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Home My WebLink About217416 02/13/2013 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: $631.02 +� COLUMBUS OH 43218-3019 CHECK NUMBER: 217416 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193302 631 . 02 065-127-193 www.shelifleeteard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065-127-193 13 065127193302 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 02-03-2013 02-28-2013 28 TELEPHONE: 1-800-377-5150 FAX: 1-515-226.4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 667.33 .00 805.70 842.01 CR .00 631.02 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 02-28-2013 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 01-17 PAYMENT-THANK YOU 805.70 CR ° 0003 01-16 14:09 0333278 545 S RANGE LINE RD CARMEL IN 13.190 8 UNL 2.41 43.91 e 13.190 GAL UNLEADED $43.91 TOTAL CARD 0003 13.190 2.41 43.91 _ 0004 02-01 13:11 0437905 545 S RANGE LINE RD CARMEL IN 23.512 8 UNL 4.30 63.00 _ 23.512 GAL UNLEADED $83.00 TOTAL CARD 0004 23.512 4.30 83.00 ** 0006 01-16 07:00 0628354 9510 E 126TH ST FISHERS IN 9.430 8 UNL 1.73 30.00 9.430 GAL UNLEADED $30.00 ® TOTAL CARD 0006 9.430 1.73 30.00 */* 0014 01-29 19:52 0305920 1230 S RANGELINE RD CARMEL IN 14.861 8 UNL 2.72 52.00, 14.861 GAL UNLEADED SS2.00 VVV TOTAL CARD 0014 14.861 2.72 52.00 ** 0016 01-16 1729 0389759 8924 E 116TH ST FISHERS IN 16.321 8 UNL 2.99 52.54 16.321 GAL UNLEADED SS2.54 TOTAL CARD 0016 16.321 2.99 52.54 ** _ 0018 01-11 1808 0407221 14554 HERRIMAN BLVD NOBLESVILLE IN 16.903 8 UNL 109 56.78 _ 16.903 GAL UNLEADED 556.78 ° 0018 01-28 08:28 0043398 11601 ALLISONVILLE RD FISHERS IN 16.920 8 UNL 3.10 58.36 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 130203 9366 8015 SH33 5431 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z - z 0005431 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 verity 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 SHELL CARD CENTER 065-127-193 13 065127193302 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 02-03-2013 02-28-2013 28 10 TELEPHONE: 1-800-377-5150 FAX: 1-515-226-4045 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 16.920 GAL UNLEADED $58.36 TOTAL CARD 0018 33.823 6.19 115.14 *x 0025 01-23 10:43 0269225 1230 S RANGELINE RD CARMEL IN 13.020 8 UNL 2.38 43.75 13.020 GAL UNLEADED $43.75 TOTAL CARD 0025 13.020 2.38 43.75 0027 01-06 22:39 0541789 9510 E 126TH ST FISHERS IN 11.881 8 UNL 2.17 36.82 11.881 GAL UNLEADED $36.82 0027 01-16 16:38 0334342 545 S RANGE LINE RD CARMEL IN 13.840 8 UNL 2.53 46.09 13.840 GAL UNLEADED $46.09 t TOTAL CARD 0027 25.721 4.70 82.91 'rj 0028 01-18 08:33 0344085 545 S RANGE LINE RD CARMEL IN 14.524 8 UNL 2.66 47.7 14.524 GAL UNLEADED $47.77 TOTAL CARD 0028 14.524 2.66 47.77 ** 0029 02-01 12:52 0323873 1230 S RANGELINE RD CARMEL IN 18.010 8 UNL 3.30 63.02 18.010 GAL UNLEADED $63.02 0 TOTAL CARD 0029 18.010 3.30 63.02 ** _ 0030 01-25 00:44 0514869 7788 E 96TH ST FISHERS IN 16.003 8 UNL 2.93 53.29✓ 16.003 GAL UNLEADED $53.29 TOTAL CARD 0030 16.003 2.93 53.29 ** GRAND TOTAL 198.415 36.31 667.33 ** FEDERAL EXCISE TAX 198.4 GALLONS GASOLINE 36.31 CR TOTAL*FINANCE CHARGE' BILLED IN 2012 $0.00 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 GUS 1 7 2 130203 9366 8015 SH33 5431 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0005431 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 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)) 02/03/13 065127193302 gasoline $631.02 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 T'O, n) —IY aAL ON /j PION FOR l inent I _ Po#i Q�� tE AMOUNT Board Members I hereby certify that the attached invoice(s), or 1110 06b] I $631.02 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 Tuesday, February 12, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund