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Home My WebLink About209008 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: $772.37 COLUMBUS OH 43218 -3019 CHECK NUMBER: 209008 CHECK DATE: 5/21/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116205 772.37 065 129 -116 www.shelifleetcard .accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065 129 -116 14 065129116205 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 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE 810.46 .00 670.74 708.83 CR .00 772.37 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 05 -31 -2012 Card TRANS kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 04 -26 PAYMENT- THANK YOU 670.74 CR 0002 04 -17 13:49 0918276 1230 S RANGELINE RD CARMEL IN 20.002 8 UNL 3.66 80.01✓ 20.002 GAL UNLEADED $80.01 0002 04 -25 0437 0988055 9599 N MERIDIAN ST INDIANAPOLIS IN 17.021 8 UNL 3.11 64.00 0002 04 -29 14:02 0054577 9599 7 N MERIDIAN ST IND IN $64.00 18.012 8 UNL 3.30 69.51✓ 18.012 GAL UNLEADED $69.51 TOTAL CARD 0002 55.035 10.07 213.52 0006 04 -12 0948 0149393 7788 E 96TH ST FISHERS IN 13.252 8 UNL 2.43 51.01 13.252 GAL UNLEADED $51.01 0006 04 -17 2308 0709782 2104 N CAPITOL AVE INDIANAPOLIS IN 12.572 8 UNL 2.30 50.29,/ 12.572 GAL UNLEADED $50.29 0006 04 -22 00:32 0265561 6955 S EMERSON INDIANAPOLIS IN 6.610 8 UNL 1.21 25.00/ 6.610 GAL UNLEADED $25.00 0006 04 -25 1550 0784090 201 W 38TH ST INDIANAPOLIS IN 11.571 8 UNP 2.12 45.00✓ 11.571 GAL UNL PLUS $45.00 0006 04 -26 0849 0427161 8501 E WASHINGTON ST INDIANAPOLIS IN 16.413 8 UNL 3.00 62.37 16.413 GAL UNLEADED $62.37 TOTAL CARD 0006 60.418 11.06 233.67 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 4985 NOTICE: S R EVERSE SIDE FOR IMPORTANT INFORMATION P LEASE KEEP THIS PORTION FOR YOUR RECORDS z Z 0004985 Page i 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. 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: SHELL CARD CENTER 065 129 -116 14 065129116205 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 TION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0008 05 -05 08:32 0431841 808 W MAIN ST CARMEL IN 13.591 8 UNL 2.49 54.38 13.591 GAL UNLEADED $54.38 TOTAL CARD 0008 13.591 2.49 54.38 0011 04 -23 11:45 0959585 1230 S RANGELINE RD CARMEL IN 24.515 8 UNL 4.49 92.13 24.515 GAL UNLEADED $92.13 TOTAL CARD 0011 24.515 4.49 92.13 0014 04 -08 0831 0628842 9609 OLIO RD MCCORDSVILLE IN 9.740 8 UNL 1.78 38.98y 9.740 GAL UNLEADED $38.98 0014 04 -15 11:03 0129270 2320 CHESTER BLVD. RICHMOND IN 13.000 8 UNL 2.38 51.08 13.000 GAL UNLEADED $51.08 0014 04 -22 1708 0001156 8924 E 116TH ST FISHERS IN 16.562 8 UNL 3.03 62.77 16.562 GAL UNLEADED $62.77 0014 05 -03 2053 0491209 2606 CLAIREMONT DR SAN DIEGO CA 15.221 8 UNL 2.79 6193 15.221 GAL UNLEADED $63.93 TOTAL CARD 0014 54.523 9.98 216.76 GRAND TOTAL 208.082 38.09 810.46 FEDERAL EXCISE TAX 208.0 GALLONS GASOLINE 38.09 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 4985 NOTICE: SEE REVE S I D E F IMPORTANT INFO RMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0004985 Page 2 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. 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.O. Box 183019 Columbus, OH 43218 -3019 $772.37 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 I 65129116205 I 42- 314.00 I $772.37 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 Thursday, May 17, 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)) 05/16/12 65129116205 monthly payment $772.37 I 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