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Home My WebLink About206094 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER i CHECK AMOUNT: $620.46 �io CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218 -3019 CHECK NUMBER: 206094 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116202 620.46 065 129 -116 www. shellfleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES SHELL CARD CENTER 065.129 -116 14 065129116202 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 02.03 -2012 02 -28 -2012 28 TELEPHONE: 1- 800.3773150 FAX: 1 -515- 726.4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 620.46 .00 621.73''- 33.52 OR .00 1,208.67 A 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 ION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0001 01 -27 12:17 0672691 1821 E 151ST ST CARMEL IN 11.052 8 UNL 2.02 38.23 11.052 GAL UNLEADED $38.23 0001 01 -30 21:41 0110585 1230 WEST SR 32 LEBANON IN 14.083 8 UNL 2.58 47.73 14.083 GAL UNLEADED 547.73 0001 02 -02 1109 0731315 1821 E 151ST ST CARMEL IN 6.020 8 UNL 110 20.00 6.020 GAL UNLEADED 520.00 TOTAL CARD 0001 31.155 5.70 105.96 0002 01 -19 05:21 0504704 9510 E 126TH ST FISHERS IN 24.783 8 UNL 4.54 83.00✓ 24.783 GAL UNLEADED $83.00 0002 01 -24 12:28 0327270 1230 S RANGELINE RD CARMEL IN 25240 8 UNL 4.62 80.77 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 4879 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z l z 0004379 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 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 i 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: e Enclose a valid check or money order. No cash or foreign currency please. e 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 CENTE 065 129 -116 14 065129116202 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 02 -03 -2012 02 -28 -2012 28 TELEPHONE: 1- 600 -377-5150 FAX: 1-515- 226 -4045 Card TRANS TRANSACTION LOCATION/ DESCRIP1ION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 25.240 GAL UNLEADED $80.77 0002 01 -30 18:29 0706473 1821 E 151 ST ST CARMEL IN 23.902 8 UNL 4.37 82.20 23.902 GAL UNLEADED $82.20 TOTAL CARD 0002 73.925 13.53 245.97 0006 01 -06 08:39 0131755 2108 N EMERSON AVE INDIANAPOLIS IN 11.461 8 UNL 2.10 40.79✓ 11.461 GAL UNLEADED $40.79 0006 01 -09 14:01 0440925 2434 N KEYSTONE AVE INDIANAPOLIS IN 15.723 8 SUP 2.88 55.00' f 15.723 GAL SUPER $55.00 0006 01 -13 09:18 0188854 2108 N EMERSON AVE INDIANAPOLIS IN 10.390 8 UNL 1.90 38.02✓ 10.390 GAL UNLEADED $38.02 0006 01 -14 22:08 0409953 7788 E 96TH ST FISHERS IN 4.190 8 UNL 0.77 14.00 J/ 4.190 GAL UNLEADED $14.00 0006 01 -25 16:58 0089169 2040 E WASHINGTON INDIANAPOLIS IN 12.203 8 UNL 223 38.66 12.203 GAL UNLEADED $38.66 0006 01 -27 1421 0093799 2040 E WASHINGTON INDIANAPOLIS IN 3.530 8 UNL 0.65 12.02✓ 3.530 GAL UNLEADED S12.02 0006 01 -29 1706 0538256 7788 E 96TH ST FISHERS IN 9.540 8 UNL 1.75 3100'✓ 9.540 GAL UNLEADED $33.00 TOTAL CARD 0006 67.037 12.26 231.49 0014 02 -02 1109 0673137 8190 ALLISONVILLE RD INDIANAPOLIS IN 10.991 8 UNL 2.01 37.04 10.991 GAL UNLEADED $37.04 TOTAL CARD 0014 10.991 2.01 37.04 GRAND TOTAL 183.108 33.52 620.46 FEDERAL EXCISE TAX 183.1 GALLONS GASOLINE 33.52 CR 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 4879 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS I Z 0004879 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. a 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 07111 VOUCHER NO, WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $620.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 I 65129116202 I 42- 314.00 I $620.46 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 Fr February 10, 2012 J" 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 65129116202 gasoline $620.46 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