The URL can be used to link to this page

Home My WebLink About210707 07/16/2012 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: $741.15 ?� COLUMBUS OH 43218-3019 CHECK NUMBER: 210707 CHECK DATE: 7/16/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193207 741 . 15 065-127-193 www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 14 065127193207 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 07-06-2012 07-31-2012 31 TELEPHONE: 1-800377.5150 FAX: 1315-2260045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 781.16 .00 1,320.11 1,360.72 CR 00 741.15 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 07-31-2012 Card TRANS MSG PROD EXEMPT TRANSACTION Number DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY CD CD TAX AMOUNT 06-21 PAYMENT-THANK YOU 1,32071 CR 0004 06-05 1413 0309088 14554 HERRIMAN BLVD NOBLESVILLE IN 18.890 8 UNL 3.46 6725 18.890 GAL UNLEADED $67.25 0004 06-14 10:04 0676247 545 S RANGE LINE RD CARMEL IN 22-600 8 UNL 4.14 87.01 22.600 GAL UNLEADED $87.01 ®„ 0004 06-29 1522 0006536 1821 E 151 ST ST CARMEL IN 23.411 8 UNL 4.28 77.00 ® 23.411 GAL UNLEADED $77.00 ® TOTAL CARD 0004 64.901 11.88 231.26 �* ® 0005 06-27 2235 0779405 545 S RANGE LINE RD CARMEL IN 10 440 8 UNL 1.91 34.15 ® 10.440 GAL UNLEADED $34.15 ®_ TOTAL CARD 0005 10.440 1.91 34.15 ** ® 0009 06-23 1439 0341974 9510 E 126TH ST FISHERS IN 11.200 8 UNL 2.05 39.19 11.200 GAL UNLEADED $39.19 TOTAL CARD 0009 11.200 2.05 39.19 */* ®_ 0012 06-05 16.04 0071084 4887 KENTUCKY AVE INDIANAPOLIS IN 13.333 8 SUP 2.44 48.00✓ _® 13.333 GAL SUPER $48.00 ® TOTAL CARD 0012 13.333 2.44 48.00 ® 0014 06-12 1850 0317339 1230 S RANGELINE RD CARMEL IN 15.000 8 UNL 215 5790 ® 15.000 GAL UNLEADED $57.90 ®_ 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% 000% 0.00 .00 6057 0014 GUG 1 7 2 120706 9366 8015 SH33 4834 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z -0004834 Page 1 0!2 FLET2GI IG 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. 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.shellfleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES 065-127-193 14 065127193207 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 07-06-2012 07-31.2012 31 TELEPHONE: 1.800-377-5150 FAX: 1-515-226-4045 Card TRANS TRANSACTION LOCA rION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0014 15.000 2.75 57.90 ** 0018 06-13 04:17 0376921 1821 E 151 ST ST CARMEL IN 15992 8 UNL 293 61.57 15.992 GAL UNLEADED $61.57 0018 06-14 1607 0709048 2124 SOUTH STA1 E ROAD 13 PIERCETON IN 12.980 8 UNL 2.38 49.21 12.980 GAL UNLEADED S49.21 0018 06-28 13:10 0553388 1821 E 151ST ST CARMEL IN 16.384 8 UNL 300 53.89 16.384 GAL UNLEADED S53.89 0018 07-01 1830 0021W4 633 W MAIN SR 32 WESTFIELD IN 16.550 8 UNL 3.03 54.12 _ 16.550 GAL UNLEADED 554.12 ° TOTAL CARD 0018 61.906 11.34 218.79 0025 06-10 2011 0543157 1590 N RILEY HWY SHELBYVILLE IN 14.092 8 UNL 2.58 5072 ° 14.092 GAL UNLEADED $50.72 ° TOTAL CARD 0025 14.092 2.58 50.72 ** ° 0028 06-06 1216 0371468 I-65&SR 252/1 EDINBURGH IN 11.571 8 UNL 2.12 41.67 11.571 GAL UNLEADED $41.67 TOTAL CARD 0028 11.571 2.12 41.67 _® 0029 06-17 12.43 0351320 1230 S RANGELINE RD CARMEL IN 16.080 8 UNL 2.94 59.48 16.080 GAL UNLEADED $59.48 TOTAL CARD 0029 16.080 2.94 59.48 ** ® GRAND TOTAL 218.523 40.01 781.16 ® FEDERAL EXCISE TAX ® 218.5 GALLONS GASOLINE 40.01 GR Message Codes: 1-Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Punip ® 2-Keyed Sale with Authorization 5-Keyed Sale without Authorization 9-Manual Sale 6057 0014 GUG 1 7 2 120706 9366 8015 SH33 4834 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0004834 Page 2 01 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $741.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65127193207 I 42-314.00 I $741.15 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, July 13, 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)) 07/13/12 65127193207 gasoline $741.15 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