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Home My WebLink About211171 07/30/2012 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: $575.12 ? COLUMBUS OH 43218-3019 <,o �o CHECK NUMBER: 211171 CHECK DATE: 7/3012012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116207 575 . 12 065-129-116 www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-129-116 12 065129116207 SHELL CARD CENTER P.O. 80X 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 07-06-2012 07-31-2012 31 TELEPHONE: 1.800377-5150" FAX: 1315-226-4045 , NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE!' 605.80 .00 551.68 582.36 CR 00 575.12 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 07-31-2012 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT _ 06-21 PAYMENT-THANK YOU 551.68 CP. ° 0002 06-13 1303 0491936 633 W MAIN SR 32 WESTFIELD IN 21365 8 UNL 391 82.00 tol _ 21.365 GAL UNLEADED $82.00 0002 06-27 2209 0531525 14554 HERRIMAN BLVD NOBLESVILLE IN 29.150 8 UNL 533 98.53 29.150 GAL UNLEADED $98.53 TOTAL CARD 0002 50.515 9.24 180.53 *%r 0006 06-14 13.54 0341867 2040 E WASHINGTON INDIANAPOLIS IN 8.290 8 UNL 1.52 32.01 8.290 GAL UNLEADED $32.01 / _ 0006 06-15 14:41 0513564 1201 S HOLT RD INDIANAPOLIS IN 10.742 8 SUP 1.97 40 07 10.742 GAL SUPER 540.07 ® 0006 06-16 07 16 0708305 6955 S EMERSON INDIANAPOLIS IN 16.180 8 UNL 2.96 59.69-1/ ® 16.180 GAL UNLEADED $59.69. ® 0006 06-22 1335 0700518 6998 E 21ST ST INDIANAPOLIS IN 7.651 8 UNL 1.40 26.00 7.651 GAL UNLEADED 526.00 ®_ 0006 07-03 18.28 0327288 2045 N POST RD INDIANAPOLIS IN 12 731 8 UNL 233 44.0 ® 12.731 GAL UNLEADED $44.05 TOTAL CARD 0006 55.594 10.18 201.82 ®_ 0009 06-14 21'19 0500082 633 W MAIN SR 32 WESTFIELD IN 10.502 8 UNL 1.92 40.12 ° 10.502 GAL UNLEADED $40.12 Message Codes: 1-Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Pun1p ® 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 120706 9366 8015 SH33 4835 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0014835 0,,..,I M o FLET2C:C3 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 12 065129116207 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 503689081 07-06-2012 07-31-2012 31 TELEPHONE: 1-800-377-5150 FAX: 1.515-726.4045 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number GATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0009 10.502 1.92 40.12 ** 0010 06-06 12 14 0371450 1-65&SR 252/1 EDINBURGH IN 8.710 8 UNL 1.59 31.35r/ 8.710 GAL UNLEADED $31.35 TOTAL CARD 0010 8.710 1.59 31.35 0014 06-09 1437 0008243 2320 CHESTER BLVD.RICHMOND IN 14.571 8 UNL 2.67 53.61 14.571 GAL UNLEADED $53.61 0014 06-17 09.36 0471482 8924 E 116TH S1 FISHERS IN 15372 8 UNL 2.89 58.36 15.772 GAL UNLEADED $58.36 0014 06-20 1855 0457937 2540 N HIGH SCHOOL RD SPEEDWAY IN 11.982 8 UNL 219 40.01 ° 11.982 GAL UNLEADED 540.01 _ TOTAL CARD 0014 42.325 7.75 151.98 ** ° GRAND TOTAL 167.646 30.68 605.80 ** ® FEDERAL EXCISE TAX ° 167.6 GALLONS GASOLINE 30.68 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 120706 9366 8015 SH33 4835 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0004835 Page 2 of 2 FLEr2GUG 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 01112 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $575.12 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116207 I 42-314.00 I $575.12 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, July 26, 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)) 07/26/12 65129116207 monthly payment $575.12 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