HomeMy WebLinkAbout208166 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
CARMEL, INDIANA 46032 PO BOX 183019 CHECK AMOUNT: $670.74
COLUMBUS OH 43218 -3019 CHECK NUMBER: 208166
CHECK DATE: 4/24/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065129116204 670.74 065 129 -116
i
www.shelifleetcard.accountonlin.e.com
ACCOUNTNUMBER TOTAL TRANSACTIONS INVOICE NUMBER SENDINQUIRIES
SHELL CARD CENTE
065 129.116 13 065129116204 P.O. BOX 689081
CLOSING DATE, DUE DATE CYCLE DAYS DES MOINES, IA 50368 9081
04 2012 04 2012 30 TELEPHONE: 1-800-377-5150
FAX: 1.515- 226 -4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
703.10 .00 235.01 267.37 CR .00 670.74
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 04 -30 -2012
Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number TDATETIME ID CD CD TAX AMOUNT
PAYMENT THANK YOU 235.01 CR
0001 03 -14 1314 0972489 633 W MAIN SR 32 WESTFIELD IN 18.130 8 UNL 3.32 70.00
18.130 GAL UNLEADED $70.00
0001 04 -03 1352 0810747 1230 S RANGELINE RD CARMEL IN 22233 8 UNL 4.07 87.80
22.233 GAL UNLEADED $87.80
TOTAL CARD 0001 40.363 7.39 157.80
0002 03 -14 07:25 0155010 1821 E 151 ST STCARMEL IN 20.130 8 UNL 3.68 77.30
20.130 GAL UNLEADED $77.30
TOTAL CARD 0002 20.130 3.68 77.3
0006 03 -06 17:04 0165670 2040E WASHINGTON INDIANAPOLIS IN 11.570 8 UNL 2.12 45.1
11.570 GAL UNLEADED $45.15
0006 03 -08 1109 0168179 2040 E WASHINGTON INDIANAPOLIS IN 16.882 8 UNL 3.09 65.84
16.882 GAL UNLEADED $65.84
0006 03 -14 0722 0135814 2045 N POST RD INDIANAPOLIS IN 7101 8 UNL 1.30 28.00,
7.101 GAL UNLEADED $28.00
0006 03 -21 2025 0146969 2045 N POST RD INDIANAPOLIS IN 15.002 8 UNL 2.75 60.01
15.002 GAL UNLEADED $60.01
0006 03 -21 2025 0146977 2045 N POST RD INDIANAPOLIS IN 15.252 8 UNL 2.79 61.01
15.252 GAL UNLEADED $61.01
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 120405 9366 8015 SH33 4980
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z 0004980 Page 1 of 2 FLET2GUG
Z
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.
This Account is Issued by Citibank, N.A.
PLOCOMM Rev 01/12
www.shelitleetcard.accountonline.com
ACCOUNTNUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES
SHELL CARD CENTE
065 129 -116 13 065129116204 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
04 -05- 2012 04- 30-2012 30 TELEPHONE: 1-800-377-5150
FAX: 1515.226 -4045
Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
0006 03 -28 15:22 0209502 2040 E WASHINGTON INDIANAPOLIS IN 8.411 8 UNL 1.54 35.00
8.411 GAL UNLEADED $35.00
0006 03 -29 12:28 0385229 9510 E 126TH ST FISHERS IN 6280 8 UNL 1.15 26.00
6.280 GAL UNLEADED $26.00
0006 03 -29 15:39 0852137 4624 LAFAYETTE RD INDIANAPOLIS IN 7.230 8 UNL 1.32 30.0
7.230 GAL UNLEADED $30.02
TOTAL CARD 0006 87.728 16.06 351.03
0008 04 -04 10:33 0421404 9611 ALLISONVILLE RD INDIANAPOLIS IN 15.501 8 UNL 2.84 62.61
15.501 GAL UNLEADED $62.61
TOTAL CARD 0008 15.501 2.84 62.61
0014 03 -30 08:36 0579326 9609 OLIO RD MCCORDSVILLE IN 13.070 8 UNL 2.39 54.36 VV/
13.070 GAL UNLEADED $54.36
TOTAL CARD 0014 13.070 2.39 54.36
GRAND TOTAL 176.792 32.36 703.10
FEDERAL EXCISE TAX
176.7 GALLONS GASOLINE 32.36 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 0014 GUG 1 7 2 120405 9366 8015 SH33 4980
NOTICE: SE RE VERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
4 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.
This Account is Issued by Citibank, N.A.
PLOCOMM Rev 01/12
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))
04/05/12 65129116204 gasoline $670.74
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
Processing Center IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$670.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 65129116204 I 42- 314.00 I $670.74 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
Wednesday, April 18, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund