HomeMy WebLinkAbout179545 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $1,748.50
CARMEL, INDIANA 46032 PO BOX 183019
COLUMBUS OH 43218 -3019
CHECK NUMBER: 179545
CHECK DATE: 11/2412009
DEPARTMENT ACC PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193911 778.28 GASOLINE
'1110 4231400 65129116911 970.22 GASOLINE
www.ss leiifteetcard.accountonline.com
ACCOUNTNUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 -127 -193 22 065127193911 SHELL CARD CENTER
P.O. 80Y 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
11 -03 -2009 11 -28 -2009 29 TELEPHONE: 1-800-377-5150
FAX: 1 -515- 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE T PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
835.94 .00 704.25 761.91 OR 00 778.28
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 11 -28 -2009
CARD TRAN %CTION TRANS TRANSACTION LOCATION! DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
10 -30 PAYMENT THANK YOU 704.25 CR
0002 10 -14 17:09 0553065 1821 E 151ST ST CARMEL IN 14.032 8 UNL 2 -57 3410
14.032 GAL UNLEADED $34.10
0002 10 -19 17:53 0597898 1821 E 151ST ST CARMEL IN 12143 8 UNL 2.22 30.70
12.143 GAL UNLEADED $30.70
0002 10 -26 08:17 0652958 1821 E 15ISI STCARMEL IN 12.734 8 UNL 2.33 34.00
12.734 GAL UNLEADED S34.00
0002 10 -29 10:14 0433466 1230 S RANGELINE RD CARMEL IN 12,860 8 UNL 2.35 36.01
12.860 GAL UNLEADED S36.01
0002 11 -02 17:24 0465195 1230 S RANGELINE RD CARMEL IN 14.773 8 UNL 2.70 41,35
14.773 GAL UNLEADED 541.35
TOTAL CARD 0002 66.542 12.17 176.16
0005 10 -23 1505 0394411 1230 S RANGELINE RD CARMEL IN 13.534 8 UNL 2.48 36.53
13.534 GAL UNLEADED 536.53
TOTAL CARD 0005 13.534 2.48 36.59
0007 10 -09 21'45 0297788 1230 S HANGELINE RD CARMEL IN 13.414 8 UNL 2.45 33.51
13.414 GAL UNLEADED $33.51
0007 10-21 1548 0379321 1230 S RANGELINE RD CARMEL IN 13.713 8 IJNL 2.51 37.00
13.713 GAL UNLEADED 537.00
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% 000% 0.00 .00
6057 0026 GUG 1 7 2 091103 9366 8015 SH26 7971
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007971 Page 1 013 FLET260G
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.
Note: Your account is owned and serviced by Citibank (South Dakota), N.A.
PLOCOMM Rev 06108
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ACCOUNTNUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065 127 193 22 065127193911 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
11-03-2009 11 -28 -2009 29 TELEPHONE: 1-800- 3773150
FAX: 1 -515- 226 -0045
CARD A TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
xx
TOTAL CARD 0007 27.127 4.96 70.51
0011 10.07 17.29 0010454 633 W MAIN SR 32 WESTFIELD IN 6.350 8 UNL 1.16 15.00
6.350 GAL UNLEADED $15.00
TOTAL CARD 0011 6.350 1.16 15.00
0016 10.10 12:03 0424903 9510 E 126TH ST FISHERS IN 15.740 8 UNL 2.88 39.35 x
15.740 GAL UNLEADED $39.35
0016 10 -17 1806 0486373 9510 E 126TH ST FISHERS IN 15.526 8 UNL 2.84 39.11,
15.526 GAL UNLEADED S39.11
0016 10 -25 1800 0229351 7788 E 96TH ST FISHERS IN 15.205 8 UNL "2.78 40.72
15.205 GAL UNLEADED $40.72
0016 11 -01 11:54 0603274 9510 E 126TH ST FISHERS IN 13.133 8 UNL 2.40 35.84,
13.133 GAL UNLEADED $35.84
TOTAL CARD 0016 59.604 10.90 155.02 x
0018 11 -01 1802 0077610 47381 FIVE MILE RD PLYMOUTH MI 11501 8 UNL 2.47 37.25
13.501 GAL UNLEADED 537.25
TOTAL CARD 0018 13.501 2.47 37.25 xx
0021 10 -27 16:04 0796094 2166 E HADLEY PLAINFIELD IN 13.313 8 UNL 2.44 37.25
13.313 GAL UNLEADED S37.25
0021 10 -28 08:54 0798066 2166 E HADLEY PLAINFIELD IN 27.522 8 UNL 504 76.76
27.522 GAL UNLEADED 576.76
TOTAL CARD 0021 40.835 7.48 114.01
0022' 11 -01 0957 0139535 633 W MAIN SR 32 WESTFIELD IN 15.580 8 UNL 2.85 42.69„//
15.580 GAL UNLEADED $42.69
TOTAL CARD 0022 15.580 2.85 42.69 xx
0023 10.26 1936 0637652 8225 GUNS] ON CORNER LORTON VA 13.870 8 UNL 2.54 37.45
13.870 GAL UNLEADED $37.45
TOTAL CARD 0023 13.870 2.54 37.45
0025 W -20 14:25 0790204 4221 S EMERSON AVE INDIANAPOLIS IN 16.481 8 UNL 3.02 44.50
16.481 GAL UNLEADED $44.50
TOTAL CARD 0025 16.481 3.02 44.50 xx
0028 10 -07 1421 0494476 1821 E 151ST ST CARMEL IN 15.510 8 UNI- 2.84 36.90
15.510 GAL UNLEADED 536.90
0028 10 -15 1447 0034207 1136N STATE GREENFIELD IN 10.243 1 UNL 1.87 25.20
10.243 GAL UNLEADED $25.20
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 0026 GUG 1 7 2 091103 9366 8015 SH26 7971
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007971 Page 2 of 3 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND I TO:
SHELL CA RD C E NT ER
ER
065 127 193 22 065127193911 P.O. BOX 689081
CLOSING DATE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
11 2009 28 2009 29 TELEPHONE: 1300-377.5150
FAX: 1-515.226 -4045
CARD TRANSACTIONI TRANS TRANSACTION LOCATION DESCRIPTION OUANTII'Y MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0028 10 -27 1804 0665398 1821 E 151STSTCARMEL IN 15.971 8 UNL 292 44.72
15.971 GAL UNLEADED $44.72
TOTAL CARD 0028 41.724 7.63 106.82 :x
GRAND TOTAL 315.148 57.66 835.94
FEDERAL EXCISE TAX
315.1 GALLONS GASOLINE 57.66 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 0026 GUS 1 7 2 091103 9366 8015 SH26 7971
N SEE REV SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007971 Page 3 of 3 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065 -129 -116 27 065129116911
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES. IA 50368 -9081
11- 03.2009 11- 28-2009 29 TELEPHONE: 1- 800 -377 -5150
FAX: 1 -515- 226.4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,061.59 .00 48423 575.60 CR .00 970.22
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 11 -28 -2009
CARD TR.ANaA-r.TIQN TRANS MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID TRANSACTION LOCATION (DESCRIPTION QUANTITY CD CD TAX AMOUNT
10 -30 PAYMENT THANK YOU 484.23 CA
11 -03 DISCOUNT 14,78 CA
DOW 10 -05 11:10 0265843 1230 S RANGELINE RD CARMEL IN 16.054 8 UNL 2.94 37.39 J
16.054 GAL UNLEADED 537.39
0003 10 -10 18:14 0622779 2224 N 600 WEST GREENFIELD IN 14.800 8 UNL 2.71 37 00✓
14.800 GAL UNLEADED 537.00 J/
0003 10 -11 1939 0291500 201 N E 5TH WASHINGTON IN 14.985 8 UNI. 2.74 35.95./
14.985 GAL UNLEADED 535.95
0003 10 -14 1012 0635151 2224N60OWESTGREENFIELD IN 15.772 8 UNL 289 38.80/
15.772 GAL UNLEADED S38180
0003 10 -19 1638 0364927 1230 S RANGELINE RD CARMEL IN 16.803 8 UNL 207 4300
16.803 GAL UNLEADED 543.00
0003 10 -24 1145 0673251 2224 N 600 WEST GREENFIELD IN 13.373 8 UNL 2,45 35.84
13.373 GAL UNLEADED 535.84
0003 10 -28 10.07 0266999 8924 F 116TH ST FISHERS IN 15.923 8 UNL 2,91 44.57
15.923 GAL UNLEADED 544.57
TOTAL CARD 0003 107.710 19.71 272.55 7
0004 10 -17 1405 0735712 00 EAST WEST 305 SOUTH KOKOMO IN 23.826 8 UNL 4.36 6121
23.826 GAL UNLEADED 561.21
Message Codes: 1 Electronic Sale with Authorization 4 Electronic Sale without Authorization 8- Electronic Sale at Purnp
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 0026 GUG 1 7 2 091103 9366 8015 SH26 9404
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009404 Page 1 of 4 FLE12GUG
t 4
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ACCOUNTNUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 -129 -116 27 065129116911 HELL CARD iER
P.O. BOX 689081 081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
11-03-2009 11-28-2009 29 TELEPHONE: 1-800- 377 -5150
FAX: 1-515. 226.4045
CARD TRANSACTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0004 10 -20 2135 0608414 1821 E 151ST ST CARMEL IN 15.400 8 UNL 2.82 41.58
15.400 GAL UNLEADED $41.58
0004 10 -23 1336 0885376 2434 N KEYSTONE AVE INDIANAPOLIS IN 14.614 8 UNL 2.67 39.43
14.614 GAL UNLEADED S39.43
0004 10 -27 12:16 0419598 1230 S RANGELINE RD CARMEL IN 14.282 8 UNL 2.61 39.99'
14.282 GAL UNLEADED $39.99
0004 10 -30 16:06 0689356 1821 E 151ST ST CARMEL IN 15.251 8 UNL 2.79 42.40
15.251 GAL UNLEADED S42.40
TOTAL CARD 0004 83.373 15.25 224.61
0006 10.07 1702 0281964 1230 S RANGELINE RD CARMEL IN 23.322 8 UNL 4.27 55.95
23.322 GAL UNLEADED $55.95
0006 10 -14 18:58 0554329 1821 E 151ST Sl CARMEL. IN 18.863 8 UNL 345 45.82
18.863 GAL UNLEADED 545.82
0006 10.19 08:38 0360966 1230 S RANGELINE RD CARMEL IN 20.046 8 UNL 3.67 51.30
20.046 GAL UNLEADED $51.30
TOTAL CARD 0006 62.231 11.39 153.07
0007 10 -05 19:28 0482109 1821 E 151ST ST CARMEL IN 8.333 8 UNL 1.52 20.00✓
8.333 GAL UNLEADED 520.00
0007 10 -07 0926 0295360 7024 N KEYSTONE AVE INDIANAPOLIS IN 18.015 8 UNL 3.30 43.22.
18.015 GAL UNLEADED S43.22
0007 10 -08 1841 0289462 1230 S RANGELINE RD CARMEL IN 16.673 8 UNL 3.05 40.00/
16.673 GAL UNLEADED $40.00
0007 10.12 1737 0781930 9611 ALLISONVILLE RD INDIANAPOLIS IN 14.183 8 UNL 2.60 35.02- 14.183 GAL UNLEADED S35.02
0007 10 -19 1210 0686576 2040E WASHINGTON INDIANAPOLIS IN 18.463 8 UNL 3.38 46.88,/
18.463 GAL UNLEADED S46.88
TOTAL CARD 0007 75.667 13.85 185.12
0009 10 -13 12:04 0553032 4624 LAFAYETTE RD INDIANAPOLIS IN 4.461 8 UNL 0.82 11.02,
4.461 GAL UNLEADED S11.02
0009 10 -14 21:53 0823260 1230 WEST SR 32 LEBANON IN 6.121 8 UNL 1.12 15.07
6.121 GAL UNLEADED S15.07
0009 10 -19 10:25 0535500 9599 N MERIDIAN ST INDIANAPOLIS IN 14.511 8 UNL 2.66 36.57
14.511 GAL UNLEADED $36.57
TOTAL CARD 0009 25.093 4.60 62.66
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 0026 GUG 1 7 2 091103 9366 8015 SH26 9404
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009404 Page 2 of 4 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065- 129 -116 27 065129116911 P.O. BOX 689061
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
11 -03 -2009 11 -28 -2009 29 io TELEPHONE: 1-800- 377 -5150
FAX: 1 -515- 226.4045
CARD TRANSACTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0010 10 -10 0654 0724542 2166E HADLEY PLAINFIELD IN 16.874 8 UNL 3.09 42.00
16.874 GAL UNLEADED $42.00
0010 10 -14 20:04 0822916 1230 WEST SR 32 LEBANON IN 17.486 8 UNL 3.20 43.00
17.486 GAL UNLEADED S43.00
0010 10 -19 10:48 0042143 3748 N HIGH SCHOOL RD INDIANAPOLIS IN 14.025 8 UNL 2.57 35.33►/
14.025 GAL UNLEADED 535.33
0010 10 -20 23:57 0987040 1.65 8 SR 252/1 EDINBURGH IN 16.024 8 UNL 2.93 43.2
16.024 GAL UNLEADED $43.25
TOTAL CARD 0010 64.409 11.79 163.58 xx
xx
GRAND TOTAL 418.483 76.59 1,061.59
FEDERAL EXCISE TAX
418.4 GALLONS GASOLINE 76.59 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 0026 GUG 1 7 2 091103 9366 8015 SH26 9404
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009404 Page 3 of 4 FLET2GUG
www.
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO
SHELL CARD CENTER
065- 129 -116 27 065129116911 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
11-03-09 11 -28 -09 29 TELEPHONE: 1-800- 377 -5150
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 1,061.59 14.78
SUB -TOTAL 14.78
TOTAL 14.78
TOTAL DISCOUNT 14.78
DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales
6057 0026 GUG 1 7 2 091103 9366 8015 SH26 9404
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0009404 Page 4 of 4 FLET2GUG
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
Shell Fleet Plus Purchase Order No.
Processing Center
P.O. Box 183019 Terms
Columbus, OH 43218 -3019
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11 651271 11 monthlypayment 778.28
1 1/3/09 65129116911 monthl a ent 970.22
Total 1,748.50
I 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 NO.
ALLOWED 20
S Yrell Fleet Plus IN SUM OF
Processing Center
P.O. Box 183019
C olumbus, OH 43218 -3019
1,748.50
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 65127193911 314 778.28 bill(s) is (are) true and correct and that the
1110 65129116911 314 970.22 materials or services itemized thereon for
which charge is made were ordered and
received except
November 19 20 09
&Aw�-b Z
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund