HomeMy WebLinkAbout207348 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
0 t ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $235.01
?a CARMEL, INDIANA 46032 PO BOX 183019
o �o•, COLUMBUS OH 43218 -3019 CHECK NUMBER: 207348
CHECK DATE: 3126/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 065129116203 235.01 065 129 -116
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 129 -116 5 065129116203 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
03 06 2012 03 31 2012 32 TELEPHONE: 1 800377.6150
FAX: 1315 226 4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
283.26 .00 1,208.67 1,256.92 CR .00 235.01
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 03 -31 -2012
Card BANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
02 -03 PAYMENT THANK YOU 621.73 CR
0 02 -17 PAYMENT THANK YOU 620.46 CR
0002 02 -08 17:06 0431064 1230 S RANGELINE RD CARMEL IN 20.922 8 UNL 3.83 73.00
20.922 GAL UNLEADED $73.00
0002 02 -20 09:33 0768960 2166 E HADLEY PLAINFIELD IN 24.906 8 UNL 4.56 86.90
24.906 GAL UNLEADED $86.90
TOTAL CARD 0002 45.828 8.39 159.90 r
0006 02 -06 10:07 0112367 2040 E WASHINGTON INDIANAPOLIS IN 9.431 8 UNL 1.73 33.00
9.431 GAL UNLEADED $33.00
0006 02 -07 14:35 0115105 2040 E WASHINGTON INDIANAPOLIS IN 8.331 8 UNL 1.52 30.01
8.331 GAL UNLEADED $30.01 y
TOTAL CARD 0006 17.762 3.25 63.01'
0014 02 -06 12:13 0179010 5020 E 62ND ST INDIANAPOLIS IN 16.862 8 UNL 3.09 60.35
16.862 GAL UNLEADED $60.35
TOTAL CARD 0014 16.862 3.09 60.35
GRAND TOTAL 80.452 14.73 283.26
FEDERAL EXCISE TAX
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 0014 GUG 1 7 2 120306 9366 8015 SH33 4146
MOTiCE SEE REVERSE SIDE -FOn rMPORTANT INFORMATION PLEAGE KEEP THIS PORAON FOR YOUR RECORDS
FLET2GUG
Information About Your Account
r 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.
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.
PLOCOMNI Rev 07/11
www.shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 129.116 5 065129116203 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
03 -06 -2012 03 -31 -2012 32 i o 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
80.4 GALLONS GASOLINE 14.73 CR
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 0014 GUG 1 7 2 120306 9366 8015 SH33 4146
t40T10E: SEE REVERSE CIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z
Z 000414 Page 2 of 2 FLET2GUG
z
z
z
Z
Z
Z
z
z
Z
Z
Z
CO rJi
J
O
Of
p O
O
A
Of
O
O
N
VOUCHER NO. WARRANT N
ALLOWED 20
Shell Fleet Plus
Processing Center IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$235.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 56129116203 I 42- 314.00 I $235.01 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
Tuesday, March 20, 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))
03/20/12 56129116203 gasoline $235.01
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