HomeMy WebLinkAbout209888 06/19/2012 ,\tif 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: $1,320.71
COLUMBUS OH 43218 -3019 CHECK NUMBER: 209888
CHECK DATE: 6/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65127193206 1,320.71 065 -127 -193
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 28 065127193206 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 io TELEPHONE: 1- 800773150
FAX: 1- 515.226-4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS /ADJUSTMENTS LATE FEE NEW BALANCE
1,410.19 .00 1,054.28 1,143.76 CR .00 1,320.71
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 06 -30 -2012
Card TRAIN kCTION TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
05 -24 PAYMENT THANK YOU 1,054.28 CR
06 -05 DISCOUNT 20.11 CR
0003 05 -17 15:41 0125237 1230 S RANGELINE RD CARMEL IN 14.252 8 UNL 2.61 55.00/
14.252 GAL UNLEADED 555.00
TOTAL CARD 0003 14.252 2.61 55.00_
0004 05 -13 09:26 0095828 1230 S RANGELINE RD CARMEL IN 17.762 8 UNL 3.25 65.01
17.762 GAL UNLEADED $65.01
0004 05 -26 13:19 0222760 14554 HERRIMAN BLVD NOBLESVILLE IN 19.544 8 UNL 3.58 75.01
19.544 GAL UNLEADED $75.01
0004 05 -27 11:07 0229955 14554 HERRIMAN BLVD NOBLESVILLE IN 8.042 8 UNL 1.47 30.56
8.042 GAL UNLEADED $30.56
0004 06 -01 14:14 0231779 1230 S RANGELINE RD CARMEL IN 21.181 8 UNL 3.88 76.02
21.181 GAL UNLEADED $76.02
TOTAL CARD 0004 66.529 12.18 246.60
0005 05 -23 09:23 0272872 1 -65 SR 252/1 EDINBURGH IN If _541 8 UNL 2.11 45.01
11.541 GAL UNLEADED $45.01
TOTAL CARD 0005 11.541 2.11 45.01
e 0006 05 -28 0819 0296723 8924 E 116TH ST FISHERS IN 10.842 8 UNL 1.98 40.01
0 10.842 GAL UNLEADED $40.01
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
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NOTICE: SEE REVE SI F OR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
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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 01112
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 -193 28 065127193206 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: 1-515-226-4045
Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
8.800 GAL UNLEADED 533.46
0026 05 -23 15:37 0123646 24280 SD HWY 63 MIDLAND SD 10.491 8 UNL 1.92 39.88
10.491 GAL UNLEADED $39.88
0026 05 -23 20:02 0674382 4600 W 41ST ST SIOUX FALLS SD 8.991 8 UNP 1.65 31.12
8.991 GAL UNL PLUS $31.12
0026 05 -25 07:29 0454546 601 JACKSON MORTON IL 12.161 8 UNL 2.23 45.356/
12.161 GAL UNLEADED S45.35
TOTAL CARD 0026 63.174 11.57 230.86
0029 05 -13 1704 0208702 104 S MAIN ST RUSHVILLE IN 17.044 8 UNL 3.12 64.07
17.044 GAL UNLEADED 564.07
0029 05 -17 1854 0330977 9599 N MERIDIAN ST INDIANAPOLIS IN 17.192 8 UNL 3.15 66.02
17.192 GAL UNLEADED $66.02
TOTAL CARD 0029 34.236 6.27 130.09
0030 05 -23 08:05 0164053 1230 S RANGELINE RD CARMEL IN 7.920 8 UNL 1.45 30.92
7.920 GAL UNLEADED $30.92
0030 05 -31 1729 0585000 7788 E 96TH ST FISHERS IN 16.293 8 UNL 2.98 58.33 r1
16.293 GAL UNLEADED $58.33
TOTAL CARD 0030 24.213 4.43 89.25
GRAND TOTAL 379.013 69.37 1,410.19
FEDERAL EXCISE TAX
379.0 GALLONS GASOLINE 69.37 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
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NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065 127 -193 28 065127193206 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- 600377 -5150
FAX: 1315.226.4045
Card TRANS TRANSACTION LOCATION DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
0006 05 -30 18:16 0184366 320 E SOUTHVIEW DR MARTINSVILLE IN 9.531 8 UNL 1.74 35.00
9.531 GAL UNLEADED $35.00
TOTAL CARD 0006 20.373 3.72 75.01 y
0011 06 -04 0633 0062414 201 W 38TH ST INDIANAPOLIS IN 17.321 8 SUP 3.17 62.34
17.321 GAL SUPER $62.34
TOTAL CARD 0011 17.321 3.17 62.34
0014 05 -21 1846 0520809 1551 N ILLINOIS INDIANAPOLIS IN 14.652 8 UNL 2.68 52.75
14.652 GAL UNLEADED S52.75
TOTAL CARD 0014 14.652 2.68 52.75
0 0018 05 -11 12:11 0535401 2124 SOUTH STATE ROAD 13 PIERCETON IN 14.150 8 UNL 2.59 53.77
14.150 GAL UNLEADED $53.77
0018 05 -21 21:12 0982769 9510 E 126TH ST FISHERS IN 15.043 8 UNL 2.75 56.85
15.043 GAL UNLEADED $56.85
0018 05 -31 07:37 0231894 1821 E 151 ST ST CARMEL IN 16.730 8 UNL 3.06 61.72
16.730 GAL UNLEADED $61.72
TOTAL CARD 0018 45.923 8.40 172.34
0021 05 -12 1034 0682880 4060 S FOUR MILE RUN DR ARLINGTON VA 13.761 8 UNL 2.52 54.77
13.761 GAL UNLEADED $54.77
0021 05 -15 1538 0294637 5600 LEESBURG PIKE FALLS CHURCH VA 17.033 8 UNL 3.12 64.03
17.033 GAL UNLEADED $64.03
TOTAL CARD 0021 30.794 5.64 118.80
0024 05 -11 12:09 0505206 2301 REED STATION PKWY CARBONDALE IL 8.560 8 UNL 1.57 31.70✓
8.560 GAL UNLEADED $31.70
TOTAL CARD 0024 8.560 1.57 31.70
0025 05 -30 2027 0015552 9599 N MERIDIAN ST INDIANAPOLIS IN 12.812 8 UNL 2.34 47.79
12.812 GAL UNLEADED $47.79
0025 06 -03 1019 0894386 106 MICHIGAN RD GREENSBURG IN 14.633 8 UNL 2.68 52.65
14.633 GAL UNLEADED 552.65
s TOTAL CARD 0025 27.445 5.02 100.44
0026 05 -19 1757 0970004 11 EAST ST SHELBY IA 13.780 8 UNL 2 -52 49.90
13.780 GAL UNLEADED $49.90
0026 05 -20 09:19 0720201 316 E NORTH ST HUMBOLDT SD 8.951 8 UNP 1.64 31.15
8.951 GAL UNL PLUS $31.15
0026 05 -20 11:25 0118471 24280 SO HWY 63 MIDLAND SO 8.800 8 UNL 1.61 3346 rr/
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 9746
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
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ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065- 127 -193 28 065127193206 P.O. BOX CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES, IA 50368 -9081
06 -05 -12 06 -30 -12 30 TELEPHONE: 1 -800. 377-5150
FAX: 1.515.226-4045
DISCOUNT DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE LOCATION ADDRESS TYPE BASIS DESCR CENTS PURCH SALES AMOUNT
PROGRAM TAX40002 D ALL FUELS 1,410.19 20.11
SUB -TOTAL 20.11
TOTAL 20.11
TOTAL DISCOUNT 20.11
DISC TYPE: Percent of Dollar Sales; C Cents per Unit TIER BASIS: U Units Purchased; D Dollar Sales
6057 0014 GUG 1 7 2 120605 9366 8015 SH33 9746
NO S E E RE VE R S E SID FO I IN F OR M A T I ON PLEASE KEEP THIS PORTION FOR YOUR RECORDS
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF
P.O. Box 183019
Columbus, OH 43218 -3019
$1,
ON A( )N FOR
C nt
PO# /Dept. de AMOUNT
Board Members
1110 65127193206 42- 314.00 $1,320.71
I hereby certify that the attached invoice(s), or
I I I
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 65127193206 gasoline $1,320.71
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