205767 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
CHECK AMOUNT: $718.13
CARMEL, INDIANA 46032 PO BOX 183019
ty o. zo COLUMBUS OH 43218 -3019 CHECK NUMBER: 205767
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193201 718.13 GASOLINE
i
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 18 065127193201 SHELL CARD CENTER
P.O. BOX 669081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
01 -06 -2012 01 -31 -2012 31 TELEPHONE: 1. 800377 -5150
FAX: 1 =515- 226 -4045•
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
760.67 .00 549.23 591.77 CR 00 718.13
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 01 -31 -2012
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
12 -22 PAYMENT THANK YOU 549.23 CR
i
0002 12 -16 1354 0804864 8904 CENTREVILLE RD MANASSAS VA 6.910 8 UNL 1.26 21.97✓
6.910 GAL UNLEADED $21.97
TOTAL CARD 0002 6.910 1.26 21.97
0003 12 -09 0914 0135608 17250 DUMFRIES RD DUNFRIES VA 13.501 8 UNL 2.47 44.00
13.501 GAL UNLEADED $44.00
0003 12 -15 11:30 0164772 17250 DUMFRIES RD DUNFRIES VA 10.802 8 UNL 1.98 35.00
10.802 GAL UNLEADED $35.00
0003 12 -17 1050 0234104 2835 WASHINGTON BLVD ARLINGTON VA 12.082 8 UNL 2.21 39.39
12.082 GAL UNLEADED 539.39
0003 12 -17 1758 0796664 2550 E PIKE ZANESVILLE OH 9.000 8 UNL 1.65 28.80
9.000 GAL UNLEADED 528.80
0003 12 -17 2044 0012047 5884S WILBUR WRIGHT RD STRAUGIAN IN 11.042 8 UNL 2.02 36.00
11.042 GAL UNLEADED $36.00
0003 12 -23 0941 0371005 1035 W SR 42 BRAZIL IN 13.362 8 UNL 2.45 42.76
13.362 GAL UNLEADED $42.76
TOTAL CARD 0003 69.789 12.78 225.95
0009 12 -18 1252 0029470 2224 N 600 WEST GREENFIELID IN 8.920 8 UNL 1.63 28:18
8.920 GAL UNLEADED $28.18
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 120106 9366 8015 SH33 4932
NOTICE: SEE REVERSE SIDE FOR IMPONTANT INI ORMIA i ON PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0004932 Page 1 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
daysa 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. 127.193 18 065127193201
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
01 -06 -2012 01 -31 -2012 31 TELEPHONE: 1- 800-377-5150
FAX: 1.515- 226 -4045
CARD TRANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
TOTAL CARD 0009 8.920 1.63 28.18
0014 12 -14 1733 0052514 1230 S RANGELINE RD CARMEL IN 13.932 8 UNL 2.55 45.70
13.932 GAL UNLEADED $45.70
TOTAL CARD 0014 13.932 2.55 45.70
0016 12 -18 13:12 0141739 9510 E 126TH ST FISHERS IN 10.522 8 UNL 1.93 32.63
10.522 GAL UNLEADED $32.63
TOTAL CARD 0016 10.522 1.93 32.63
0018 12 -09 12:19 0130799 1821 E 151 ST ST CARMEL IN 14.842 8 UNL 2.72 51.34
14.842 GAL UNLEADED $51.34
0018 12 -16 15:51 0212597 1821 E 151ST ST CARMMEL IN 16.60'2 8 UNL 104 53.11
16.602 GAL UNLEADED $53.11
0018 12 -25 1226 0593863 633 W MAIN SR 32 WESTFIELD IN 15.764 8 UNL 2.88 53.11
15.764 GAL UNLEADED $53.11
TOTAL CARD 0018 47.208 8.64 157.56
0029 12 -11 0909 0524801 633W MAIN SR 32 WES FFIELD IN 16.781 8 UNL 3.07 57.04
16.781 GAL UNLEADED $57.04
0029 12 -16 23:02 0218784 1821 E 151ST ST CARMEL IN 17.543 8 UNL 3.21 56.14
17.543 GAL UNLEADED $56.14
TOTAL CARD 0029 34.324 6.28 113.18 7
0030 12 -11 0908 0048447 9510 E 126TH ST FISHERS IN 15203 8 UNL 2.78 51.51 V
15.203 GAL UNLEADED $51.51
0030 12 -21 11:01 0215756 7788 E 96TH ST FISHERS IN 10.551 8 UNL 1.93 32.91
10.551 GAL UNLEADED $32.91
0030 01 -02 19:51 0321505 9510 E 126TH ST FISHERS IN 15.072 8 UNL 2.76 51.08✓
15.072 GAL UNLEADED S51.08
TOTAL CARD 0030 40.826 7.47 135.50
GRAND TOTAL 232.431 42.54 760.67
FEDERAL EXCISE TAX
232.4 GALLONS GASOLINE 42.54 CR
TOTAL 'FINANCE CHARGE' BILLED IN 2011 $0.00
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
6057 0015 GUG 1 7 2 120106 9366 8015 SH33 4932
NO TICE: SE E REV S F OP. R APORTANT IN PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0004932 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 verify your identity.
This Account is Issued by Citibank, N.A.
PLOCOMM Rev 07/11
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))
01/06/12 65127193201 gasoline $718.13
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
$718.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 65127193201 I 42- 314.00 I $718.13 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
Thursda anuary 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
d
Circle K
SALES RECEIPT
57 442. 112287
SHELL
1551 NORTH ILLINOIS
INDIANAPOLIS
SIN 46202
DATE12 /28/11 4:20PN
,INVOICE# 596130
AUTH# 828205
SHELL FLT
ACCOUNT NUMBER
B G ENTERPRISES
'PUMP PRODUCT $/G
07 UNLD $3.359
GALLONS FUEL TOTAL
16.676 56.01
1TOTAL SALE 56.01
_Save 10cents /gal
instantly at Shell
when you earn 100
points at Kroger -Jas
C.
Pick up a brochure
at your local Shell
for more details.
Thank You?
Come Again?
WELCOME
SALES RECEIPT
57 442 110102
SHELL
12:30 SOUTH RANGEL INI
CiiRMEL
IPII 46032
DiaTE12/31/11 8:51PP
INIVOICE## 167262
AIJITH## 031740
SHELL FLT
ACCOUNT NUMBER
PUMP PRODUCT $/G
1.2 UNLD $3.499
GALLONS FUEL TO "fAI
X1.4.103 49.3!
TOTAL SALE 49.3!
THANK YOU
COME BACK SOON
Circle K
SALES RECEIPT'
57 442 119201
SHELL
9510 EAST 126TH STRE
FISHERS
IN 46038
DATE12/22/11 4:53PM
INVOICE# 198168
RUTH# 801831
SHELL FLT
ACG.OUNT NUMBER
B G ENTERPRISES
PUMP PRODUCT */G t
08 UNLD $3.369
GALLONS FUEL TOTAL'
7.996 26.94
TOTAL SALE 26.94
Thank You*
Come Again*
M,v -/,)n
4�XY
WELCOME
SALES RECEIPT
57 442 111981
SHELL
8924 EAST 116TH STRE
FISHERS
IN 46938
DATE12/14/11 7:17PM
INVOICE# 918599
AUTH# 914997
SHELL FLT
ACCOUNT NUMBER
PUMP PRODUCT $/G
94 UNLD $3.269
GALLONS FUEL TOTAL
13.463 44.81
TOTAL SALE 44.91
THANK YOU
COME BACK SOON
WELCOME
SALES RECEIPT
57 442 110102
SWELL
le ?.30 SOUTH RANGEL ENE
CARMEL
IN 46032
DATE12 /06/11 3:10Pa
INVOICE* 993477
RUTH# 006449
SHELL FLT
ACCOUNT NUMBER
PUMP PRODUCT /IG
12 UNLD $3.139
GALLONS FUEL TOTAL
]1.2 518 40.8t
TOTAL SALE 40.0E
THANK YOU
COME BACK SOON
WELCOME
SALES RECEIPT
57 442 111601
SHELL
3924 EAST 116TH STRE
ZISHERS
IN 46038
DATE12/09/11 10:59AM
INVOICE# 876409
IUTH# 009894
SHELL FLT
ACCOUNT NUMBER
PUMP PRODUCT $/G
09 UNLD $3.459
GALLONS FUEL TOTAL
5.716 19.77
TOTAL SALE 19.77
THANK YOU
COME BACK SOON
Circle- K
SALES RECEIPT
57 442 111299
SHELL
7788 EAST 96TH STREE
FISHERS
IN 46638
DATE12/22/11 9:49AM
INVOICE# 224972
RUTH# 922162
SHELL FLT
ACCOUNT NUMBER
PUMP PRODUCT $/G
91 UNLD $3.399
GALLONS FUEL TOTAL
8.827 39.99.
TOTAL SALE 36.99
Thank You?
Come Again?
Circle K
SALES RECEIPT
57 442 111188
SHELL
11681 ALLISONVILLE R
FISHERS
IN 46838
DATE12 /23/11 4:46PM
INVOICE# 317834
RUTH# 823111
SHELL FLT
ACCOUNT NUMBER
B G ENTERPRISES
PUMP PRODUCT $/G
15 UNLD $3.369'.
GALLONS FUEL TOTAL'
15.-349 51.71
TOTAL SALE 51.71
Save 18cents /ga;l
instantly at Shell_
when you earn 188
points at Kroger -Jaya
C.
Pick up a brochure
at your local Shell
for more details.
Thank You*
Come Again*
1'� vv
SHELL 57442114588
5628 E 62ND ST
INDIANAPOLIS IN
46228
12/87/2811 85;85;46 PM 744156353
SHELL FLT
INVOICE 848291
RUTH 887571
PUMP# 6
REGULAR 2,895G
PRICE /CAL 3,459
FUEL TOTAL 16.81
Subtotal 8 18.81
Tax 8.88
Total 18,81
CREDIT 18.81
Save 18cents /gal instantly at Shell when
you earn 188 points at Kroger-Jay C,
Pick up a brochure at your local Shell
For more details,
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Thank You
for shopping at
Circle K
SHELL 57 442 110300
3748 NORTH HIGH SCHOOL SIL0822
INDIANAPOLIS IN 46224
DUPLICATE RECEIPT
DATI:12 /16/11 9:51AN1
INVOICE# 928119
AUTH# 016362
SHELL FLT
ACCOUNT NUMBER
B G ENTERPRISES
PUMP PRODUCT $/G
08 MIDI $3.409
FUEL TOTAL;
15.34
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