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Home My WebLink About214561 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 0 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $670.84 ?o CARMEL, INDIANA 46032 PO BOX 183019 >o� COLUMBUS OH 43218-3019 CHECK NUMBER: 214561 CHECK DATE: 11120/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193211 670 . 84 GASOLINE www.sheliffeetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES SHELL CARD CENTER 065.127-193 14 065127193211 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 11-05-2012 11-30-2012 31 TELEPI-IONE: 1.800377.5150 FAX: 1-515.226-4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 706.90 .00 675.87 711.93 OR .00 670.84 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 11-30-2012 Caid TRAN3AQIIQbIJ11 TRANS MSG PROD EXEMPT TRANSACTION Namber DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG CD TAX AMOUNT 10-25 PAYMENT-THANK YOU 675.87 CR 0006 10-30 21:46 0849133 8924 E 116TH ST FISHERS IN 7.350 8 UNL 1.35 25.00 7.350 GAL UNLEADED $25.00 TOTAL CARD 0006 7.350 1.35 25.00 ® 0007 11-04 11'22 0107789 501 COOL SPRINGS BLVD FRANKLIN TN 13.432 8 UNL 2.46 4790 13.432 GAL UNLEADED S47.00 TOTAL CARD 0007 13.432 2.46 47.00 ** _- 0014 10-16 17:44 0643148 1230 S RANGELINE RD CARMEL IN 14.293 8 UNL 2.62 50.00 14.293 GAL UNLEADED $50.00 TOTAL CARD 0014 14.293 2.62 50.00 ** 0015 10-16 07:38 0407791 6101 S LA GRANGE RD COUNTRYSIDE IL 13.773 8 UNL 2.52 52.89' 13.773 GAL UNLEADED SS2.89 TOTAL CARD 0015 17.773 2.52 SZ89 xr ®_ 0016 10-05 1238 0686121 9510 E 126TH ST FISHERS IN 3.000 8 UNL 0.55 10-98 3.000 GAL UNLEADED 510.98 TOTAL CARD 0016 3.000 0.55 10.98 ** 0018 10-12 1332 0720060 8924 E 116TH ST FISHERS IN 15.053 8 UNL 216 56.26 15.083 GAL UNLEADED 556.26 0018 10-19 12.54 0769240 8924 E 116TH ST FISHERS IN 13.930 8 UNL 2.55 48.77 Message Codes: 1-Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Pur p 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 121105 9366 8015 SH33 5309 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMA110N PLEASE KEEP TMS PORTION FOR YOUR RECORDS i 0005309 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 I www.sheliffeetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065-127-193 14 065127193211 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-^081 11-05-2012 11-30-2012 31 TELEPHONE: 1-800377-5150 FAX: 1.515.226-4045 Card TRANSACTION TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT I TRANSACTION Numhei DATE TIME ID CD CD TAX AMOUNT 13.930 GAL UNLEADED S48.77 TOTAL CARD 0018 29.013 5.31 105.03 **/ 0025 10-09 09:04 0592949 1230 S RANGELINE RD CARMEL IN 15.520 8 UNL 2.84 59.60 15.520 GAL UNLEADED S59.60 TOTAL CARD 0025 15.520 2.84 59.60 �* 0029 10-09 1832 0509869 1821 E 151 ST ST CARMEL IN 17.322 8 UNL 3.17 65.29 17.322 GAL UNLEADED 565.29 0029 10-29 16:47 0874958 7788 E 96TH ST FISHERS IN 17.913 8 UNL 3.28 62.34 17.913 GAL UNLEADED $62.34 TOTAL CARD 0029 35.235 6.45 127.63 ** 0030 10-16 17:18 0779850 7788 E 96TH ST FISHER: IN is 490 5 UNL 3.22 60.34./ ® 16.490 GAL UNLEADED $60.34 / -_ 0030 10-23 21:31 0833236 7788 E 96TH ST FISHERS IN 14.194 8 UNL 2.60 47.55y 14.194 GAL UNLEADED $47.55 / ° 0030 10-30 19:52 0931048 9510 E 126TH ST FISHERS IN 16.100 8 UNL 2.95 55.08 / ° 16.1C0 GAL UNLEADED S55.GG TOTAL CARD 0030 46.784 8.57 162.97 * 0032 10-18 1502 0409011 805 S HEMLOCK ST LE ROY IL 18.540 8 UNL 3.39 65.80 18.540 GAL UNLEADED $65.80 TOTAL CARD 0032 18540 3.39 65.80 ** GRAND TOTAL 196.940 36.06 706.90 ** FEDERAL EXCISE TAX ° 196.9 GALLONS GASOLINE 313.06 CR Message Codes: 1-Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Puny 2-Keyed Sale with Authorization 5-Keyed Sale without Authorization 9-Manual Sale 6057 0014 GUG 1 7 2 121105 9366 8015 51133 5309 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP TMS PORTION FOR YOUR RECORDS z 0005309 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 he 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 $670.84 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#1 Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1110 ! I 42-314.00 I $670.84_ I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 8� materials or services itemized thereon for which charge is made were ordered and received except Thursday, November 15, 2012 Chief of 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)) 11/05/12 65127193211 monthly payment $670.84 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