $56.00 0007 04 -21 12:48 0087221 1230 S RANGELINE RD CARMEL IN 14.252 8 UNL 2.61 57.01 14.252 GAL UNLEADED $57.01 TOTAL CARD 0007 28.835 5.28 113.01 0014 04 -15 14 :19 0018242 155 N ILLINOIS INDIANAPOLIS IN 15.492 UNL 2.81 6' 'e 15.492 GAL UNLEADED $61.18 TOTAL CARD 0014 15.492 2.84 61.18 0016 04 -12 19:50 0082768 9510 E 126TH ST FISHERS IN 13.370 8 UNL 2.45 53.46 VVV 13.370 GAL UNLEADED $53.48 0016 04 -24 1519 0107482 7788 E 96TH ST FISHERS IN 11.660 8 UNL 2.13 46.64' 11.660 GAL UNLEADED $46.64 0016 04 -28 19:48 0186593 9510 E 126TH ST FISHERS IN 15.160 8 UNL 2.77 63.66 15.160 GAL UNLEADED $63.66 TOTAL CARD 0016 40.190 7.35 163.76 0018 05 -01 16:47 0890699 2320 CHESTER BLVD. RICHMOND IN 12.440 8 UNL 2.28 52.00 12.440 GAL UNLEADED 552.00 TOTAL CARD 0018 12.440 2.28 52.00 'f' 0022 04 -12 08:49 0121806 9599 N MERIDIAN ST INDIANAPOLIS IN 17.342 8 UNL 3.17 65.71 17.342 GAL UNLEADED $65.71 0022 04 -29 22:03 0240747 1821 E 151 ST ST CARMEL IN 5.950 8 UNL 1.09 25.00 5.950 GAL UNLEADED S25.00 0022 05 -02 1531 0185850 1230 S RANGELINE RD CARMEL IN 17.630 8 UNL 3.23 75.8A 17.630 GAL UNLEADED 575.81 TOTAL CARD 0022 40.922 7.49 166.52 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 110506 9366 8015 SH33 8791 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0008791 Page 2 of 4 FLET2GUG www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 127 -193 20 065127193105 SHELL CARD CENTER P.O. BOX 689061 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES. IA 50368 -9081 05 -06 -2011 05 -31 -2011 31 TELEPHONE: 1- 800. 377-5150 FAX: 1.515- 226 -4045 CARD TRANS TRANSACTION LOCATICN DESCRIP i 1014 QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 0028 04 -14 07:05 0018812 633 W MAIN SR 32 WESTFIELD IN 13.833 8 UNL 2.53 54.78 13.833 GAL UNLEADED $54.78 0028 04 -20 20:17 0121244 1821 E 151 ST STCARMEL. IN 15.641 8 UNL 2.86 61.00 15.641 GAL UNLEADED 561.00 0028 05 -01 17:16 0267468 1821 E 151ST ST CARMEL IN 15.763 8 UNL 2.88 64.60 15.763 GAL UNLEADED 564.60 TOTAL CARD 0028 45.237 8.27 180.38 GRAND TOTAL 271.258 49.64 1,092.93 FEDERAL EXCISE TAX 271.2 GALLONS GASOLINE 49.64 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 0020 GUG 1 7 2 110506 9366 8015 SH33 8791 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0008791 Page 3 of 4 FLET2GUG www.shellfleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 20 065127193105 SHELL 68 CENTER P.O. BOX 689061 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -11 05 -31 -11 31 i o TELEPHONE: 1. 800377.5150 FAX: 1 -515- 226 -4045 DISCOUNT DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC TYPE LOCATION ADDRESS TYPE BASIS DESCR CENTS PURCH SALES AMOUNT PROGRAM TAX40002 D ALL FUELS 1,092.93 15.65 SUB -TOTAL 15.65 TOTAL 15.65 TOTAL DISCOUNT 15.65 DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales 6057 0020 GUG l 7 2 110506 9366 8015 SH33 8791 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0008791 Page 4 of 4 FLET2GUG VOUCHER NO. WARRANT NO, ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $1, 027. 6 4 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1110 65127193105 42- 314.00 $1,027.6 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, May 19, 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_ 199E) 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)) 05/19/11 65127193105 monthly payment $1,027.64 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance wlth IC 5- 11- 10 -1.6 2Q Clerk- Treasurer