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Home My WebLink About207349 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $626.43 Po Box 183019 CARMEL, INDIANA 46032 COLUMBUS OH 43218 -3019 CHECK NUMBER: 207349 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193203 626.43 065 -127 -193 www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065. 127 -193 14 065127193203 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: 1-800- 377-5150 FAX: 1-515 226 -4045 s NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 686.28 .00 1,135.18 1,195.03 OR 00 626.43 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 03 -31 -2012 Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 02 -03 PAYMENT THANK YOU 718.13 CR 02 -17 PAYMENT THANK YOU 440.81 CR 0 0004 02 -10 13:31 0864926 545 S RANGE LINE RD CARMEL IN 20.275 8 UNL 3.71 68.51 20.275 GAL UNLEADED $68.51 0004 02 -13 09:36 0880849 545 S RANGE LINE RD CARMEL IN 23.116 8 UNL 423 76.03 23.116 GAL UNLEADED $76.03 0004 02 -21 09:42 0308346 4887 KENTUCKY AVE INDIANAPOLIS IN 22.605 8 SUP 4.14 80.0 22.605 GAL SUPER 580.00 TOTAL CARD 0004 65.996 12.06 224.54 0009 02 -04 08:13 0718502 9510 E 126TH ST FISHERS IN 7.311 8 UNL 1.34 26.24 7.311 GAL UNLEADED $26.24 0009 02 -10 14:35 0792747 9510 E 126TH ST FISHERS IN 8.472 8 UNL 1.55 27.79 8.472 GAL UNLEADED $27.79 TOTAL CARD 0009 15.783 2.89 54.03 0014 02 -05 13:49 0839209 1551 N ILLINOIS INDIANAPOLIS IN 12.922 8 UNL 2.36 46.25 12.922 GAL UNLEADED $46.25 0014 02 -27 08:40 0560334 1230 S RANGELINE RD CARMEL IN 14.673 8 UNL 2.69 54.00 14.673 GAL UNLEADED' $54.00 TOTAL CARD 0014 27.595 5.05 100.25 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 4145 NOTICE: SEE RE VERSE SIDE FOR; IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0004145 Page 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 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 07/11 www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 193 14 065127193203 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. 800377.5150 FAX: 1315- 226 -4045 Card TRANS MSG PROD EXEMPT TRANSACTION Number DATE TIME ID TRANSACTION LOCATION /DESCRIPTION QUANTITY CD CD TAX AMOUNT 0016 02 -25 17:23 0090787 8281 TRIDON DRIVE SMYRNA TN 13.590 8 UNL 2.49 50.00 13.590 GAL UNLEADED $50.00 0016 02 -26 1253 0918557 3903 ARKWRIGHT RD MACON GA 13.000 8 UNL 2.38 47.83 13.000 GAL UNLEADED $47.83 0016 03 -03 13:31 0427807 6090 ALTAMA AVE BRUNSWICK GA 10.281 8 UNL 1.88 38.04 10.281 GAL UNLEADED $38.04 TOTAL CARD 0016 36.871 6.75 135.87 0018 02 -12 0813 0832444 1821 E 151 ST ST CARMEL IN 9.510 8 UNL 1.74 31.29 9.510 GAL UNLEADED $31.29 C 0018 02 -18 19:00 0902585 1821 E 151ST ST CARMEL IN 16.210 8 UNL 2.97 56.72 16.210 GAL UNLEADED $56.72 TOTAL CARD 0018 25.720 4.71 88.01 0029 02 -03 0928 0396242 1230 S RANGELINE RD CARMEL IN 13.321 8 UNL 2.44 44.36 13.321 GAL UNLEADED $44.36 0029 02 -09 20.30 0813634 633 W MAIN SR 32 WESTFIELD IN 11.881 8 UNL 2.17 39.2 11.881 GAL UNLEADED $39.22 TOTAL CARD 0029 25.202 4.61 83.58 GRAND TOTAL 197.167 36.09 686.28 FEDERAL EXCISE TAX 197.1 GALLONS GASOLINE 36.09 CR TOTAL *FINANCE CHARGE' BILLED IN 2011 $0.00 0 s� 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 4145 140TICE: SEE REVERSE S;DE FAR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0004145 Pape 2 of 2 FLET2GUG z Z z z z Z z Z Z Z Z 6 J 6 O o O A A o O N 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 idenay. This Account is Issued by Citibank. N.A. PLOCOMM Rev 07/11 VOUCHER NO. WARRANT N ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.O. Box 183019 Columbus, OH 43218 -3019 $626.43 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO, ACCT #!TITLE AMOUNT Board Members 1110 I 65127193203 42- 314.00 I $626.43 I 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 Wednesday, March 21, 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)) 06/03/12 65127193203 gasoline $626.43 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