HomeMy WebLinkAbout176105 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $1,293.18
CARMEL, INDIANA 46032 PO BOX 183019
COLUMBUS OH 43218 -3019
CHECK NUMBER: 176105
CHECK DATE: 8/19/2009
DEP ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
`1110 4231400 065127193908 834.71 GASOLINE
1110 4231400 065129116908 458.47 GASOLINE
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ACCOU'tI NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
r!. SHELL CARD CENTER
065.127 -193 28 065127193908 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08 -04 -2009 08 -29 -2009 29 TELEPHONE: 1.800ti377 -5150
FAX: 1 -515- 226 -4045
NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
902.28 .00 585.43 653.00 CR .00 834.71
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 08 -29 -2009
CARD TBAN QTIQN TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
07 -24 PAYMENT- THANK YOU 585.43 CR
0002 07 -08 08:51 0636365 1230 S RANGELINE RD CARMEL IN 14.013 8 UNL 2.56 36.00
14.013 GAL UNLEADED $36.00
0002 07 -22 10:19 0733964 1230 S RANGELINE RD CARMEL IN 12.500 8 UNL 2.29 30.00
12.500 GAL UNLEADED $30.00
0002 07 -26 17:37 0711523 320 E SOUTHVIEW DR MARTINSVILLE IN 14.985 8 UNL 2.74 36.40
14.985 GAL UNLEADED S36.40
TOTAL CARD 0002 41.498 7.59 102.40
0003 07 -12 16:08 0082693 100 POTOMAC BLVD MOUNT VERNON IL 8.483 8 UNL 1.55 21.53
8.483 GAL UNLEADED S21.53
0003 07 -14 15:11 0941294 3796 ANDERSON AVE BROWNSVILLE TN 13.504 8 UNL 2.47 32.41
13.504 GAL UNLEADED $32.41
0003 07 -14 18:37 0062240 901 MAMMOTH CAVE STREET CAVE CITY KY 9.652 8 SUP 1.77 23.64
9.652 GAL SUPER $23.64
TOTAL CARD 0003 31.639 5.79 77.58
0004 07 -27 17:13 0768937 1230 S RANGELINE RD CARMEL IN 11.912 8 UNL 2.18 29.78
11.912 GAL UNLEADED $29.78
0004 08 -03 12:22 0816041 1230 S RANGELINE RD CARMEL IN 13.964 8 UNL 2.56 33.50
13.964 GAL UNLEADED $33.50
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 0027 GUG 1 7 2 090804 9366 8015 SH26 8022
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION P KEEP THIS PORTION FOR YOUR RECORDS
0008022 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 06/08
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 -127-193 28 065127193908 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08-04 -2009 08- 29-2009 29 TELEPHONE: 1. 800 -377 -5150
FAX: 1 -515- 226.4045
CARD TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
TOTAL CARD 0004 25.876 4.74 63.28
0005 07 -10 0814 0511113 8924 E 116TH ST FISHERS IN 13.724 8 UNL 2.51 34.161/
13.724 GAL UNLEADED $34.16
0005 07 -28 20:27 0317636 1230 WEST SR 32 LEBANON IN 14.755 8 UNL 2.70 35.84
14.755 GAL UNLEADED 535.84
TOTAL CARD 0005 28.479 5.21 70.00
0006 07 -11 1022 0659268 1230 S RANGELINE RD CARMEL IN 9.473 8 UNL 1.73 23.01
9.473 GAL UNLEADED $23.01
0006 07 -13 22:26 0869701 2535 S HOYT AVE MUNCIE IN 13.375 8 UNL 2.45 33.01
13.375 GAL UNLEADED $33.01
0006 07 -15 17:11 0425694 2540 N HIGH SCHOOL RD SPEEDWAY IN i 14.752 8 UNL 2.70 3421
14.752 GAL UNLEADED 534.21
0006 07 -17 1730 0564369 8924 E 116TH ST FISHERS IN 11.440 8 UNL 2.09 27.01
11.440 GAL UNLEADED $27.01
0006 07 -30 21:16 0885426 1821 E 151 ST ST CARMEL IN 13.250 8 UNL 2.42 32.45/
13.250 GAL UNLEADED $32.45
TOTAL CARD 0006 62.290 11.39 149.69
0007 07 -12 14:12 0666222 1230 S RANGELINE RD CARMEL IN 14.814 8 UNL 2.71 36.00
14.814 GAL UNLEADED 536.00
0007 07 -21 08:10 0726695 1230 S RANGELINE RD CARMEL IN 14.876 8 UNL 212 33.01
14.876 GAL UNLEADED 533.01
TOTAL CARD 0007 29.690 5.43 69.01
0011 07-11 0954 0907022 633 W MAIN SR 32 WESTFIELD IN 9.992 8 UNL 1.83 25.06
9.992 GAL UNLEADED $25.06
TOTAL CARD 0011 9.992 1.83 25.06
0016 07 -10 17:04 0500181 7788 E 961 H ST FISHERS IN 15.974 8 UNL 2.92 40.56
15.974 GAL UNLEADED 540.56
TOTAL CARD 0016 15.974 2.92 40.56
0021 07 -24 08:31 0734459 1 -65 SR 252/1 EDINBURGH IN 18.761 8 UNL 3.43 45.01
18.761 GAL UNLEADED $45.01
TOTAL CARD 0021 18.761 3.43 45.01
0022 07 -09 15:01 0209221 4887 KENTUCKY AVE INDIANAPOLIS IN 11.273 8 UNL 2.06 29.30
11.273 GAL UNLEADED $29.30
0022 07 -11 15:54 0488924 4610 WEST KEISER ST OSCEOLA AR 11.480 1 8 UNL 2.10 28.70
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 0027 GUG l 7 2 090804 9366 8015 SH26 8022
NOTICE: SEE REVERSE SIDE FOR IMP INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0008022 Page 2 of 3 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO
SHELL CARD CENTER
065 -127 -193 28 065127193908 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08 -04 -2009 08 -29 -2009 29 TELEPHONE: 1- 800-377 -5150
FAX: 1- 515 226.1045
CARD TRANS ICTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
11.480 GAL UNLEADED 528.70
0022 07 -13 20:00 0509760 713 HIGHWAY 76 WHITE HOUSE TN 12.815 8 UNL 2.35 31.00
12.815 GAL UNLEADED $31.00
TOTAL CARD 0022 35.568 6.51 69.00 k*
0024 08 -02 17:30 0215608 355 B VIOLET ROAD CRITTENDEN KY 12 821 8 UNL 2.35 3204
12.821 GAL UNLEADED 532.04
TOTAL CARD 0024 12.821 2.35 32.04
0025 07 -09 1430 0645952 1230 S RANGELINE RD CARMEL IN 10.934 0 UNL 200 28.0911
10.934 GAL UNLEADED $28.09
TOTAL CARD 0025 10.934 2.00 28.09
0028 07 -19 13:59 0792176 1821 E 151ST STCARMEL IN 15.224 6 UNL 2.79 35.00
15.224 GAL UNLEADED $35.00
0028 07 -24 16:42 0609263 8924 5 116TH ST FISHERS IN 15.022 6 UNL 2.75 37.39
15.922 GAL UNLEADED $37.39
0028 OB -03 07.36 0915116 1821 E 151ST STCARMEL kN 15.522 6 UNL 2.84 38.17
15.522 GAL UNLEADED $38.17
TOTAL CARD 0028 45.760 0.38 110.56
GRAND TOTAL 369.290 67.57 902.28
FEDERAL EXCISE TAX
369.2 GALLONS GASOLINE 67.57 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 0027 GUG 1 7 2 090804 9366 8015 SH26 8022
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0008022 Page 3 o1 3 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065129 -116 14 065129116908 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08 -04 -2009 08 -29 -2009 29 TELEPHONE: 1-800- 377 -5150
FAX: 1 -515- 2264045
EW C ARGE FLEET FEE PREVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
5.36 .00 820.82 857.71 CR .00 458.47
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 08 -29 -2009
CARD TRANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
07 -24 PAYMENT THANK YOU 820.82 CR
0003 07 -06 17:13 0625657 1230 S RANGELINE RD CARMEL IN 14.120 8 UNL 2.58 36.29✓
14.120 GAL UNLEADED $36.29
0003 07 -09 0750 0504704 8924 E 116TH ST FISHERS IN 14.470 8 UNL 2.65 37.19
14.470 GAL UNLEADED $37.19
0003 07 -14 09:12 0539858 8924 E 116TH ST FISHERS IN 15.085 8 UNL 2.76 36.93
15.085 GAL UNLEADED $36.93
0003 07 -18 18:50 0571034 8924 E 116TH ST FISHERS IN 14.022 8 UNL 2.57 32.94
14.022 GAL UNLEADED 532.94
0003 07 -22 1636 0593749 8924 E 116TH ST FISHERS IN 16.534 8 UNL 3.03 39.50
16.534 GAL UNLEADED $39.50
0003 07 -25 16:27 0091686 5890 NATIONAL RD EAST RICHMOND IN 13.761 8 UNL 2.52 33.84
13.761 GAL UNLEADED 533.84
0003 07 -29 0639 0639278 8924 E 116TH ST FISHERS IN 14.175 8 UNL 2.59 34.56
14.175 GAL UNLEADED 534.56
TOTAL CARD 0003 102.167 18.70 251.25
0006 08 -02 15:34 0124735 281 S MAPLE ORLEANS IN 20.411 8 UNL 3.74 49.60
20.411 GAL UNLEADED $49.60
0006 08 -04 00:34 0817676 1183E MAIN GREENWOOD IN 20.992 8 UNL 3.84 52.04
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 0027 GUG 1 7 2 090804 9366 8015 SH26 5385
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0005385 Page 1 of 2 FLET2GUG
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065- 129 -116 14 065129116908 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
08-04 -2009 08-29 -2009 29 io TELEPHONE: 1- 000.977 -5150
FAX: 1. 515- 226 -4045
CARD TRANSACTION TRANS TRANSACTION LOCATION DESCRIPTION OUANTITY MSG PROD EXEMPT TRANSACTION
NUMBER DATE TIME ID CD CD TAX AMOUNT
20.992 GAL UNLEADED $52.04
TOTAL CARD 0006 41.403 7.50 101.64
0007 07 -30 15:32 0563585 2434 N KEYSTONE AVE INDIANAPOLIS IN 11.690 8 UNL 2.14 28.07'
11.690 GAL UNLEADED $28.07
0007 08.03 09:29 0814350 1230 S RANGELINE RD CARMEL IN 18.900 8 UNL 3.46 45.36
18.900 GAL UNLEADED S45.36
TOTAL CARD 0007 30.590 5.60 73.43
0010 07 -09 15:00 0209205 4887 KENTUCKY AVE INDIANAPOLIS IN 13.080 8 UNL 2.39 34.01
13.080 GAL UNLEADED S34.01
0010 07 -23 19:26 0826339 1821 E 151ST ST CARMEL IN 7.921 8 UNL 1.45 19.02
7.921 GAL UNLEADED S19.02
0010 08 -02 16:52 0911487 1821 E 151ST ST CARMEL IN 6.401 8 UNL 1.17 16.01
6.401 GAL UNLEADED $16.01
TOTAL CARD 0010 27.402 5.01 69.04
GRAND TOTAL 201.562 36.89 495.36
FEDERAL EXCISE TAX
201.5 GALLONS GASOLINE 36.89 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 0027 GUG 1 7 2 090804 9366 8015 SH26 5385
NOTICE: SEE REVERSE SIDE FOR IMPOP.TANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
0005385 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 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 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))
8/4/09 65129116908 monthly payment 458.47
8/4/09 65127193908 monthly payment 834.71
Total 1,293.18
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;293:18
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 65129116908 314 458.47 bill(s) is (are) true and correct and that the
8 314 8 1 materials or services itemized thereon for
which charge is made were ordered and
received except
August 14 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund