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Home My WebLink About197529 05/26/2011 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: $538.77 COLUMBUS OH 43218 -3019 CHECK NUMBER: 197529 CHECK DATE: 5/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116105 538.77 GASOLINE www.shelifleetcard.accou ne.coin ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 129 -11 10 065129116105 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -2011 05 -31 -2011 31 TELEPHONE: 1.800377-5150 FAX: 1- 515.226 -4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 565.09. .00 593.28 619'60 CR 00 538.77 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 RAn!e.q r rent TRANS "�'SG PROD EXEMPT TRANSACTION 1 NUMBER DATE TIME ID TRANSACTION LOCATION DESCRiPTiON OUANTff CD CD TAX AMOUNT 04 -28 PAYMENT THANK YOU 593.28 CR 0003 05 -04 16:51 0151050 4800 GALLATIN PIKE NASHVILLE TN 15.530 8 UNL 2.84 59.00 15.530 GAL UNLEADED $59.00 TOTAL CARD 0003 15.530 2.84 59.00 0005 05 -02 1349 0416040 3200 BELMONT BLVD NASHVILLE TN 14.511 8 UNL 2.66 55.00 14.511 GAL UNLEADED $55.00 TOTAL CARD 0005 14.511 2.66 55.00 0006 04 -14 1333 0166579 9599 N MERIDIAN ST INDIANAPOLIS IN 21.730 9 UNL I 3.98 86.27/ L I 21.730 GAL UNLEADED S86.27 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 S CHEDULE O F LATE FEE PERIODIC RAPE 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 3499 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0003499 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: e Enclose a valid check or money order. No cash or foreign currency please. e 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- 129 -116 10 065129116105 P.O. BOX 689081 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 LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0006 21.730 3.98 86.27 0007 04 -06 22:31 0261743 1230 S RANGELINE RD CARMEL IN 26.184 8 UNL 4.79 100.001 26.184 GAL UNLEADED $100.00 0007 05 -02 19:20 0188094 1230 S RANGELINE RD CARMEL IN 9.330 8 UNL 1.71 40.12✓ 9.330 GAL UNLEADED $40.12 TOTAL CARD 0007 35.514 6.50 140.12 0009 04 -07 1226 0509497 2040 E WASHINGTON INDIANAPOLIS IN 15.611 8 UNL 2.86 58.701/ 15.611 GAL UNLEADED $58.70 0009 04 -19 20:33 0210203 8924 E 116TH ST FISHERS IN 15.841 8 UNL 2.90 60.99 15.841 GAL UNLEADED $60.99 0009 04 -22 14:33 0540773 2040 E WASHINGTON INDIANAPOLIS IN 7.520 8 UNL 1.38 30.00 7.520 GAL UNLEADED $30.00 0009 05 -04 17:08 0116657 4624 LAFAYETTE RD INDIANAPOLIS IN 11.651 8 UNL 2.13 50.01 11.651 GAL UNLEADED 550.01 0009 05 -05 18:26 0279216 9510 E 126TH ST FiSHERS IN 5.871 8 UNL 1A7 I 25.00V i 5.871 GAL UNLEADED, $_25.00 TOTAL CARD 0009 56.494 10.34 224.70 GRAND TOTAL 143.779 26.32 565.09 FEDERAL EXCISE TAX 143.7 GALLONS GASOLINE 26.32 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 3499 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0003499 Page 2 of 2 FLET2GUG VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $538.7 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 65129116105 42- 314.00 $53877 l 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 Titfe Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Stale 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)) 05/19/11 65129116105 monthly payment $538.77 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