HomeMy WebLinkAbout202377 09/28/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
r ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
1 CARMEL, INDIANA 46032 PO BOX 183019 CHECK AMOUNT: $1,431.44
COLUMBUS OH 43218 -3019 CHECK NUMBER: 202377
CHECK DATE: 9/28/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193109 1,431.44 065 127 -193
www. shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 27 065127193109 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
09 -05 -2011 09 -30 -2011 31 TELEPHONE: 1.800-377-5150
FAX: 1- 515 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,53030 .00 897.94 997.20 CR .00 1,431.44
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 09 -30 -2011
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
08 -19 PAYMENT THANK YOU 897.94 CR
09 -05 DISCOUNT 21.80 CR
0002 08 -10 14:29 0635482 1821 E 151 ST ST CARMEL IN 13.761 8 UNL 2.52 48.15
13.761 GAL UNLEADED $48.15
0002 08 -13 14:25 0675637 1821 E 151ST ST CARMEL IN 13.770 8 UNL 2.52 50.40
13.770 GAL UNLEADED $50.40
0002 08 -16 08:35 0153379 1230 S RANGELINE RD CARMEL IN 11.301 8 UNL 2.07 41.25
11.301 GAL UNLEADED S41.25
TOTAL CARD 0002 38.832 7.11 139.80
0004 08 -06 17:11 0079244 1230 S RANGELINE RD CARMEL IN 10.000 8 UNL 1.83 38.01
10.000 GAL UNLEADED $38.01
0004 08 -06 21:30 0787291 8281 TRIDON DRIVE SMYRNA TN 13.290 8 UNL 2.43 48.63/
13.290 GAL UNLEADED $48.63
0004 08 -10 18:06 0243691 6090 ALTAMA AVE BRUNSWICK GA 14.132 8 UNL 2.59 50.31
14.132 GAL UNLEADED S50.31
0004 08 -15 20:58 0248740 6090 ALTAMA AVE BRUNSWICK GA 14.943 8 UNL 2.73 51.69Y
14.943 GAL UNLEADED $51.69
0004 08 -25 1951 0258418 6090 ALTAMA AVE BRUNSWICK GA 12.630 8 UNL 2.31 43.70.
12.630 GAL UNLEADED $43.70
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 9464
NOTICE: SEE REVERSE SID F OR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009464 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 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.shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065.127 193 27 065127193109 P.O. BO CENTER
P.O. BOX 669081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
09 -05 -2011 09 -30 -2011 31 TELEPHONE: 1-800-377-5150
FAX: 1- 515- 226 -4045
CARD TRANS iCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0004 09 -01 19:32 0265850 6090 ALTAMA AVE BRUNSWICK GA 15.261 8 UNL 2.79 54.94
15.261 GAL UNLEADED $54.94
0004 09.02 1456 0401737 4837 BILL GARDNER PKWY LOCUST GA 13.740 8 UNL 2.51 49.74
13.740 GAL UNLEADED $49.74
0004 09 -03 08:34 0291633 2400 HILLSBORO BLVD MANCHESTER TN 10.372 8 UNL 1.90 36.19
10.372 GAL UNLEADED $36.19
0004 09 -03 14:16 0588053 1 -65 8 SR 252/1 EDINBURGH IN 12.691 8 UNL 2.32 4814
12.691 GAL UNLEADED $48.24
TOTAL CARD 0004 117.059 21.41 421.45
0006 08 -18 1521 0738435 1821 E 151 ST ST CARMEL IN 18.311 8 UNL 3.35 67.00
tQ. 18.311 GAL UNLEADED $67.00
0006 08 -28 19:34 0874024 1821 E 151ST ST CARMEL IN 22.683 8 UNL 4.15 83.00
22.683 GAL UNLEADED $83.00
TOTAL CARD 0006 40.994 7.50 150.00
0009 08 -18 08:37 0232777 3801 S POST INDIANAPOLIS IN 22.163 8 UNL 4.06 77.55
22.163 GAL UNLEADED S77.55
0009 09 -01 15:20 0168724 4333 STATE RD 26 E LAFAYETTE IN 22.003 8 UNL 4.03 83.59 W
22.003 GAL UNLEADED $83.59
TOTAL CARD 0009 44.166 8.09 161.14
0014 08 -19 15:34 0753756 4624 LAFAYETTE RD INDIANAPOLIS IN 15.392 8 UNL 2.82 56.80
15.392 GAL UNLEADED 556.80
TOTAL CARD 0014 15.392 282 56.80
0015 08 -08 19:26 0978106 1425 N FARWELL AVE MILWAUKEE WI 14.590 8 UNL 2.67 53.97
14.590 GAL UNLEADED $53.97
TOTAL CARD 0015 14.590 267 53.97
0016 08 -17 05:24 0160499 1230 S RANGELINE RD CARMEL IN 20.661 8 UNL 3.78 74.36
20.661 GAL UNLEADED 574.36
TOTAL CARD 0016 20.661 3.78 74.36 'y
0017 08 -15 18:56 0782904 2166 E HADLEY PLAINFIELD IN 14.201 8 UNL 2.60 46.64
14.201 GAL UNLEADED $48.84
0017 09 -02 13:59 0894717 2166 E HADLEY PLAINFIELD IN 13.771 8 UNL 2.52 51.78
13.771 GAL UNLEADED $51.78
TOTAL CARD 0017 27.972 5.12 100.62
0018 08 -13 0842 0568766 13401 DIXIE HWY LOUISVILLE KY 10.581 8 UNL 1.94 36.40
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 9464
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009464 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:
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 07111
www. shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INOUIRIES TO:
065 127 -193 27 065127193109 SHELL CARD CENTER
P.O. BOX 669081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
09 -05 -2011 09 -30 -2011 31 TELEPHONE: 1- 800-377-5150
FAX: 1 -515- 226 -4045
CARD TRANS TRANSACTION LOCATION I DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
10.581 GAL UNLEADED $36.40
TOTAL CARD 0018 10.581 1.94 36.40
0021 08 -16 2111 0858308 633 W MAIN SR 32 WESTFIELD IN 27.674 8 UNL 5.06 99.60
27.674 GAL UNLEADED 599.60
TOTAL CARD 0021 27.674 5.06 99.60
0022 08 -14 13:19 0130229 9599 N MERIDIAN ST INDIANAPOLIS IN 15.411 8 UNL 2.82 53.94
15.411 GAL UNLEADED 553.94
0022 08 -23 19:14 0808527 1821 E 151 ST ST CARMEL IN 18.000 8 UNL 3.29 64.44
18.000 GAL UNLEADED $64.44
0022 09 -03 21:04 0852806 9510 E 126TH ST FISHERS IN 16.841 8 UNL 3.08 62.82
16.841 GAL'UNLEADED $62.82
TOTAL CARD 0022 50.252 9.19 181.20
0028 08 -15 07:14 0696666 1821 E 151ST STCARMEL IN 15.133 8 UNL 2.77 55.36
15.133 GAL UNLEADED $55.36
TOTAL CARD 0028 15.133 2.77 55.36
GRAND TOTAL 423.306 77.46 1,530.70
FEDERAL EXCISE TAX
423.3 GALLONS GASOLINE 77 -46 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 9464
NOTICE: SE REVERSE SID FOR IMPORTANT INFO PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009464 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.;ii your identity.
This Account is Issued by Citibank, N.A.
PLOCOMM Rev 07/11
i
www.shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065.127 -193 27 065127193109 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
09-05-11 09-30-11 31 TELEPHONE: 1- 800.377-5150
FAX: 1- 515-226 -4045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR CENTS PURCH SALES AMOUNT
PROGRAM TAX40002 D ALL FUELS 1,530.70 21.80
SUB -TOTAL ;07.
TOTAL 21.80
TOTAL DISCOUNT 21.80
y A
DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales
6057 0016 GUG 1 7 2 110905 9366 8015 SH33 9464
NOTICE: SEE REVERSE SIDE FOR IM INF PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009464 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.
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 electr-onically_ after we v our identity.
This Account is Issued by Citibank, N.A.
PLOCOMM Rev 07/11
VOUCHER NO. WARRANT NO.
Shell Fleet Plus ALLOWED 20
Processing Center
IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$1,4
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 65127193109 42- 314.00 $1,431.44
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
Friday, September 23, 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))
09/05/11 65127193109 monthly payment $1,431.44
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