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Home My WebLink About203745 11/21/2011 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: $1,104.47 oN COLUMBUS OH 43218 -3019 CHECK NUMBER: 203745 CHECK DATE: 11/21/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193111 1,104.47 065 127 -193 www.sheliffeeteard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 24 065127193111 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 11-04 -2011 11-29-2011 29 TELEPHONE: 1- 800.377 -5150 FAX: 1 -515- 226 -4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 1,184.36 .00 937.58 1,017.47 CR .00 1,104.47 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 11 -29 -2011 CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT 10 -28 PAYMENT THANK YOU 937.58 CR 11 -04 DISCOUNT 16.82 CR 0001 10 -29 17:46 0298141 633 W MAIN SR 32 WESTFIELD IN 4.660 8 UNL 0.85 16.08 4.660 GAL UNLEADED $16.08 TOTAL CARD 0001 4.660 0.85 16.08 0004 10 -10 0756 0415414 8924 E 116TH ST FISHERS IN 14.662 8 UNL 2.68 49.56 14.662 GAL UNLEADED $49.56 0004 10 -15 1154 0627505 1230 S RANGELINE RD CARMEL IN 15.430 8 UNL 2.82 54.64 15.430 GAL UNLEADED $54.64 0004 10 -24 19:27 0796177 11601 ALLISONVILLE RD FISHERS IN 14.891 8 UNL 2.73 48.83 14.891 GAL UNLEADED $48.83 TOTAL CARD 0004 44.983 8.23 153.03 0006 10.08 17:11 0757492 9611:ALLISONVILLE RD INDIANAPOLIS IN 23.842 8 UNL 4.36 81.04 23.842 GAL UNLEADED 581.04 TOTAL CARD 0006 23.842 4.36 81.04 0007 10 -16 1349 0315713 10598 N COLLEGE AVE INDIANAPOLIS IN 14.413 8 UNL 2.64 51.01' 14.413 GAL UNLEADED SS1.01 0007 10 -26 1813 0321059 4333 STATE RD 26 E LAFAYETTE IN 15.763 8 UNL 2.88 55.00 15.763 GAL UNLEADED $55.00 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 0008 GUG l 7 2 111104 9366 8015 SH33 9618 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMAT PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0009618 Pape 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 verity 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 24 065127193111 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 11 -04 -2011 11 -29 -2011 29 TELEPHONE: 1- 800-377-5150 FAX: 1 -515- 226.4045 CARD TRANs4cnou TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0007 30.176 5.52 106.01 0009 10 -24 1049 0685735 1230 S RANGELINE RD CARMEL IN 13.310 8 UNL 2.44 44.47 13.310 GAL UNLEADED 544.47 0009 10 -28 13:15 0509471 9510 E 126TH ST FISHERS IN 9.482 8 UNL 1.74 33.17 9.482 GAL UNLEADED $33.17 TOTAL CARD 0009 22.792 4.18 77.64 0011 10 -06 16:01 0560623 1230 S RANGELINE RD CARMEL IN 7.350 8 UNL 1.35 25.00 7.350 GAL UNLEADED $25.00 TOTAL CARD 0011 7.350 1.35 25.00 0013 10 -29 12:15 0563353 8924 E 116TH ST FISHERS IN 6.561 8 UNL 1.20 22.90 6.561 GAL UNLEADED S22.90 TOTAL CARD 0013 6.561 1.20 22.90 0014 11 -03 18:47 0761528 1230 S RANGELINE RD CARMEL IN 13.231 8 UNL 2.42 45.00 13.231 GAL UNLEADED $45.00 TOTAL CARD 0014 13.231 2.42 45.00 0016 10 -26 16:42 0703678 1^230 S RANGELINE RD CARMEL IN 15.441 8 UNL 2.83 50.94 15.441 GAL UNLEADED $50.94 TOTAL CARD 0016 15.441 2.83 50.94 0022 10 -09 11:56 0356998 1821 E 151ST ST CARMEL IN 17.574 8 UNL 3.22 57.96 17.574 GAL UNLEADED SS7.96 0022 10 -14 12:23 0705558 3748 N HIGH SCHOOL RD INDIANAPOLIS IN 17.141 8 UNP 3.14 63.08 17.141 GAL UNL PLUS $63.08 TOTAL CARD 0022 34.715 6.36 121.04 0023 10 -08 17:52 0802413 7303 RICHMOND HWY ALEXANDRIA VA 12.031 8 UNL 2.20 41.64 12.031 GAL UNLEADED $41.64 0023 10 -16 10.58 0578617 1056 COURTHOUSE RD. STAFFORD VA 13.442 8 UNL 2.46 46.51 13.442 GAL UNLEADED $46.51 TOTAL CARD 0023 25.473 4.66 88.15 0028 10 -19 18:09 0475079 1821 E 151ST ST CARMEL IN 13.181 8 UNL 2.41 46.15 13.181 GAL UNLEADED S46.15 0028 10 -21 20.45 0500843 1821 E 151 ST ST CARMEL IN 15.481 8 UNL 2.83 53.41 15.481 GAL UNLEADED S53.41 0028 11 -03 07:14 0640953 1821 E 151 ST ST CARMEL IN 15.924 8 UNL 2.91 54.62 15.924 GAL UNLEADED S54.62 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 0008 GUG 1 7 2 111104 9366 8015 SH33 9618 N SEE REVERSE SIDE FOR IMPORTANT I NFORMATION P LEASE KEEP THIS PORTION FOR YOUR RECORDS 0009618 Page 2 of 4 FLET2GUG I www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 24 065127193111 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 11 -04 -2011 11 -29 -2011 29 TELEPHONE: 1 -800.377 -5150 FAX: 1- 515.226.4045 CARD IBANSACIIQN TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION NUMBER DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0028 44.586 8.15 154.18 0029 10 -21 22:59 0611848 808 W MAIN ST CARMEL IN 17.563 8 UNL 3.21 60.56 17.563 GAL UNLEADED $60.56 0029 10 -29 11:52 0585497 1821 E 151ST ST CARMEL IN 17.531 8 UNL 3.21 60.64 17.531 GAL UNLEADED $60.64 TOTAL CARD 0029 35.094 6.42 121.20 0030 10 -28 12:42 0773416 7788 E 96TH ST FISHERS IN 15.531 8 UNL 2.84 54.36 15.531 GAL UNLEADED 554.36 TOTAL CARD 0030 15.531 2.84 54.36 0032 10 -25 19:09 0687004 1900 N WESTERN AVE LAFAYETTE IN 20.241 9 UNL 3.70 G7.79 20.241 GAL UNLEADED 567.79 TOTAL CARD 0032 20.241 3.70 67.79 GRAND TOTAL 344.676 63.07 1,184.36 FEDERAL EXCISE TAX 344.6 GALLONS GASOLINE 63.07 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 0008 GUG 1 7 2 111104 9366 8015 SH33 9618 NOTICE: SEE REVERSE SIDE FOR !MPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0009618 Page 3 of 4 FLET2GUG www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INOUIRIES TO: 065 127 -193 24 065127193111 SHELL CARD CENTER P -O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 11 -04 -11 11 -29 -11 29 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 SALES AMOUNT PROGRAM TAX40002 D ALL FUELS 1,184.36 16.82 SUB -TOTAL 16.62 TOTAL 16.82 TOTAL DISCOUNT 16.82 DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales 6057 0008 GUG 1 7 2 111104 9366 8015 S1433 9618 N OTIC E: S EE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0009618 Page 4 of 4 FLET2GUG VOUCHER NO. WARRANT NO. Shell Fleet Plus ALLOWED 20 Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $1,104.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO Dept. INVOICE NO. ACCT #£TITLE AMOUNT Board Members _111 1 65127193111 I 42- 314.00 $1,104.47 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 Wednesday, November 16, 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 [nvoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/04/11 65127193111 monthly payment $1,104.47 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