HomeMy WebLinkAbout212881 09/25/2012 *F CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $747.05
CARMEL, INDIANA 46032 PO BOX 183019
o� COLUMBUS OH 43218-3019 CHECK NUMBER: 212881
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065129116209 747 . 05 065-129-116
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO
065-129-116 18 065129116209 sHELLC 68
P.C. BOX 689081 081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 90368-9081
09-05-2012 09-30-2012 30 TELEPHONE: 1-800177-5150
FAX: 1-515-226.4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BA CE
784.44 00 36074 37.39 CR .00 1,1 .79
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 09-30 012
Need to know how to bring your account current?
v
Call 1-866-535-9491 today.We're here for you and
we can help.We understand that unforseen things
can happen avid it can be hard to follow through on
payments.But a past duu account can hurl your
financial outlook.We want you to know that there
® may be payment solutions you aren't aware of that
can help bring your account current.
�® We'll work with you listening to your concerns and
® discus=ing paytcenl solutions that may fit your personal
�r
situation.Remember the holidays are coming,and taking
care of your situation now can help free up your finances
for later.So it's important that you call us today.
�e Card TRANSACTION TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Ninnhei DATE TIME ID CD CD TAX AMOUNT
0001 08-10 14 23 0230136 1230 S RANGELINE RD CARMEL IN 12.820 8 UNL 2.35 50.00 V
®_ 12.820 GAL UNLEADED S50.00 /
0001 08-14 18 26 0254201 1230 S RANGELINE RD CARMEL IN 13.092 8 UNL 2.40 50.00�/
®_ 13.092 GAL UNLEADED S50.00 /
® 0001 08-21 1510 0296166 1230 S RANGELINE RD CARMEL IN 16201 8 UNL 2.96 58.31 "
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
e�
®
0.000% 0-00% 0.00 .00
6057 0014 GUG 1 7 2 120905 D 9366 8015 51133 7923
0
110MCF:SCE f:CVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP 710S PORTION FOR Y4rJR P.ECORDS
0007923 Page 1 of 3 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.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-129-116 18 065129116209
SHELL CARD CENTER
P.O. 80X 689081
CLOSING DATE DUE DATE CYCLE DAYS DEC,MOINES,IA 50368-9081
09-05-2012 09-30-2012 30 TELEPHONE: 1-800.377-6150
FAX: 1-515.226-4045
Caid TRA 28C ION TRANS MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID TRANSACTION LOCATION!DESCRIPTION QUANTITY
CD CD TAX AMOUNT
16.201 GAL UNLEADED 558.31
0001 08-27 16:10 0337162 1230 S RANGELINE RD CARMEL IN 6.160 8 UNL 1.13 23.78
6.160 GAL UNLEADED S23.78
0001 08-30 09:00 0505305 11601 ALLISONVILLE RD FISHERS IN 10.122 8 UNL 1.85 40.501t/
10.122 GAL UNLEADED $40.50
TOTAL CARD 0001 58.395 10.69 22259 xx
0002 08-12 1137 0878223 808 W MAIN STCARMEL IN 16.670 8 UNL 3.05 66.00/
16.670 GAL UNLEADED S66.00
0002 08-15 22:35 0262667 1230 S RANGELINE RD CARMEL IN 10.280 8 UNL 1.88 39.27
10.280 GAL UNLEADED 539.27
0002 08-27 18 24 0338228 1230 S RANGELINE RD CARMEL IN 24.734 8 UNL 4.53 95.45
24.734 GAL UNLEADED S95.45
TOTAL CARD 0002 51.684 9A6 200.72 xx
0006 08-08 15:49 0102863 4624 LAFAYETTE RD INDIANAPOLIS IN 10.031 8 UNL 1.84 38.61
10.031 GAL UNLEADED $38.61
0006 08-15 1754 0054155 3801 E NEW YORK INDIANAPOLIS IN 7.571 8 UNL 1.39 28.0d/
7.571 GAL UNLEADED 528.00 /
a 0006 08-23 10:07 0056234 2045 N POST RD INDIANAPOLIS IN 14.252 8 UNL 2.61 55.00 1/
14.252 GAL UNLEADED 555.00
0006 08-24 1722 0846220 2108 N EMERSON AVE INDIANAPOLIS IN 5.181 8 UNL 0.95 20.02
5.181 GAL UNLEADED $20.02
® 0006 08-25 14.57 0045443 4841 N PENNSYLVANIA ST INDIANAPOLIS IN 5.020 8 UNL 0.92 19.35
5.020 GAL UNLEADED S19.35
0006 09-04 1825 0459107 2040 E WASHINGTON INDIANAPOLIS IN 7.770 1 UNL 1.42 30.00
7.770 GAL UNLEADED 530.00
TOTAL CARD 0006 49.825 9.13 190.98 V
0009 08-24 20:28 0108647 1590 N RILEY HWY SHELBYVILLE IN 15.591 8 UNL 2.85 60.01
15.591 GAL UNLEADED $60.01
0009 08-28 13'59 0342832 1230 S RANGELINE RD CARMEL IN 5.050 8 L1NL 0.92 20.01
5.050 GAL UNLEADED S20.01
e TOTAL CARD 0009 20.641 3.77 80.02
0014 08-12 10.32 0242610 9609 OLIO RD MCCORDS VILLE IN 14.993 8 L1NL 2.74 55.4
14.993 GAL UNLEADED 555.46
0014 08-31 14:14 0543793 9042 W WASHINGTON ST INDIANAPOLIS IN 8.730 8 UNL 1.60 34.67
Message Codes: i-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 0 9366 8015 SH33 7923
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS POR110N FOR YOUR RECORDS
Z 0007923 Page 2 of 3 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.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES
065-129-116 18 065129116209 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50366-9061
09-05-2012 09-30-2012 30 ia TELEPHONE: 1.800-377-5150
FAX: 1-515-226-4045
Card -c TRANS MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY CD CD TAX AMOUNT
8.730 GAL UNLEADED 534.67
TOTAL CARD 0014 23.723 4.74 90.13 *�
GRAND TOTAL 204.268 37.39 784.44 **
FEDERAL EXCISE TAX
204.2 GALLONS GASOLINE 37.39 CR
OVERSIGHT IN PUTTING YOUR PAYMENT IN T11 MAIL?
CALL 1-888-304-5075 TO PAY BY CHECK OVER THE
PHONE 24 HOURS A'DAY. HAVE YOUR CHEC'BOOK
READY WHEN YOU CALL.
® 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 D 9366 8015 SH33 7923
NOTICE:SEE REVERSE SIOE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RFCOROS
0007923 Page 3 of 3 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 01112
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF $
P.O. Box 183019
Columbus, OH 43218-3019
$747.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 65129116209 I 42-314.00 I $747.05 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 65129116209 monthly payment $747.05
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