HomeMy WebLinkAbout198386 06/21/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $1,671.35
CARMEL, INDIANA 46032 PO BOX 183019
COLUMBUS OH 43218 -3019 CHECK NUMBER: 198386
CHECK DATE: 6/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193106 1,671.35 065 129 -193
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127.193 32 065127193106 P.0 BOX CENTER
.a ox sesosl
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -2011 06 -30 -2011 30 TELEPHONE: 1- 8003773150
FAX: 1 -515 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,778.58 .00 1,027.64 1,134.87 CR .00 1,671.35
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 06 -30 -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 N/A, 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 TRAN ACTION TRANS TRANSACTION LOCATION! DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTYON
NUMBER DATE I TIME ID CD CD TAX AMOUNT
05 -29 PAYMENT THANK YOU 1,027-64 CR
06 -05 DISCOUNT 25.45 CR
0001 05 -11 15.50 0753483 4333 STATE RD 26 F LAFAYETTE IN 12911 8 UNL 2.36 54 -IV
12.911 GAL UNLEADED $54.10
TOTAL CARD 0001 12.911 2.36 54.10
0002 05 -10 07:25 0381855 1821 E 151ST ST CARMEL IN 12.910 8 UNL 2.36 51.15
12910 GAL UNLEADED 551.15
0002 05 -17 06',38 0478950 1821 E 151 ST STCARMEL IN 14.071 8 UNL 2.57 55.85
14.071 GAL UNLEADED 555.85
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 DO
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NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0000383 Page 2 of 6 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.
o Include your name and account number on the front of your check or money order.
It 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
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 32 065127193106 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -2011 06 -30 -2011 30 TELEPHONE: 1- 800-377 -5150
FAX: 1- 515 2260045
CARD TRANS A TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0002 05 -21 09:15 0537464 1821 E 151 ST ST CARMEL IN 12.200 8 UNL 2.23 46.85
12.200 GAL UNLEADED $46.85
0002 06 -01 15:18 0985671 808 W MAIN ST CARMEL IN 13.701 8 UNL 2.51 57.00✓
13.701 GAL UNLEADED $57.00
TOTAL CARD 0002 52.882 9.67 210.85 t
0004 05 -09 11:50 0093013 70 BROADWAY DRY RIDGE KY 14.591 8 UNL 2.67 58.06
14.591 GAL UNLEADED $58.06
0004 05 -12 1252 0384438 1031 HARRISON AVENUE HARRISON OH 12.620 8 UNL 2.31 51.38
12.620 GAL UNLEADED $51.38
0004 05 -18 07:40 0341016 1230 S RANGELINE RD CARMEL IN 15.273 8 UNL 2.79 60.33
15.273 GAL UNLEADED $60.33
0004 05 -25 07:21 0554139 9510 E 126TH ST FISHERS IN 15.073 8 UNL 2.76 56.06
15.073 GAL UNLEADED $56.06
TOTAL CARD 0004 57.557 10.53 225.83
0005 05 -22 20:54 0215210 8924 E 116TH ST FISHERS IN 14.331 8 UNL 2.62 54.89
14.331 GAL UNLEADED 554.89
TOTAL CARD 0005 14.331 2.62 54.89
0006 05 -09 20:33 0257287 1230 S RANGELINE RD CARMEL IN 22.921 8 UNL 4.19 91.00
22.921 GAL UNLEADED 591.00
TOTAL CARD 0006 22.921 4.19 91.00
0007 05 -10 14:35 0896654 808 W MAIN ST CARMEL IN 11.901 8 UNL 2.18 50.00
11.901 GAL UNLEADED $50.00
0007 05 -21 15:48 0065151 6101 BROADWAY MERRILLVILLE IN 22.590 8 UNL 4.13 94.88✓
22.590 GAL UNLEADED 594.88
0007 05 -24 1211 0406470 1230 S RANGELINE RD CARMEL IN 14.433 8 UNL 2.64 54.40
14.433 GAL UNLEADED $54.40
TOTAL CARD 0007 48.924 8.95 199.28
0009 05 -25 07:40 0414417 1230 S RANGELINE RD CARMEL IN 20.333 8 UNL 3.72 76.23✓
20.333 GAL UNLEADED $76.23
TOTAL CARD 0009 20.333 3.72 76.23
0016 05 -13 09:59 0291880 1230 S RANGELINE RD CARMEL IN 12.950 8 UNL 2.37 5163'
12.950 GAL UNLEADED 553.63
0016 05 -19 08:48 0352898 1230 S RANGELINE RD CARMEL IN 13.652 8 UNL 2.50 52.82/
13.652 GAL UNLEADED 552.82
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
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NOTIC S R E V ERSE S IDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0000383 Page 3 of 6 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 193 32 065127193106 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06-05-2011 06-30-2011 30 TELEPHONE: 1- 800.977 -5150
FAX: 1 -515- 226 -0045
CARD TRANS CTION TRANS MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID TRANSACTION LOCATION /DESCRIPTION QUANTITY CD CD TAX AMOUNT
0016 05 -26 08:55 0426940 1230 S RANGELINE RD CARMEL IN 8.271 8 UNL 1.51 32.74
8.271 GAL UNLEADED $32.74
TOTAL CARD 0016 34.873 6.38 139.19
0017 05 -11 2016 0510842 8190 ALLISONVILLE RD INDIANAPOLIS IN 10.421 8 UNL 1.91 43.75
10.421 GAL UNLEADED S43.75
0017 06 -03 18:15 0281527 2166 E HADLEY PLAINFIELD IN 13392 8 UNL 2.45 54.91
13.392 GAL UNLEADED S54.91
TOTAL CARD 0017 23.813 4.36 98.66
0018 05 -12 19:40 0987586 1500 HILLIARD ROME ROAD COLUMBUS OH 13.902 8 UNL 2.54 57.00
13.902 GAL UNLEADED S57.00
0018 05.15 16.00 0301119 1229 N BLUFF RD GREENWOOD IN 10.751 8 UNL 1.97 42.80/
10.751 GAL UNLEADED S42.80
TOTAL CARD 0018 24.653 4.51 99.80
0019 05 -11 07:33 0159913 2550 E PIKE ZANESVILLE OH 13.102 8 UNL 2.40 53 46Y
13.102 GAL UNLEADED S53.46
0019 05 -11 1135 0703355 10524 SHARPSBURG PIKE HAGERSTOWN MD 14.661 8 UNL 2.68 58.63
14.661 GAL UNLEADED S58.63
0019 05 -16 0723 0445809 5498 BUCKEYSTOWN PIKE FREDERICK MD 13.260 8 UNL 2.43 52.79
13.260 GAL UNLEADED $52.79
TOTAL CARD 0019 41.023 7.51 164.88
0020 05 -08 1109 0621243 850 N CAROL MALONE BLVD GRAYSON KY 12.482 8 UNL 2.28 48.67•✓
12.482 GAL UNLEADED $48.67
0020 05 -08 15:16 0124511 HWY 52 8 TOBACCOVILLE RD KING NC 11.431 8 SUP 2.09 45.0
11.431 GAL SUPER 545.05
0020 05 -13 0754 0451674 942 DURHAM ROAD WAKE FOREST NC 10.192 8 UNL 1.87 39.24/
10.192 GAL UNLEADED 539.24
TOTAL CARD 0020 34.105 6.24 132.96
0022 05 -30 1238 0891762 9599 N MERIDIAN ST INDIANAPOLIS IN 16.140 8 UNL 2.95 62.93✓
16.140 GAL UNLEADED $62.93
TOTAL CARD 0022 16.140 2.95 62.93
0028 05 -15 1555 0459693 1821 E 151ST ST CARMEL IN 16.080 8 UNL 2.94 64.98
16.080 GAL UNLEADED $64.98
TOTAL CARD 0028 16.080 2.94 64.98
0029 05 -07 0000 0352575 7000 E COLONIAL DR ORLANDO FL 12.820 1 UNL 2.35 50.00✓
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
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NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 32 065127193106 SHELL 68 CENTER
P.O. BOX 689061
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -2011 06-30-2011 30 TELEPHONE: 1- 800.377 -5150
FAX: 1 -515- 226 -4045
CARD TRANS CTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
12.820 GAL UNLEADED $50.00
0029 05 -13 1540 0464107 10030 UNIVERSITY BLVD ORLANDO FL 13.663 8 UNL 2.50 53.00
13.663 GAL UNLEADED S53.00
TOTAL CARD 0029 26.483 4.85 103.00
GRAND TOTAL 447.029 81.78 1,778.58
FEDERAL EXCISE TAX
447.0 GALLONS GASOLINE 81.78 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 110605 9366 8015 SH33 383
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0000383 Page 5 of 6 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 32 065127193106 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -11 06 -30 -11 30 TELEPHONE: 1- 800 377-5150
FAX: 1- 515 226-4045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR CENTS PURCH SALES AMOUNT
PROGRAM TAX40002 D ALL FUELS 1,778.58 25.45
SUB -TOTAL 25.45
TOTAL 25.45
TOTAL DISCOUNT 25.45
DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales
6057 0020 GUG 1 7 2 110605 9366 8015 SH33 383
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0000383 Page 6 of 6 FLET2GUG
VOUCHER NO. WARRANT NO.
Shell Fleet Plus ALLOWED 20
Processing Center
IN SUM OF
P.O. B
Colum
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1
ON rION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 65127193106 42- 314.00 $1,671.35 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
Friday, June 17, 2011
Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
06/05/11 65127193106 payment for gasoline $1,671.35
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