The URL can be used to link to this page

Home My WebLink About199320 07/19/2011 u. 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: $547.67 COLUMBUS OH 43218 -3019 CHECK NUMBER: 199320 CHECK DATE: 7/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 026512911610 547.67 065 129 -116 i www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065.129 -116 9 065129116107 SHELL CARD CENTER P.o. Box sssoet CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 07 -06 -2011 07 -31 -2011 31 TELEPHONE: 1- 800377.5150 FAX: 1315- 226 -4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 576.89 .00 459.43 488.65 CR .00 547.67 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 07 -31 -2011 IMPORTANT NOTICE ABOUT YOUR ACCOUNT Effective July 1, 2011, Citibank (South Dakota), N.A. is merged into Citibank, N.A. Citibank, N.A., which is located in Sioux Falls, South Dakota, is the new issuer of your account. All references to Citibank (South Dakota), N.A., in your account documentation, including the Card Agreement, and in communications about your account should be deemed to refer to Citibank, N.A. Any optional program provided by Citibank (South Dakota), N.A., is now provided by Citibank, N.A. CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 06 -23 PAYMENT THANK YOU 459.43 CR 0003 0630 09:33 0758748 1230 S RANGELINE RD CARMEL IN 11.442 8 UNL 2.09 40.05 V 11.442 GAL UNLEADED $40.05 TOTAL CARD 0003 11.442 2.09 40.05 0009 06 -06 2031 0479733 7786 E 96TH ST FISHERS IN 6.050 8 UNL 1.11 25.00✓ 6.050 GAL UNLEADED $25.00 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 110706 9366 8015 SH33 2917 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0002917 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.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065- 129 -116 9 065129116107 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 07 -06 -2011 07 -31 -2011 31 TELEPHONE: 1- 800.377 -5150 FAX: 1-515- 226 -4045 CARD TRAN kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 0009 06 -22 15:28 0656512 2040 E WASHINGTON INDIANAPOLIS IN 17.575 8 UNL 322 59.72 17.575 GAL UNLEADED $59.72 0009 07 -03 11:31 0709782 7788 E 96TH ST FISHERS IN 5.970 8 UNL 1.09 22.11✓ 5.970 GAL UNLEADED $22.11 TOTAL CARD 0009 29.595 5.42 106.83 0010 06-08 18:21 0387167 1230 WEST SR 32 LEBANON IN 13.440 8 UNL 2.46 52.0 13.440 GAL UNLEADED $52.00 0010 06 -09 1637 0576694 1230 S RANGELINE RD CARMEL IN 24.871 8 UNL 4.55 97.00 24.871 GAL UNLEADED 597.00 0010 06 -17 19:14 0655134 1230 S RANGELINE RD CARMEL IN 27.181 8 UNL 4.97 100.00N/ 27.181 GAL UNLEADED $100.00 0010 06-22 15:50 0146837 8598 N MIGHIGAN RD INDIANAPOLIS IN 26.592 8 UNL 4.87 92.01 26.592 GAL UNLEADED $92.01 0010 06-27 1220 0095174 808 W MAIN ST CARMEL IN 26.575 8 UNL 4.86 89.00 d 26.575 GAL UNLEADED $89.00 TOTAL CARD 0010 118.659 21.71 430.01 GRAND TOTAL 159.696 29.22 576.89 FEDERAL EXCISE TAX 159.6 GALLONS GASOLINE 29.22 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 110706 9366 8015 SH33 2917 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0002917 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: e 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 O IL ON, 'ION FOR lent I PO# Dept.l INVOICE NO, I ACCT #!TITLE F750UNT Board Members 1110 I 65129116107 I 42- 314.00 $547.67 1 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, July 15, 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)) 07/06/11 65129116107 monthly payment $547.67 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