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Home My WebLink About202376 09/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $537.75 CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218 -3019 CHECK NUMBER: 202376 CHECK DATE: 9126/2011 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116109 537.75 065- 129 -116 i www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INOUIRIES TO: 1 0 SHELL CARD CENTER 065 129 116 12 065129116109 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9087 '09 -05 -2011 09-30 =2011 .31 TELEPHONE: 1. 800-377.5150 FAX: 1- 515 226 -4045 1 I NEW CHARGES FLEET FEE' PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS NEW BALANCE LATE FEE 566.19 .06 751.49 779.93 CR .00 537.75 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 09 -30 -2011 CARD kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 08 -19 PAYMENT -THANK YOU 751.49 CR 0003 08 -10 17:24 0196667 9611 ALLISONVILLE RD INDIANAPOLIS IN 18.090 8 UNL 3.31 63.86/ 18.090 GAL UNLEADED $63.86 TOTAL CARD 0003 18.090 3.31 63.86 0007 09 -01 07:44 0372516 US 27 NORTH ANGOLA IN 7.890 8 UNL 1.44 30.00 7.890 GAL UNLEADED $30.00 TOTAL CARD 0007 7.890 1.44 30.00 0009 08 -12 1419 0763417 2040 E WASHINGTON INDIANAPOLIS IN 11.661 8 UNL 2.13 40.00 v 11.661 GAL UNLEADED S40.00 0009 08 -13 2254 0215566 6955 S EMERSON INDIANAPOLIS IN 8.331 8 UNL 1.52 30.00 8.331 GAL UNLEADED 530.00 0009 08 -17 18:19 0803825 2045 N POST RD INDIANAPOLIS IN 13.513 8 UNL 2.47 50.00% 13.513 GAL UNLEADED 550.00 0009 08 -30 2036 0232249 6998 E 21ST ST INDIANAPOLIS IN 10.010 8 UNL 1.83 36.43 10.010'GAL UNLEADED 536.43 0009 08 -31 1045 0799122 2040 E WASHINGTON INDIANAPOLIS IN 4.730 8 UNI- 0.87 17.05 4_.730 GAL UNLEADED 517.05 0009 08 -31 17:17 0832162' 4624 LAFAYE'tTE RD INDIANAPOLIS IN 16.614 8 UNL 3.04 62.47 16.614 GAL UNLEADED' 562.47 ;i 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 0016 GUG 1 7 2 110905 9366 8015 SH33 5001 N S RE V E RS E SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0005001 Page 1 of 2 FLET2GUG Information About Your Account Report,,a;Lost.or Stolen Card Immediately: Our Customer Ser i.ce,Representatives ire. vailabletiy 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 to 5 days 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. This Account is Issued by Citibank, N.A. PLOCOMM Rev 07/11 www.shellfleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INOUIRIES TO: 065 129 116 12 065129116109 SHELL CARD CENTER P.O. BOX 689061 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 09 05 2011 09 30 2011 31 TELEPHONE: 1. 800377.5150 FAX: 1 -515- 226 -4045 CARD kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 0009 09 -01 20:40 0830042 2045 N POST RD INDIANAPOLIS IN 10.000 8 UNL 1.83 37.61 10.000 GAL UNLEADED $37.61 0009 09 -04 15:31 0447425 2540 N HIGH SCHOOL RD SPEEDWAY IN 15.443 8 UNL 2.83 57.76y 15.443 GAL UNLEADED S57.76 TOTAL CARD 0009 90.302 16.52 331.32 '�i 0010 08 -18 12:45 0172429 1230 S RANGELINE RD CARMEL IN 18.341 8 UNL 3.36 66.01 18.341 GAL UNLEADED $66.01 0010 08 -23 08:29 0340455 808 W MAIN ST CARMEL IN 20.833 8 UNL 3.81 75.00 20.833 GAL UNLEADED $75.00 TOTAL CARD 0010 39.174 7.17 141.01 GRAND TOTAL 155.456 28.44 566.19 FEDERAL EXCISE TAX 155.4 GALLONS GASOLINE 28.44 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 0016 GUG 1 7 2 110905 9366 8015 SH33 5001 NoTiCE: SEE REVERSE.SIDE FOR IMPORTANT !NFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0005001 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 v_erify.your idea"' This Account is Issued by Citibank, N.A. PLOCOMM Rev 07/11 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $537.75 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 65129116109 42- 314.00 $537.75 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, September 23, 2011 lL--� 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)) 09105/11 65129116109 monthly payment $537.75 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