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Home My WebLink About217417 02/13/2013 f CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 s ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $436.76 CARMEL, INDIANA 46032 PO BOX 183019 «p� COLUMBUS OH 43218-3019 CHECK NUMBER: 217417 CHECK DATE: 2/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116302 436 . 76 065-129-116 www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES SHELL CARD CENTER 065-129-116 11 065129116302 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 02-03-2013 02-28-2013 28 TELEPHONE: 1-800377-5150 FAX: 1-515-2264045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 462.07 .00 698.03 723.34 CR .00 436.76 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 02-2 8-2013 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 01-17 PAYMENT-THANK YOU 698.03 C RR ° 0001 01-09 19:04 0190694 1230 S RANGELINE RD CARMEL IN 12.062 8 UNL 2.21 41.00 V/ 12.062 GAL UNLEADED $41.00 0001 01-15 13.45 0220921 1230 S RANGELINE RD CARMEL IN 10.330 8 UNL 1.89 34.09 10.330 GAL UNLEADED $34.09 ® 0001 01-30 19:45 0312314 1230 S RANGELINE RD CARMEL IN 7.782 8 UNL 1.42 28.00 ® 7.782 GAL UNLEADED $28.00 TOTAL CARD 0001 30.174 5.52 103.09 ® 0002 01-14 1845 0653121 808 W MAIN ST CARMEL IN 25.174 8 UNL 4.61 83.0 2S.174 GAL UNLEADED $83.05 -_ 0002 01-19 06:31 0455709 1821 E 151ST ST CARMEL IN 17.974 8 UNL 3.29 60.00 _ 17.974 GAL UNLEADED $60.00 e TOTAL CARD 0002 43.148 7.90 143.05 ** ° 0006 01-08 18:32 0745257 2108 N EMERSON AVE INDIANAPOLIS IN 6.471 8 UNL 1.18 2201. ®_ 6.471 GAL UNLEADED $22.01 0006 01-10 10:32 0753186 2108 N EMERSON AVE INDIANAPOLIS IN 10.291 8 UNL 1.88 35.00 10.291 GAL UNLEADED $35.00 0006 01-21 22:16 0808881 2108 N EMERSON AVE INDIANAPOLIS IN 15.253 8 UNL 2.79 50.031/ 15.253 GAL UNLEADED $50.03 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 5432 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z 0005432 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.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065-129-116 11 065129116302 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 Caid TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT TOTAL CARD 0006 32.015 5.85 107.04 ** 0014 01-11 10:41 0752014 9599 N MERIDIAN ST INDIANAPOLIS IN 7.270 8 UNL 1.33 22.54 7.270 GAL UNLEADED $22.54 0014 01-21 11:23 0256792 1230 S RANGELINE RD CARMEL IN 16.220 8 UNL 2.97 54.50 16.220 GAL UNLEADED $54.50 0014 01-23 1707 0271726 1230 S RANGELINE RD CARMEL IN 9.481 8 UNL 1.74 31.85 9.481 GAL UNLEADED $31.85 TOTAL CARD 0014 32.971 6.04 108.89 *� GRAND TOTAL 138.308 25.31 462.07 ** _ FEDERAL EXCISE TAX ° 138.3 GALLONS GASOLINE 25.31 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 GUG 1 7 2 130203 9366 8015 SH33 5432 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS OW5432 Page 2 of 2 FLET2GUG Information About Your Account Report a Lost or Stolen Card Immediately: Our Customer Service Representatii days a week. I Payment Instructions: We must receive your payment in proper form at our proce, do,it will be credited as of that day. A payment received at the processing facility in of the next day. Allow 5 to 7 days for payments by regular mail to reach us.There rri payment we receive that is not in proper form or is not sent to the correct address. regular mail is the address listed on the return envelope or on the front of the paymE express courier,you must call us for the correct address at the Customer Service nu Proper Form. For a payment sent by mail or courier to be in proper form,you musts •Enclose a valid check or money order.No cash or foreign currency please. i •Include your name and account number on the front of your check or money i If you send an eligible check with the payment coupon,you authorize us to coi we do,the checking account will be debited in the amount on the check. We nI the check. Also,the check will be destroyed. Optional Pay by Phone Service. You may use this optional service any time to ma $14.95 to use this service. Call by 5 p.m.Eastern time to have your payment crediti your payment will be credited as of the next day. We may process your payment elE This Account is Issued by Citibank,N.A. PLOCOMM Rev 01112 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 065129116302 monthly payment $436.76 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 $436.76 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 065129116302 I 42-314.00 I $436.76 I 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 Tuesday, February 12, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund