HomeMy WebLinkAbout200317 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
,•.�,o CARMEL, INDIANA 46032
PO BOX 183019 CHECK AMOUNT: $751.49
COLUMBUS OH 43218 -3019 CHECK NUMBER: 200317
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065129116108 751.49 065 129 -116
www.shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 129 116 16 065129116108 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368.9081
08 -05 -2011 08-30-2011 30 TELEPHONE: 1-800- 377 -5150
FAX: 1 -515 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE I PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
790.65 .00 547.67 586.83 CR .00 751.49
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 08 -30 -2011
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
07 -21 PAYMENT THANK YOU 547.67 CR
0003 07 -20 09:45 0924365 1230 S RANGELINE RD CARMEL IN 17.442 8 UNL 3.19 64.17
17.442 GAL UNLEADED S64.17
0003 07 -23 12:29 0165415 2320 CHESTER BLVD. RICHMOND IN 16.332 8 UNL 2.99 61.41
16.332 GAL UNLEADED $61.41
TOTAL CARD 0003 33.774 6.18 125.58
0006 07 -09 1048 0200477 1821 E 151ST ST CARMEL IN 17.651 8 UNL 3.23 64.781/
17.651 GAL UNLEADED 564.78
TOTAL CARD 0006 17.651 3.23 64.78
0007 07 -12 1502 0824714 11601 ALLISONVILLE RD FISHERS IN 9.920 8 UNL 1.82 35.03
9.920 GAL UNLEADED 535.03
0007 07 -18 20:20 0910968 1230 S RANGELNE RD CARMEL IN 23.432 8 UNL 4.29 86.21
23.432 GAL UNLEADED $86.21
TOTAL CARD 0007 33.352 6.11 121.24
0008 07 -18 0937 0904854 1230 S RANGELINE RD CARMEL IN 6.260 8 UNL 1.15 23.17
6.260 GAL UNLEADED S23.17
TOTAL CARD 0008 6.260 1.15 23.17
0009 07 -07 12:22 0846733 6955 S EMERSON INDIANAPOLIS IN 5.360 8 UNL 0.98 20.07
5.360 GAL UNLEADED S20.01
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 0007 GUG 1 7 2 110805 9366 8015 SH33 4941
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0004941 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.shelitleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 129 -116 16 065129116108 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08 -05 -2011 08 -30 -2011 30 TELEPHONE: 1- 80077 -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
0009 07 -11 20:55 0890632 6955S EMERSON INDIANAPOLIS IN 8.561 8 UNL 1.57 31.01
8.561 GAL UNLEADED $31.01
0009 07 -19 12:31 0915637 1230 S RANGELINE RD CARMEL IN 17.403 8 UNL 3.18 64.01
17.403 GAL UNLEADED $64.01
0009 07 -20 2243 0973677 6955 S EMERSON INDIANAPOLIS IN 9.210 8 UNL 1.69 35.00
9.210 GAL UNLEADED $35.00
0009 07 -30 09:50 0976142 7788 E 96TH ST FISHERS IN 17.114 8 UNL 3.13 65.00
17.114 GAL UNLEADED S65.00
0009 07 -31 1326 0636571 4624 LAFAYETTE RD INDIANAPOLIS IN 10.610 8 UNL 1 -94 40.00
10.610 GAL UNLEADED $40.00
TOTAL CARD 0009 68.258 12.49 255.03
0010 07 -07 07:00 0132928 808 W MAIN ST CARMEL IN 8.022 8 UNL 1.47 30.50
8.022 GAL UNLEADED $30.50
0010 07 -14 0539 0872465 1230 S RANGELINE RD CARMEL IN 12.632 8 UNL 2.31 45.35%
12.632 GAL UNLEADED S45.35
0010 07 -19 19:09 0920249 1230 S RANGELINE RD CARMEL IN 14.952 8 UNL 2.74 55.01'
14.952 GAL UNLEADED S55.01
0010 07 -21 06:40 0189381 808 W MAIN ST CARMEL IN 19.024 8 UNL 3.48 69.99/
19.024 GAL UNLEADED $69.99
TOTAL CARD 0010 54.630 10.00 200.85
GRAND TOTAL 213.925 39.16 790.65
FEDERAL EXCISE TAX
213.9 GALLONS GASOLINE 3916 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 0007 GUG 1 7 2 110805 9366 8015 SH33 4941
NOTI SEE REV SIDE FOR IMPO INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0004941 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:
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
$751.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT4rrITLE AMOUNT Board Members
1110 65129116108 42- 314.00 $751.45
I hereby certify that the attached invoice(s), or
I I I
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
Monday, August 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))
08/05/11 65129116108 monthly payment $751.49
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