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Home My WebLink About212880 09/25/2012 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: $788.24 I TON GO COLUMBUS OH 43218-3019 CHECK NUMBER: 212880 CHECK DATE: 9/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65127193209 788 . 24 065-127-193 www.s hel ifleetcard.acco unto nli ne.conl ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 15 065127193209 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 09-05-2012 09-30-2012 30 TELEPHONE: 1-800.377-5150 FAX: 1-515.726.4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTSIADJUSTMENTS LATE FEE NEW BALANCE 828.00 .00 1,156.26 1,196.02 CR .00 78824 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 09-30-2012 Card TRANSACTION TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Numbet I DATE TIME ID CD CD TAX AMOUNT 08-31 PAYMENT-THANK YOU 1,156.26•CRR 000.3 08-28 12:51 0342287 1230 S RANGELINE RD CARMEL IN 15.680 8 UNL 2.87 62.08 V 15.680 GAL UNLEADED $62.08 TOTAL CARD 0003 15.660 287 6208 xk ° 0004 08-08 07:47 0205286 545 S RANGE LINE RD CARMEL IN 22.553 8 UNL 4.13 89.29 27.553 GAL LMLEA^ED SE9.29 ° 0004 09-04 1436 0384115 1230 S RANGELINE RD CARMEL IN .250 8 UNL 0.05 0.98 0.250 GAL UNLEADED $0.98 0004 09-04 1442 0384156 1230 S RANGELINE RD CARMEL IN 22.310 8 UNL 4.08 87.01 22.310 GAL UNLEADED S87.01 TOTAL CARD 0004 45.115 826 17728 e• 0009 08-09 0524 0220061 1230 S RANGELINE RD CARMEL IN 12.432 8 UNL 2.28 48.46 12.432 GAL UNLEADED 548.46 TOTAL CARD 0009 12.432 2.28 48.46 ** 0012 08-22 0732 0278606 2166 E HADLEY PLAINFIELD IN 13.531 8 UNL 2.48 48.16 13.531 GAL UNLEADED $48.16 ®_ TOTAL CARD 0012 13.531 2.48 48.16 ** Wi6 08-25 02:40 0293696 9510 E 126TH ST FISHERS IN 15.992 8 UNL 2.93 61.73 15.992 GAL UNLEADED $61.73 Message Codes: 1-Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Pultp 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 ° 60S7 0014 Gt1G 1 7 2 120905 9366 8015 51133 5185 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATIOtt PLE-ASE KcEP nP.S POR'SC!1 FOl1 YC1.R RECORDS - 0005185 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.shellfleetcard.accountonli ne.conl ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 15 065127193209 SHELL CARD CENTER P.O. BOX (,89)81 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 09-05-2012 09-30-2012 30 TELEPHONE: 1800377-5150 FAX: 1-515-226-4045 Caid JBANSAQTIQN TRANS I MSG PROD EXEMPT TRANSACTION Number DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY CD CD TAX AMOUNT TOTAL CARD 0016 15.992 2.93 61.73 xx 0018 08-23 15.08 0332163 8924 E 116TH ST FISHERS IN 15.410 8 UNL 2.82 54.86 15.410 GAL UNLEADED S54.86 TOTAL CARD 0018 15.410 2.82 54.86,7 0025 08-24 09.15 0323170 633 W MAIN SR 32 WESTFIELD IN 14.351 8 UNL 2.63 54.95 14.351 GAL UNLEADED $54.95 TOTAL CARD 0025 14.351 2.63 54.95 ** 0027 08-17 13.40 0176552 1005 N RILEY HIGHWAY SHELBYVILLE IN 8.560 8 UNL 1.57 31.41 0027 08-28 03:17 0339549 1230 S RANGE LNE�RDAA UNLEADED IN $31.41 1314n 6 UNL 2.40 50.71,✓ 13.140 GAL UNLEADED S50.71 TOTAL CARD 0027 21.700 3.97 82.12 *' 0029 08-15 1228 0258731 1230 S RANGELINE RD CARMEL IN 17.761 8 UNL 3.25 67.65 ° 17.761 GAL UNLEADED $67.85 0029 08-22 03:19 0261321 9510 E 126TH ST FISHERS IN 11.713 8 UNL 2.14 42.39 11.713 GAL UNLEADED $42.39 0029 09-04 1442 0385237 633 W MAIN SR 32 WESTFIELD IN 17283 8 UNL 3.16 67.06 17.283 GAL UNLEADED 567.06 r = TOTAL CARD 0029 46.757 8.55 177.30 �/ 0030 08-17 11:39 0271460 1230 S RANGELINE RD CARMEL IN 16.243 8 UNL 2.97 61.0,''1// ° 16.243 GAL UNLEADED $61.06 ° TOTAL CARD 0030 16.243 2.97 61.06 *x GRAND TOTAL 217.209 39.76 82&00 _ FEDERAL EXCISE TAX ° 217.2 GALLONS GASOLINE 39.76 OR 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 120905 9366 8015 51133 5185 UOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z i 0005185 Page 2 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $788.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65127193209 I 42-314.00 I $788.24 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 Wednesday, September 19, 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)) 09/19/12 65127193209 monthly payment $788.24 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