HomeMy WebLinkAbout209887 06/19/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $551.68
CARMEL, INDIANA 46032 PO BOX 183019
COLUMBUS OH 43218 -3019 CHECK NUMBER: 209887
CHECK DATE: 6/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065129116206 551.68 065 -129 -116
www. shelifleetcard .accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-129-116 11 065129116206 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -2012 06 -30 -2012 30 TELEPHONE: 1- 800-377-5150
FAX: 1-515. 2264045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
579.45 .00 772.37 800.14 OR 00 551.68
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY, 06 -30 -2012
Card TRANS kCTION TRANS TRANSACTION LOCATION/ DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
05 -24 PAYMENT THANK YOU 772.37 CR
0002 05 -07 1758 0056655 1230 S RANGELINE RD CARMEL IN 18.981 8 UNL 3.47 74.01
18.981 GAL UNLEADED $74.01
0002 05 -10 15:52 0076570 1230 S RANGELINE RD CARMEL IN 15.843 8 UNL 2.90 60.03
15.843 GAL UNLEADEn $60.03
0002 05 -14 1346 0183087 8924 E 116TH ST FISHERS IN 13.812 8 UNL 2.53 50.00
13.812 GAL UNLEADED $50.00
0002 05 -18 13:58 0132803 1230 S RANGELINE RD CARMEL IN 19.184 8 UNL 3.51 72.90✓
19.184 GAL UNLEADED $72.90
TOTAL CARD 0002 67.820 12.41 256.94
0006 05 -16 21:50 0457580 6955 S EMERSON INDIANAPOLIS IN 9.791 8 UNL 1.79 38.01
9.791 GAL UNLEADED S38.01
0006 05 -19 16:09 0225839 8924 E 116TH ST FISHERS IN 5.340 8 UNL 0.98 20.00
5.340 GAL UNLEADED $20.00
0006 05 -23 1653 0165241 8190 ALLISONVILLE RD INDIANAPOLIS IN 8.972 8 UNL 1.64 35.00
8.972 GAL UNLEADED $35.00
0006 05 -24 1010 0306886 2040 E WASHINGTON INDIANAPOLIS. IN 7.520 8 UNL 1.38 29.02
7.520 GAL UNLEADED $29.02
TOTAL CARD 0006 31.623 5.79 122.03
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 GUS 1 7 2 120605 9366 8015 SH33 5204
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z
Z 0005204 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:
a 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:
065 129 -116 11 065129116206 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -2012 06 -30 -2012 30 TELEPHONE: 1- 8003773150
FAX: 1315 226 -4045
Card TRANS TRANSACTION LOCATION/ DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
0008 05 -08 07:44 0443309 808 W MAIN ST CARMEL IN 13.041 8 UNL 2.39 50.86
13.041 GAL UNLEADED $50.86
TOTAL CARD 0008 13.041 2.39 50.86
0009 05 -27 21:22 0199455 1230 S RANGELINE RD CARMEL IN 22.374 8 UNL 4.09 83:66
22.374 GAL UNLEADED $83.66
TOTAL CARD 0009 22.374 4.09 83.66
0014 05 -26 17:40 0951335 9609 OLIO RDMCCORDSVILLE IN 16.912 8 UNL 3.09 65.96
16.912 GAL UNLEADED $65.96
TOTAL CARD 0014 16.912 3.09 65.96
GRAND TOTAL 151.770 27.77 579.45
FEDERAL EXCISE TAX
0 151.7 GALLONS GASOLINE 27.77 CR
v
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 120605 9366 8015 SH33 5204
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z
Z 0005204 Page 2 o1 2 FLET2GUG
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$551.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 65129116206 I 42- 314.00 I $551.68 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
Friday, June 15, 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))
06/05/12 65129116206 gasoline $551.68
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