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Home My WebLink About212100 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 0 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CARMEL, INDIANA 46032 PO BOX 183019 CHECK AMOUNT: $360.74 94«ow`o COLUMBUS OH 43218-3019 CHECK NUMBER: 212100 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65129116208 360 . 74 065-129-116 I www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-129-116 10 065129116208 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 08-06-2012 08-31-2012 31 TELEPHONE: 1-800-377-5150 FAX: 1-515-226-4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 380.55 .00 575.12 594.93 CR .00 360.74 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 08-31-2012 Caid TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT _ 08-03 PAYMENT-THANK YOU 575.12 CR ° ° 0002 07-12 1339 0091017 9599 N MERIDIAN ST INDIANAPOLIS IN 27.777 8 UNL 5.08 9800 ° 0002 07-18 21.28 0094342 1230 S RANGELLNE RD CARMEL IN $98.00 6.741 8 UNL 1.23 24 00✓ _® 6.741 GAL UNLEADED $24.00 v TOTAL CARD 0002 34.518 6.31 122.00 '� 0006 07-08 2338 0306928 4221 S EMERSON AVE INDIANAPOLIS IN 3.550 8 UNL 0.65 12.00 3.550 GAL UNLEADED $12.00 0006 07-11 15.57 0320911 4221 S EMERSON AVE INDIANAPOLIS IN 8.110 8 UNL 1.48 27.00 8.110 GAL UNLEADED $27.00 ® 0006 07-18 14 14 0781682 1201 S HOLT RD INDIANAPOLIS IN 8.490 8 SUP 1.55 30.15 8.490 GAL SUPER S30.15 ® 0006 07-26 09.40 0115584 7788 E 96TH ST FISHERS IN 7.541 8 UNL 1.38 27.00 7.541 GAL UNLEADED 527.00 TOTAL CARD 0006 27.691 5.06 96.15 *t ® 0009 07-17 1043 0052316 8924 E 116TH ST FISHERS IN 10112 8 UNL 1.85 36.00 V 10.112 GAL UNLEADED 536.00 ® 0009 07-20 1608 0432120 9042 W WASHINGTON ST INDIANAPOLIS IN 8.720 8 UNL 1.60 29.9 8.720 GAL UNLEADED 529.92 ®_ 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 120806 9366 8015 SH33 5059 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0005059 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: •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 10 065129116208 P.O. L CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 08-06-2012 08-31-2012 31 TELEPHONE: 1-800-377-5150 FAX: 1615-226-4045 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0009 18.832 3.45 65.92 ** 0014 07-07 09 55 0250464 9609 OLIO RD MCCORDSVILLE IN 12.052 8 UNL 2.21 43.39 12.052 GAL UNLEADED $43.39 0014 07-22 18 52 0166553 2320 CHESTER BLVD.RICHMOND IN 15.172 8 UNL 2.78 53.09 15.172 GAL UNLEADED $53.09 TOTAL CARD 0014 27.224 4.99 96.48 �* GRAND TOTAL 108.265 19.81 380.55 ** _ FEDERAL EXCISE TAX 108.2 GALLONS GASOLINE 19.81 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 120806 9366 8015 SH33 5059 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0005059 Page 2 of 2 FLET2GUG 7 - 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 $360.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116208 I 42-314.00 I $360.74 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 C Thursday, August 23, 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)) 08/06/12 65129116208 gasoline $360.74 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