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Home My WebLink About202892 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 0 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CARMEL INDIANA 46032 PO BOX 183019 CHECK AMOUNT: $866.21 COLUMBUS OH 43218 -3019 CHECK NUMBER: 202892 CHECK DATE: 10/25/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116110 866.21 065 129 -116 www. shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES SHELL CARD CENTER 065 129 -116 17 065129116110 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 915.15 .00 537.75 586.69 OR .00. 866.21 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 10 -31 -2011 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 09 -30 PAYMENT THANK YOU 537.75 CR 0003 09 -15 20:09 0223792 8924 E 116TH ST FISHERS IN 21.473 8 UNL 3.93 76.21 21.473 GAL UNLEADED $76.21 0003 09 -16 1118 0712430 8659 S STATE ST CHICAGO IL 11.441 8 UNL 2.09 46.90 11.441 GAL UNLEADED $46.90 0003 10 -02 14:28 0754085 2224 N 600 WEST GREENFIELD IN 16.443 8 UNL 101 52.29 16.443 GAL UNLEADED S52.29 TOTAL CARD 0003 49.357 9.03 175.40 xx 0006 09 -11 0924 0575480 9599 N MERIDIAN ST INDIANAPOLIS IN 19.002 8 UNL 3.48 73.14 19.002 GAL UNLEADED $73.14 0006 09 -18 09:06 0462739 808 W MAIN ST CARMEL IN 17.963 8 UNL 3.29 64.49 17.963 GAL UNLEADED $64.49 xx TOTAL CARD 0006 36.965 6.77 137.63 0007 09 -12 1329 0380014 1230 S RANGELINE RD CARMEL IN 12.432 8 UNL 2.28 48.00%/ 12.432 GAL UNLEADED $48.00 0007 09 -29 17:48 0485441 5020 E 62ND ST INDIANAPOLIS IN 22.760 8 UNL 4.17 74.20 22.760 GAL UNLEADED $74.20 xx TOTAL CARD 0007 35.192 6.45 122.20 0009 09 -14 15.28 0306399 6998 E 21ST ST INDIANAPOLIS IN 6.190 8 UNL 1.13 22.00 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% 0.00% 0.00 .00 6057 0015 GUG 1 7 2 111006 9366 8015 SH33 4934 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004934 Page 1 of 2 FLET2GUG 1n:n, r„ c,n Your Accouni 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: SHELL CARD CENTER 065- 129 -116 17 065129116110 P.O. BOX 689001 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 9081 10 06 2011 10 31 2011 31 TELEPHONE: 1 800 5150 FAX: 1 -515- 226.4045 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 6.190 GAL UNLEADED $22.00 0009 09 -15 1239 0832931 2040 E WASHINGTON INDIANAPOLIS IN 12.672 8 UNL 2.32 45.00 12.672 GAL UNLEADED $45.00 0009 09 -16 2020 0417527 5020 E 62ND ST INDIANAPOLIS IN 7.541 8 UNL 1.38 27.00 V 7.541 GAL UNLEADED $27.00 0009 09 -29 15:40 0341958 800 NORTH US 31 GREENWOOD IN 14.430 8 UNL 2.64 45.47 14.430 GAL UNLEADED 545.47 0009 10 -04 1011 0870907 2040 E WASHINGTON INDIANAPOLIS IN 10.042 8 UNL 1.84 31.02 10.042 GAL UNLEADED 531.02 0009 10 -05 16:18 0608596 8598 N MIGHIGAN RD INDIANAPOLIS IN 11.771 8 UNL 2.15 40.01•1// 11.771 GAL UNLEADED $40.01 TOTAL CARD 0009 62.646 11.46 210.50 0010 09 -16 1455 0998443 9510 E 126TH ST FISHERS IN 16.904 8 UNL 3.09 60.01 16.904 GAL UNLEADED $60.01 0010 09 -30 0637 0051029 2166 E HADLEY PLAINFIELD IN 20.501 8 UNL 3.75 65.40 20.501 GAL UNLEADED $65.40 0010 10 -02 14:23 0548982 692 S STATE RD 135 GREENWOOD IN 25.167 8 UNL 4.61 79.00 25.167 GAL UNLEADED $79.00 0010 10 -05 1933 0162933 633 W MAIN SR 32 WES FFIELD IN 20.644 8 UNL 3.78 65.01 20.644 GAL UNLEADED 565.01 TOTAL CARD 0010 83.216 15.23 269.42 GRAND TOTAL 267.376 48.94 915.15 FEDERAL EXCISE TAX 267.3 GALLONS GASOLINE 48.94 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 4934 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0004934 Page 2 of 2 FLET2GUG uour A,ccoun, Report a Lost or Stolen Card Immediately: Our Customer Service Representat 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 enve 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 statemert Proper Form. For a payment sent by mail or coy ri �r Io be ir proper form, you must Enclose a valid check or money order No c.rst, 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 Servic 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 tirre. 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 0711 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 65129116110 gasoline $866.21 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 VOUCHER NO. WARRANT N ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $866.21 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 I 65129116110 I 42- 314.00 I $866.21 1 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