HomeMy WebLinkAbout178592 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $1,188.48
CARMEL, INDIANA 46032 PO BOX 183019
M .o COLUMBUS OH 43218 -3019 CHECK NUMBER: 178592
CHECK DATE: 10128/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193910 704.25 GASOLINE
_1110 4231400 65129116910 484.23 GASOLINE
i
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ACCOUNt NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 22 065127193910 SHELL CARD CENTER
P.O. BOX 689001
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
10- 05-2009 10- 30.2009 33 TELEPHONE: 1. 600. 377.5150
FAX: 1- 515- 226 -0045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
762.08 .00 903.13 960.96 OR .00 70425
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 10 -30 -2009
CARD TRANS TRANSACTION LOCATION I DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
10 -02 PAYMENT THANK YOU 903.13 CR
0002 09 -10 06:59 0263590 1821 E 151ST ST CARMEL IN 14.560 8 UNL 2.66 36.40
14.560 GAL UNLEADED $36.40
0002 09 -20 :1:03 0353169 ?821 E 151ST ST CARMEL IN 14.233 8 i UNI. I 2.80 35.00
14.233 GAL UNLEADED $35.00
0002 09 -27 I t0:41 0410308 1621 E 151 ST ST CARMEL IN 12.591 8 ONL 2.30 29.20
12 -591 GAL UNLEADED $29.20
0002 10 -02 12:07 0452151 1821 E 151ST ST CARMEL IN 14.131 8 UNL 2.59 31.50
14.131 GAL UNLEADED $31.50
TOTAL CARD 0002 55.515 10.15 132.10
0004 09 -14 0724 0214353 9510 E 126TH ST FISHERS IN 14.662 8 UNL 2.68 3607
14.662 GAL UNLEADED S36.07
TOTAL CARD 0004 14.662 2.68 36.07
0005 09 -19 18:29 00'24943 8924 E 11 GTH ST FISHERS IN 13 450 6 UNL 2.46 32.94
13.450 GAL UNLEADED $32.94
TOTAL CARD 0005 13.450 2.46 32.94
0006 09 -17 1126 0326405 1821 E 151ST ST CARMEL IN 8.983 8 UNL 1.64 21.38
8.983 GAL UNLEADED $21.38
TOTAL CARD 0006 8.983 1.64 21.38
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 0031 GUG 1 7 2 091005 9366 8015 SH26 7671
NOT SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007671 Page 1 of 3 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.
Note: Your account is owned and serviced by Citibank (South Dakota), N.A.
PLOCOMM Rev 06108
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
j 065- 127 -193 22 065127193910 P.O. BOX 669081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
10 -05 -2009 10 -30 -2009 33 TELEPHONE: 1. 800.977 -S150
FAX: 1 -515 -2264M
CARD TRANS TRANSACTION LOCATION I DESCRIPTION QUAN1 tTY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
0007 09 -09 19.09 0981274 9599 N MERIDIAN ST INDIANAPOLIS IN 14.000 8 UNL 2.56 35.00
14.000 GAL UNLEADED $35.00
0007 09 -21 13:35 0173195 1230 S RANGELINE RD CARMEL IN 14.945 8 UNL 273 36 75Z
14.945 GAL UNLEADED $36.75
0007 09 -28 10:13 0215701 1230 S RANGELINE RD CARMEL IN 12.904 8 UNL 2.36 30.97
12.904 GAL UNLEADED $30.97
0007 10 -01 1751 0242982 1230 S RANGELINE RD CARMEL IN 14.405 8 UNL 2.64 3355
14.405 GAL UNLEADED S33.55
TOTAL CARD 0007 56.254 10.29 136.27
0009 09 -29 17.52 0229021 1230 S RANGELINE RD CARMEL IN 18.306 8 UNL S.35 4390
18.306 GAL UNLEADED S43.90
TOTAL CARD 0009 18.306 3.35 43.90
0016 10 -04 0813 0375261 9510 E 126TH ST FISHERS IN 15.491 8 UNL 2.83 36.08
15.491 GAL UNLEADED S36 -08
TOTAL CARD 0016 15,491 2.83 36.08
t*
0022 09 -06 1419 0959363 9599 N MERIDIAN Sf INDIANAPOLIS IN 16 450 8 UNL 3.01 39.48
16.450 GAL UNLEADED $39.48
0022 10 -01 13.50 0067348 7788 E 96TH ST FISHERS IN 14.610 8 UNL 267 33.02
14.610 GAL UNLEADED 533.02
TOTAL CARD 0022 31.060 5.68 72.50
0023 09 -25 12:35 0149740 I -70 8 SR 13 THORNVILLE OH 10.000 8 UNL. 1.83 24,50
10.000 GAL UNLEADED $24.50
0023 09 -25 18.08 0025833 10524 SHARPSBURG PIKE HAGERSTOWN MD 13.354 8 UNL 2.44 33.36
13.354 GAL UNLEADED $33.36
TOTAL CARD 0023 23.354 4.27 57.86
0025 09 -11 17:17 0020776 800 NORTH US 31 GREENWOOD IN 15.250 8 UNL 2.79 38.11/
75.250 GAL UNLEADED 538.11
0025 09 -17 15:30 0168096 1183 E MAIN GREENWOOD IN 17.240 8 UNL 3.15 42.24
17.240 GAL UNLEADED 542.24
TOTAL CARD 0025 32.490 5.94 80.35
0028 09 -15 0858 0128199 1230 S RANGELINE RD CARMEL IN 15.120 8 UNL 2.77 37.80
15.120 GAL UNLEADED $37.80
0028 09 -22 0810 0150953 9599 N MERIDIAN S! INDIANAPOLIS IN 15.310 8 UNL 2.80 37,51
15.310 GAL UNLEADED $37.51
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 0031 GUG 1 7 2 091005 9366 8015 SH26 7671
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007671 Page 2 of 3 FLET2GUG
www.shelifleeteard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO
SHELL CARD CENTER
065 127.193 22 065127193910 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 9081
10 05 2009 10 30 2009 33 TELEPHONE: 1 377 5150
FAX: 1- 515. 226 -4045
CARD TRANS TRANSACTION LOCATION/ DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE I TIME ID CD CD TAX AMOUNT
0028 09 -28 1012 0356063 633 W MAIN SR 32 WESTFIELD IN 16.233 8 UNL 2.97 37.32
16.233 GAL UNLEADED 537.32
TOTAL CARD 0028 45.663 8.54 112.63
GRAND TOTAL 316.228 57.83 762.08
FEDERAL EXCISE TAX
3162 GALLONS GASOLINE 57.83 OR
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 0031 GUG 1 7 2 091005 9366 8015 SH26 7671
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0007671 Page 3 of 3 FLET2GUG
i
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ACCOURT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-129-116 16 065129116910 SHELL CARD CENTER
P.O- BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50366-9081
10 -05 -2009 10 -30 -2009 33 TELEPHONE: 1. 800.377 -5150
FAX: 1-515- 226 -4045
t NE NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
523.54 .00 885.82 925 23 -13 OR 00 484.
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 10 -30 -2009
CARD TRANS kCTIONI TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
10 -02 PAYMENT THANK YOU 885.82 CR
0003 09-04 0644 0908335 11601 ALLISONVILLE RD FISHERS IN 15.104 8 UNL 2.76 36.69 V CR
15.104 GAL UNLEADED $36.69
0003 09 -09 2003 0950709 6924 E 116TH ST FISHERS iN 11.092 8 UNL 2.03 I 2772V
11.092 GAL UNLEADED 527.72
0003 09 -13 14:21 0325316 2320 CHESTER BLVD. RICHMOND IN 13.593 B UNL 2 -49 33.44
13.593 GAL UNLEADED 533.44
0003 09 -15 08:42 0532051 2224 N 600 WEST GREENFIELD IN 14 -300 B UNL 2.62 35.18✓
14.300 GAL UNLEADED $35.18
0003 09 -18 1206 0015537 8924 E 116TH ST FISHERS IN 16.701 8 UNL 3.06 41.07
16.701 GAL UNLEADED $41.07
0003 09 -21 10.03 0034009 8924 E 116TH ST FISHERS IN 14352 8 UNP 2.63 36.4
14.352 GAL UNL PLUS 536.44
0003 09 -25 0959 0567925 2224 N 600 WEST GREENFIELD IN 14.833 8 UNL 2.71 35.60
14.833 GAL UNLEADED S35.60
0003 09 -30 1836 0092312 8924 E 116TH ST FISHERS IN 14.636 8 UNL 2.68 32.61
14.636 GAL UNLEADED S3z.61
TOTAL CARD 0003 114 -611 20.98 278.75
0007 09 -03 13:23 0199471 8190 ALLISONViLLE RD INDIANAPOLIS IN 17.970 8 UNL 329 43.65
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 0031 GUG 1 7 2 091005 9366 8015 SH26 5055
NO TIC E: SEE REVER SI FOR IM PORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0005055 Page 1 of 2 FLET2GUG
www. shelIfleetcard .accountonline.com
ACCOUAT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 129 -116 16 065129116910 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
10 -05 -2009 10 -30 -2009 33 TELEPHONE: 1-800- 377 -5150
FAX: 1 -515- 226 -4045
CARD TRANS A CTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
17.970 GAL UNLEADED $43.65
0007 09 -11 08:41 0196535 7024 N KEYSTONE AVE INDIANAPOLIS IN 18.152 8 UNL 3.32 45.00
18.152 GAL UNLEADED S45.00
0007 09 -15 18:14 0644138 2040 E WASHINGTON INDIANAPOLIS IN 18.450 8 UNL 3.38 44.20
18.450 GAL UNLEADED $44.28
0007 09 -22 11:11 0970855 3005 STATE RD 135 CORYDON IN 8.090 8 UNL 1.48 20.00
8.090 GAL UNLEADED $20.00
0007 09 -25 1429 0892620 165 SR 160 HENRYVILLE IN 15.620 8 UNL 2.86 39.05"
15.620 GAL UNLEADED $39.05
TOTAL CARD 0007 78.282 14.33 191.98
0009 09 -07 22:43 0966259 6402 W 10TH INDIANAPOLIS IN 5.182 8 UNL 0.95 12.81✓
5.182 GAL UNLEADED $12.81
TOTAL CARD 0009 5.182 0.95 12.81
0010 09 -21 0914 0004135 6402 W 10TH iNDIANAPOLIS IN 12.762 8 UNL 2.34 31.00
12.762 GAL UNLEADED $31.00
0010 09 -27 09:20 0409821 1821 E 151ST ST CARMEL IN 3.870 8 UNL 0.71 9.00
3.870 GAL UNLEADED $9.00
TOTAL CARD 0010 16.632 3.05 40.00
GRAND TOTAL 214.707 39.31 523.54
FEDERAL EXCISE TAX
214.7 GALLONS GASOLINE 39.31 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 0031 GUG 1 7 2 091005 9366 8015 SH26 5055
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INF P LEASE KEEP THIS PORTION FOR YOUR RECORD
0005055 Page 2 of 2 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.propedy 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 Terms
P.O. Box 183019
Columbus, OH 43218 -3019 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/5/09 65127193910 monthl ypayment 704.25
10/5/09 6512911691 monthly payment 484.23
Total 1,188.48
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 NO.
ALLOWED 20
Shell Fleet Plus IN SUM OF
Processing Center
P.O. Box 183019
Columbus, OH 43218 -3019
1,188.48
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 65127193910 314 704.25 bill(s) is (are) true and correct and that the
1110 65129116910 314 484-'.-23 materials or services itemized thereon for
which charge is made were ordered and
received except
Octob r 20 20 09
ignature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund