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Home My WebLink About200318 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CARMEL, INDIANA 46032 CHECK AMOUNT: $897.94 PO BOX 183019 s� `o COLUMBUS OH 43218 -3019 CHECK NUMBER: 200318 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193108 897.94 065 127 -193 www.shelifteetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 127 -193 19 065127193108 SHELL CARD CENTER P.o. Box 6e9061 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 BALANCEI PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 944.97 .00 1,011.94 1,058.97 CR .00 897.94 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 08 -30 -2011 CARD TRAN CTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 07 -21 PAYMENT THANK YOU 1,011.94 CR 0002 07 -14 05:40 0263962 1821 E 151 ST ST CARMEL IN 4.910 8 UNL 0.90 18.65 4.910 GAL UNLEADED $18.65 0002 07 -22 13:09 0945790 1230 S RANGELINE RD CARMEL IN 10.461 8 UNL 1.91 38.30 10.461 GAL UNLEADED S38.30 0002 07 -27 10.05 0989020 1230 S RANGELINE RD CARMEL IN 12.563 8 UNL 2.30 44.85 12.563 GAL UNLEADED 544.85 0002 07 -31 14:43 0218644 320 E SOUTHVIEW DR MARTINSVILLE IN 14.893 8 UNL 2.73 55.70 14.893 GAL UNLEADED 555.70 0002 08 -02 19:33 0536995 1821 E 151ST ST CARMEL IN 8.950 8 UNL 1.64 32.50 8.950 GAL UNLEADED $32.50 TOTAL CARD 0002 51.777 9.48 190.00 0004 07 -13 1913 0195040 9510 E 126TH ST FISHERS IN 12.842 8 UNL 2.35 48.80 12.842 GAL UNLEADED $48.80 0004 07 -18 0918 0249086 9510 E 126TH ST FISHERS IN 8.141 8 UNL 1.49 30.45 8.141 GAL UNLEADED $30.45 0004 07 -25 07:22 0756031 8924 E 116TH ST FISHERS IN 14.731 8 UNL 2.70 52.87 14.731 GAL UNLEADED $52.87 0004 08 -04 0724 0466052 9510 E 126TH ST FISHERS IN 15.053 8 UNL 2.75 53.74 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 4940 NOTICE: SEE REVERSE SIDE FOR IMPORTA INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004940 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: 065 127 -193 19 065127193108 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 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 15.053 GAL UNLEADED 553.74 TOTAL CARD 0004 50.767 9.29 185.86 0007 07 -08 09:04 0825398 1230 S RANGELINE RD CARMEL IN 12.770 8 UNL 2.34 47.25 12.770 GAL UNLEADED S47.25 0007 07 -16 1641 0171561 808 W MAIN ST CARMEL IN 13.660 8 UNL 2.50 51.35 13.660 GAL UNLEADED 551.35 0007 08 -03 16:10 0054841 1230 S RANGELINE RD CARMEL IN 15.292 8 UNL 2.80 59.03 15.292 GAL UNLEADED 559.03 TOTAL CARD 0007 41.722 7.64 157.63 0011 07 -15 13:07 0817429 7788 E 96TH ST FISHERS IN 5.610 8 UNL 1.03 20.00 5.610 GAL UNLEADED S20.00 TOTAL CARD 0011 5.610 1.03 20.00 0016 07 -13 09:16 0864942 1230 S RANGELINE RD CARMEL IN 19.543 8 UNL 3.58 70.16✓ 19.543 GAL UNLEADED $70.16 TOTAL CARD 0016 19.543 3.58 70.16 0021 07 -17 10:26 0959122 2400 JONATHON MOORE PIKE COLUMBUS IN 25250 8 UNL 4.62 93.15 25.250 GAL UNLEADED 593.15 TOTAL CARD 0021 25.250 4.62 93.15 r• 0022 07 -24 01:04 0064121 8598 N MIGHIGAN RD INDIANAPOLIS IN 18.500 8 UNL 3.39 70.30 18.500 GAL UNLEADED S70.30 TOTAL CARD 0022 18.500 3.39 70.30 0025 07 -14 15:11 0334078 15150 W COMMERCE RD DALEVILLE IN 15.591 8 UNL 2.85 56.27 15.591 GAL UNLEADED 556.27 TOTAL CARD 0025 15.591 2.85 56.27 0028 07 -22 16:10 0382317 1821 E 151ST ST CARMEL IN 13.520 8 UNL 2.47 48.66 13.520 GAL UNLEADED $48.66 0028 07 -26 09:55 0043505 6995 E US HIGHWAY 36 AVON IN 14.620 8 UNL 2.68 52.94 14.620 GAL UNLEADED SS2.94 TOTAL CARD 0028 28.140 5.15 101.60 GRAND TOTAL 256.900 47.03 944.97 FEDERAL EXCISE TAX 256.9 GALLONS GASOLINE 47.03 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 4940 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004940 Page 2 o1 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 ON TION FOR Genf 1 PO# De{ AMOUNT Board Members 1110 651271931 D8 42- 314.00 $89'$.94 I hereby certify that the attached invoice(s), or 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)) 08105/11 65127193108 monthly payment $898.94 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