HomeMy WebLinkAbout202891 10/25/2011 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: $937.58
COLUMBUS OH 43218 -3019 CHECK NUMBER: 202891
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193110 937.58 065 127 -193
www. shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES
SHELL CARD CENTER
065 127 -193 19 065127193110 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
10 -06 -2011 10 -31 -2011 31 TELEPHONE: 1- 800.377 -5150
FAX: 1 -515- 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,004.10 00 1,431.44 1,497.96 CR 00 937.58
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 10 -31 -2011
CARD TRANSAQTIQN TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
09 -30 PAYMENT THANK YOU 1,431.44 CR
10 -06 DISCOUNT 1428 CR
0004 09 -13 1254 0203059 8924 E 116TH ST FISHERS IN 13.090 8 UNL 2.40 47.40
13.090 GAL UNLEADED $47.40
0004 09 -19 18:28 0478651 11601 ALLISONVILLE RD FISHERS IN 14181 8 UNL 2.70 50.85
14.781 GAL UNLEADED $50.85
0004 09 -21 1945 0060459 9510 E 126TH ST FISHERS IN 14.112 8 UNL 2.58 47.70
14.112 GAL UNLEADED $47.70
0004 09 -28 1209 0040923 2166 E HADLEY PLAINFIELD IN 10.012 8 UNL 1.83 32.63
10.012 GAL UNLEADED $32.63
TOTAL CARD 0004 51.995 9.51 178.58
0005 09 -28 1642 0042630 2166 E HADLEY PLAINFIELD IN 13260 8 UNL 2.43 43.23
13.260 GAL UNLEADED $43.23
TOTAL CARD 0005 13.260 2.43 43.23
0006 09 -08 11:17 0901868 9510 E 126TH ST FISHERS IN 22.671 8 UNL 4.15 82.50
22.671 GAL UNLEADED 582.50
TOTAL CARD 0006 22.671 4.15 82.50
0007 09 -30 1232 0462663 1201 S HOLT RD INDIANAPOLIS IN 13.943 8 UNL 2.55 46.00
13.943 GAL UNLEADED $46.00
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% 000% 0.00 .00
6057 0015 GUG 1 7 2 111006 9366 8015 SH33 7572
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007572 Page 1 o13 FLET2663
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
514.95 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
SHELL CARD CENTER
065 127 193 19 065127193110 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
10 -06 -2011 10 -31 -2011 31 TELEPHONE: 1-800377 -5150
FAX: 1 -515- 226 -4045
CARD A A TRANS MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID TRANSACTION LOCATION /DESCRIPTION QUANTITY CD CD TAX AMOUNT
TOTAL CARD 0007 13.943 2.55 46.00
0017 09 -20 1937 0000828 2166 E HADLEY PLAINFIELD IN 14.171 8 UNL 2.59 46.75
14.171 GAL UNLEADED $48.75
TOTAL CARD 0017 14.171 2.59 48.75
0022 09 -22 13:55 0193706 1029 STATE ROAD 229 BATESVILLE IN 15.630 8 UNL 2.66 55A9/
15.630 GAL UNLEADED $55.49
0022 09 -28 20:14 0044081 2166 E HADLEY PLAINFIELD IN 16.153 8 UNL 2.96 52.32✓
16.153 GAL UNLEADED $52.32
TOTAL CARD 0022 31.783 5.82 107.81
0023 10 -01 18:01 0257295 1304 INDUSTRIES RD RICHMOND IN 12.650 8 UNL 2.31 43.00
12.650 GAL UNLEADED $43.00
0023 10 -02 0916 0211078 17722 VIRGINIA AVE HAGERSTOWN MD 8.081 8 UNL 1.48 29.91
8.081 GAL UNLEADED 529.91
TOTAL CARD 0023 20.731 3.79 72.91
0028 09 -10 13:57 0432914 330 EAST CENTER STREET WARSAW IN 16.313 8 UNL 2.99 62.97
16.313 GAL UNLEADED 562.97
0028 09 -16 1624 0095406 1821 E 151ST STCARMEL IN 16.930 8 UNL 3.10 60.78
16.930 GAL UNLEADED $60.78
0028 09 -29 21:31 0537258 330 EAST CENTER STREET WARSAW IN 12.332 8 UNL 2.26 42.93
12.332 GAL UNLEADED $42.93
TOTAL CARD 0028 45.575 8.35 166.68
0032 09 -13 14:16 0580597 1206 E EADS PKWY (US 50) LAWRENCEBURG IN 27.491 8 UNL. 5.03 100.07'✓
27.491 GAL UNLEADED 5100.07
0032 09 -14 1304 0588145 1206 E EADS PKWY (US 50) LAWRENCEBURG IN 16.483 8 UNL 3.02 60.00
16.483 GAL UNLEADED $60.00
0032 09 -16 09.15 0603753 1206 E EADS PKWY (US 50) LAWRENCEBURG IN 17.371 8 UNL 3.18 62.0
17.371 GAL UNLEADED $62.00
0032 09 -16 1153 0605022 1206 E EADS PKWY (LIS 50) LAWRENCEBURG IN 9.960 8 UNL 1.82 35.57'
9.960 GAL UNLEADED $35.57
TOTAL CARD 0032 71.305 13.05 257.64
GRAND TOTAL 285.434 52.24 1,004.10
FEDERAL EXCISE TAX
285.4 GALLONS GASOLINE 52.24 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 0015 GUG 1 7 2 111006 9366 8015 SH33 7572
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007572 Page 2 of 3 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 payr ent i 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 iE 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.
Prcper 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 checks 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 vrill be destroyed.
Optional Pay by Phone Service. You may use i' ^is optimal service ar, time to make a payment by phone. You will be charged
514.95 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.shelifleeteard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065 127.193 19 065127193110
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
10-06-11 10 -31 -11 31 TELEPHONE: 1. 8003773150
FAX: 1 -515- 226 -4045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR CENTS PURCH 1 SALES AMOUNT
PROGRAM TAX40002 D ALL FUELS 1,004.10 14.28
SUB -TOTAL 14.28
TOTAL 14.28
TOTAL DISCOUNT 14.28
DISC TYPE: Percent of Dollar Sales, C Cents per Unit TIER BASIS: U Units Purchased, D Dollar Sales
6057 0015 GUG 1 7 2 111006 9366 8015 SH33 7572
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007572 Page 3 of 3 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
VOUCHER NO. WARRANT NO.
Shell Fleet Plus ALLOWED 20
Processing Center IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$937.58
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 65127193110 I 42- 314.00 I $937.58 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
Thursday, October 20, 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))
10/06/11 65127193110 gasoline $937.58
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