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Home My WebLink About206093 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER i CHECK AMOUNT: $440.81 PO BOX 183019 CARMEL, INDIANA 46032 COLUMBUS off 43218 -3019 CHECK NUMBER: 206093 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193202 440.81 065127193202 www.shelitleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 8 065127193202 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 02 -03 -2012 02- 28.2012 28 TELEPHONE: 1- 800. 377-5150 FAX: 1315- 226-0U45 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 440.81 .00 718.13 23.76 CR 00 1,135.18 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 02 -28 -2012 Did you know? There may be a quick (and simple) way to bring your account up to date. Your tax refund can help make it happen. Many customers have resolved overdue amounts by using their tax refund money. It's simple and convenient. If you're not expecting a refund, we may have payment options available. Call 1- 866 -532 -9505 today, and together, we'll come up with a solution that is right for you. Card TRANSAC ION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0001 01 -10 07:58 0225631 1230 S RANGELINE RD CARMEL IN 14.371 8 UNL 2.63 50.00/ 14.371 GAL UNLEADED $50.00 TOTAL CARD 0001 14.371 2.63 50.00 0014 01 -11 17:57 0237297 1230 S RANGELINE RD CARMEL IN 13.411 8 UNL 2.45 46.55 13.411 GAL UNLEADED S46.55 0014 01 -25 18:21 0943936 10598 N COLLEGE AVE INDIANAPOLIS IN 13.441 8 UNL 2.46 4100 13.441 GAL UNLEADED S43.00 TOTAL CARD 0014 26.852 4.91 89.55 0018 01 -10 0746 0484717 1821 E 151 ST ST CARMEL IN 15.940 8 UNP 2.92 57.21 15.940 GAL UNL PLUS $57.21 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 0007 GUG 1 7 2 120203 D 9366 8015 SH33 4878 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0004878 Page 1 of 2 FLET2GUG Z 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 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 SHELL CARD CENTER 065 127 -193 8 065127193202 P.O. Box 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 02 -03 -2012 02 -28 -2012 28 TELEPHONE: 1-800- 377 -5150 FAX: 1 -515- 226 -4045 Card TRANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION OUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0018 01-20 2123 0603241 1821 E 151ST ST CARMEL IN 16.261 8 UNL 2.98 5316 16.261 GAL UNLEADED $53.16 TOTAL CARD 0018 32.201 5.90 110.37 0024 01-12 14:45 0244236 1230 S RANGELINE RD CARMEL IN 22.273 8 UNL 4.08 76.60 22.273 GAL UNLEADED $76.60 TOTAL CARD 0024 22.273 4.08 76.60 0029 01 -14 03:50 0150458 8924 E 116TH ST FISHERS IN 16.862 8 UNL 3.09 57.82 16.862 GAL UNLEADED S57.82 0029 01 -19 15:53 0295782 1230 S RANGELINE RD CARMEL IN 17.221 8 UNL 3.15 56.471 17.221 GAL UNLEADED S56.47 TOTAL CARD 0029 34.083 6.24 114.29 GRAND TOTAL 129.780 23.76 440.81 kx FEDERAL EXCISE TAX 129.7 GALLONS GASOLINE 23.76 OR OVERSIGHT IN PUTTING YOUR PAYMENT IN THE MAIL? CALL 1 -888- 304 -5075 TO PAY BY CHECK OVER THE PHONE 24 HOURS A DAY. HAVE YOUR CHECKBOOK READY WHEN YOU CALL. 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 0007 GUG 1 7 2 120203 D 9366 8015 SH33 4878 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0004878 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 VOUCHER NO. WARRANT NO. Shelf Fleet Plus ALLOWED 20 Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 3n1A ON ACC( FOR Car PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 1110 I 65127193202 i 42 314.00 f $440.81 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 Friday, February 10, 2012 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)) 02/03/12 65127193202 gasoline $440.81 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 1 20 Clerk Treasurer