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Home My WebLink About209007 05/21/2012 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: $1,054.28 COLUMBUS OH 43218 -3019 ro „�o CHECK NUMBER: 209007 CHECK DATE: 5/21/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193205 1,054.28 065 127 -193 www.sheliffeetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 19 065127193205 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -2012 05-31 -2012 31 TELEPHONE: 1- 800 377-5150 FAX: 1-515.2264045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 1,123.55 .00 738.25 807.52 CR .00 1,054.28 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 05 -31 -2012 Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 04 -26 PAYMENT THANK YOU 738.25 CR 05 -06 DISCOUNT 16.05 CR 0001 04 -26 1429 0981522 1230 S RANGELINE RD CARMEL IN 18.843 8 UNL 3.45 69.72 18.843 GAL UNLEADED $69.72 TOTAL CARD 0001 18.843 3.45 69.72 0004 04 -11 16:57 0870311 1230 S RANGELINE RD CARMEL IN 22.732 8 UNL 4.16 85.02 22.732 GAL UNLEADED $85.02 TOTAL CARD 0004 22.732 4.16 85.02 0006 05 -01 09:49 0013102 1230 S RANGELINE RD CARMEL IN 14.951 8 UNL 2.74 57.25 14.951 GAL UNLEADED $57.25 TOTAL CARD 0006 14.951 2.74 57.25 0014 05 -01 17:28 0016170 1230 S RANGELINE RD CARMEL IN 14.360 8 UNL 2.63 55.00 14.360 GAL UNLEADED $55.00 TOTAL CARD 0014 14.360 2.63 55.00 0015 04 -27 11:01 0499921 517 MALL DR SCHAUMBURG IL 15.650 8 UNL 2.86 67.00'x/ 15.650 GAL UNLEADED $67.00 TOTAL CARD 0015 15.650 2.86 67.00 0016 04 -15 0759 0579698 9510 E 126TH ST FISHERS IN 13.122 8 UNL 2.40 52.24 13.122 GAL UNLEADED 552.24 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 120506 9366 8015 SH33 9585 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z 0009585 Page.1 of 4 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 ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 193 19 065127193205 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -2012 05 -31 -2012 31 TELEPHONE: 1. 800 3773150 FAX: 1315 226-4045 Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0016 04 -15 10:57 0030288 150 LONG HOLLOW PIKE GOODLETTSVLLE TN 11.091 8 UNL 2.03 42.17 11.091 GAL UNLEADED $42.17 0016 04 -18 20:54 0056069 1313 WEST PACES FERRY ATLANTA GA 14.282 8 UNL 2.61 56.56 14.282 GAL UNLEADED $56.56 0016 04 -20 10:18 0271486 5965 MILLER LN CHRISTIANA TN 8.540 8 UNL 1.56 31.37 8.540 GAL UNLEADED $31.37 0016 04 -20 16:05 0879817 2105 E KING ST FRANKLIN IN 11.221 8 UNL 2.05 42.52✓ 11.221 GAL UNLEADED $42.52 TOTAL CARD 0016 58.256 10.65 224.86 0017 04 -19 1106 0587840 5020 E 62ND ST INDIANAPOLIS IN 16.000 8 UNL 2.93 62.24✓ 16.000 GAL UNLEADED $62.24 TOTAL CARD 0017 16.000 2.93 62.24 0018 04 -09 22:14 0443093 1821 E 151 ST ST CARMEL IN 15.471 8 UNL 2.83 60.65 15.471 GAL UNLEADED $60.65 0018 04 -24 1 ,212 0598995 1821E 15!STSTCARMEL IN 15142 8 UNL 2.77 56.48 15.142 GAL UNLEADED $56.48 0018 05 -01 09:42 0072330 8924 E 116TH ST FISHERS IN 15.941 8 UNL 2.92 61.36 15.941 GAL UNLEADED $61.36 TOTAL CARD 0018 46.554 8.52 178.49 0028 04 -18 14:32 0734780 201 W 38TH ST INDIANAPOLIS IN 15.550 8 SUP 2.85 6220 15.550 GAL SUPER S62.20 TOTAL CARD 0028 15.550 2.85 62.20 a 0029 04 -15 09:09 0341016 808 W MAIN ST CARMEL IN 17.541 8 UNL 3.21 70.15 17.541 GAL UNLEADED $70.15 0029 04 -23 11:54 0588426 1821 E 151 ST ST CARMEL IN 17.664 8 UNL 3.23 6624 17.664 GAL UNLEADED $66.24 9_ 0029 04 -26 18:01 0015610 9599 N MERIDIAN ST INDIANAPOLIS IN 17.353 8 UNL 3.18 67.66 17.353 GAL UNLEADED $67.66 TOTAL CARD 0029 52.558 9.62 204.05 r 0030 04 -25 1042 0974758 1230 S RANGELINE RD CARMEL IN 15.351 8 UNL 2.81 57.72✓ 15.351 GAL UNLEADED $57.72 TOTAL CARD 0030 15.351 2.81 57.72 GRAND TOTAL 290.805 53.22 1,123.55 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 120506 9366 8015 SH33 9585 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0009585 Page 2 of 4 FLET2GUG 7 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: o Enclose a valid check or money order. No cash or foreign currency please. o 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.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 127 -193 19 065127193205 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -2012 05 -31 -2012 31 TELEPHONE: 1- 800 377-5150 FAX: 1-515- 226 -4045 Card TRANS kCTION TRANS TRANSACTION LOCATION/ DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT FEDERAL EXCISE TAX 290.8 GALLONS GASOLINE 53.22 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 120506 9366 8015 SH33 9585 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0009585 Page 3 of 4 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 verity your identity. This Account is Issued by Citibank, N.A. PLOCOMM Rev 01/12 www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065- 127 -193 19 065127193205 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081 05 -06 -12 05 -31 -12 31 TELEPHONE: 1- 800.377 -5150 FAX: 1-515- 226 -4045 DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC TYPE TYPE BASIS DESCR CENTS PURCH SALES AMOUNT PROGRAM TAX40002 D ALL FUELS 1,123.55 16.05 SUB-TOTAL 16.05 TOTAL 16.05 TOTAL DISCOUNT 16.05 DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales 6057 0014 GUG 1 7 2 120506 9366 8015 SH33 9585 NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z z 0009585 Page 4 of 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF P.(� c c .IATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 I 65127193205 I 42 314.00 I $1,054.28 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, May 16, 2012 64+� 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)) 05/16/12 65127193205 monthly payment $1,054.28 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