HomeMy WebLinkAbout199321 07/19/2011 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: $1,011.94
COLUMBUS OH 43218 -3019 CHECK NUMBER: 199321
CHECK DATE: 7/19/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193107 1,011.94 065 127 -193
III www.shellfleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065- 127 -193 19 065127193107 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
07 -06 -2011 07 -31 -2011 31 TELEPHONE: 1 -800377 -5150
FAX: 1-515- 226.4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,081.41 .00 1,671.35 1,740.82 OR .00 1,011.94
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 TRAN WTION TRANS TRANSACTION LOCATION I DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CO TAX AMOUNT
06 -23 PAYMENT- THANK YOU 1,671.35 CR
07 -06 DISCOUNT 15.41 CR
0002 06 -06 09:12 0756841 1821 E 151ST STCARMEL IN 13.610 8 UNL 2.49 55.00
13.610 GAL UNLEADED S55.00
0002 06 -10 10:40 0583666 1230 S RANGELINE RD CARMEL IN 14.152 8 UNL 2.59 54.60
14.152 GAL UNLEADED $54.60
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 8807
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0008807 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 i iave 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.shelitleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 193 19 065127193107 P.O. BOX CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
07 -06 -2011 07 -31 -2011 31 TELEPHONE: 1 -800377 -5150
FAX: 1. 515. 226-4045
CARD TRANS TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0002 06 -13 08:10 0858159 1821 E 151 ST ST CARMEL IN 12.562 8 UNL 2.30 47.50
12.562 GAL UNLEADED $47.50
0002 06 -17 0904 0914424 1821 E 151 ST ST CARMEL IN 13.971 8 UNL 2.56 51.40
13.971 GAL UNLEADED 551.40
0002 06 -29 12:53 0069526 1821 E 151 ST ST CARMEL IN 14.600 8 UNL 2.67 51.10
14.600 GAL UNLEADED $51.10
TOTAL CARD 0002 68.895 12.61 259.60
0004 06 -08 0715 0556969 1230 S RANGELINE RD CARMEL IN 13.732 8 UNL 2.51 54.67
13.732 GAL UNLEADED 554.67
0004 06 -10 09:55 0771725 9510 E 126TH ST FISHERS IN 14.001 8 UNL 2.56 54.45
14.001 GAL UNLEADED $54.45
0004 06 -14 09:39 0828574 9510 E 126TH ST FISHERS IN 14.762 8 UNL 2.70 55.05
14.762 GAL UNLEADED $55.05
0004 06 -17 1032 0867523 9510 E 126TH ST FISHERS IN 13.732 8 UNL 2.51 49.41
13.732 GAL UNLEADED $49.41
0004 06 -22 18:55 0930479 9510 E 126TH ST FISHERS IN 15210 8 UNL 2.78 52.78
15.210 GAL UNLEADED $52.78
0004 07 -05 19:24 0089854 9510 E 126TH ST FISHERS IN 15.113 8 UNL 2.77 54.71
15.113 GAL UNLEADED $54.71
TOTAL CARD 0004 86.550 15.83 321.07
0006 06 -21 1354 0071258 808 W MAIN ST CARMEL IN 22.720 8 UNL 4.16 79.50✓
22.720 GAL UNLEADED $79.50
TOTAL CARD 0006 22.720 4.16 79.50
0016 06 -29 12:29 0569855 545 S RANGE LINE RD CARMEL IN 14.710 8 UNL 2.69 51.50Y
14.710 GAL UNLEADED 551.50
TOTAL CARD 0016 14.710 2.69 51.50
0017 06 -16 19:56 0370767 2166 E HADLEY PLAINFIELD IN 14.240 8 UNL 2.61 50.41
14.240 GAL UNLEADED $50.41
0017 06 -28 21:42 0449108 2166 E HADLEY PLAINFIELD IN 14.234 8 UNL 2.60 49.25
14.234 GAL UNLEADED $49.25
TOTAL CARD 0017 28.474 5.21 99.66
0021 06 -30 21:52 0134700 1 -65 SR 25211 EDINBURGH IN 23.110 8 UNL 4.23 85.51
23.110 GAL UNLEADED $85.51
TOTAL CARD 0021 23.110 4.23 85.51
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 8807
NOTIC SEE REVERSE SIDE FOR IMPORTANT INFOR MATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0008607 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:
a 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
III www.shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065 127.193 19 065127193107 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 TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0022 06 -19 12:59 0292888 3748 N HIGH SCHOOL RD INDIANAPOLIS IN 17.453 8 UNL 3.19 61.07
17.453 GAL UNLEADED $61.07
0022 07 -02 23:58 0119057 1821 E 151 ST ST CARMEL IN 17.452 8 UNL 3.19 63.86
17.452 GAL UNLEADED S63.86
TOTAL CARD 0022 34.905 6.38 124.93
0028 06 -30 19:02 0089318 1821 E 151 ST ST CARMEL IN 16.123 8 UNL 2.95 59.64
16.123 GAL UNLEADED 559.64
TOTAL CARD 0028 16.123 2.95 59.64
GRAND TOTAL 295.487 54.06 1,081.41
FEDERAL EXCISE TAX
295.4 GALLONS GASOLINE 54.06 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 8807
NOTICE: SEE RE S F IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0006807 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
www.shelitleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 -193 19 065127193107 SHELL CARD CENTER
P.O. BOX 689061
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
07 -06 -11 07 -31 -11 31 TELEPHONE: 1.800- 377-5150
FAX: 1- 515 2264045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR CENTS PURCH SALES AMOUNT
PROGRAM TAX40002 D ALL FUELS 1,081.41 15.41
SUB -TOTAL 15.41
TOTAL 15.41
TOTAL DISCOUNT 15.41
DISC TYPE: q Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales
6057 0018 GUG 1 7 2 110706 9366 8015 SH33 8807
NO SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0008807 Page 4 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
$1,01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1110 I 65127193107 I 42- 314.00 I $1,011.94 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 65127193107 monthly payment $1,011.94
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