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Home My WebLink About218317 03/20/2013 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $682.66 CARMEL, INDIANA 46032 PO BOX 183019 ';raN icon COLUMBUS OH 43218-3019 CHECK NUMBER: 218317 CHECK DATE: 3/20/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116303 682 . 66 065-129-116 i www.sheiMeetcard.accountonfine.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-129-116 15 065129116303 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 03-06-2013 03-31-2013 31 TELEPHONE: 1.8005775150 FAX: 1-515.226-0045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 717.68 .00 436.76 471.78 CR .00 682.66 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 03-31-2013 Card TRAN kCTION TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD ( CD TAX I AMOUNT 02-16 PAYMENT-THANK YOU 436.76 CR s ® 0001 - 02-13 21:40 0902924 9510 E 126TH ST FISHERS IN 7-842 8 UNL 1.44 29.00 7.842 GAL UNLEADED $29.00 / 0001 02-25 12:54 0487264 1230 S RANGELINE RD CARMEL IN 8.150 8 UNL 1.49 31.16 V 8.150 GAL UNLEADED $31.16 TOTAL CA110 OCO1 15.992 2.93 60.16 it 0002 02-08 17:54 0759100 808 W MAIN ST CARMEL IN 26,590 8 UNL 4.87 95.701/ 26.590 GAL UNLEADED 595.70 ® 0002 02-24 15:55 0483511 1230 S RANGELINE RD CARMEL IN 15.712 8 UNL 2.88 60.02 15.712 GAL UNLEADED 560.02 TOTAL CARD 0002 42.302 7.75 155.72 0006 02.06 17:31 0998484 4221 S EMERSON AVE INDIANAPOLIS IN 13.970 8 UNL 2.56 50-oOV"" 13.970 GAL UNLEADED $50.00 ® 0006 02-08 16:25 0010041 4221 S EMERSON AVE INDIANAPOLIS IN 10-542 8 UNL 1.93 40-05✓ ®_ 10.542 GAL UNLEADED $40.05 0006 02-11 12:26 0731919 2040E WASHINGTON INDIANAPOLIS IN 11.971 8 UNL 2.19 45.00 ®_ 11.971 GAL UNLEADED S45.00 0006 02-14 10:12 0037028 4221 S EMERSON AVE INDIANAPOLIS IN 8.891 8 UNL I 1.63 32.00 8.891 GAL UNLEADED S32.00 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 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 0015 GUG 1 7 2 130306 9366 8015 SH33 5145 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS 0005145 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.sheiMeetcard.accounto nli ne.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: D65-129-116 15 065129116303 SHELL CARD CENTER P,O, BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 03-06-2013 03-31-2013 31 TELEPHONE: 1.8003773150 FAX: 1.515.226-4045 Card I TRANS I MSG PROD EXEMPT TRANSACTION TRANSACTION LOCATION/DESCRIPTION QUANTITY Number DATE TIME ID CD CD TAX AMOUNT 0006 02-21 14:22 0766774 6998 E 21ST ST INDIANAPOLIS IN 8.110 8 UNL I 1.48 30,00 8.110 GAL UNLEADED $30.00 0006 02-28 11:21 0760298 2040E WASHINGTON INDIANAPOLIS IN 9.690 8 UNL 1.77 37.60 9.690 GAL UNLEADED $37.60 0006 03.02 19:32 0393116 6955 S EMERSON INDIANAPOLIS IN 8.032 8 UNL 1.47 30.04 8.032 GAL UNLEADED $30.04 TOTAL CARD 0006 71.206 13.03 264.69 0014 02-07 17:55 0133314 11601 ALLISONVILLE RD FISHERS IN 13.660 8 UNL 250 50 01 13.660 GAL UNLEADED 550.01 °e 0014 02-15 13.03 0430686 1230 S RANGELINE RD CARMEL IN 15.470 8 UNL 2.83 60.35 15.470 GAL UNLEADED S60-35 - 0014 02-20 09:15 0240739 11601 ALLISONVILLE RD FISHERS IN 15,602 8 UNL 2.86 60,38 ® 15.602 GAL UNLEADED $60-38 ® 0014 03-01 1727 0690594 6924 E 116TH ST FISHERS IN 17.061 8 UNL 3.12 66.37 17.061 GAL UNLEADED $66.37 TOTAL CARD 0014 61.793 11.31 237.11 GRAND TOTAL 191.293 35.02 717.68 *� FEDERAL EXCISE TAX ® 1912 GALLONS GASOLINE 35.02 CR TOTAL TINANCE CHARGE' BILLED IN 2012 $0.00 Message Codes: 1-Electronic Sale with Authorization 4-Electronic Sale without Authorization 8-Electronic Sale at Purrp 2-Keyed Sale with Authorization 5-Keyed Sale without Authorization 9-Manual Sale 6057 0015 GUG 1 7 2 130306 9366 8015 SH33 5145 ® NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0005145 Page 2 o12 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 Hov 01 i12 VOUCHER NO. WARRANT NO. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $682.66 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116303 I 42-314.00 I $682.66 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 Tuesday, March 12, 2013 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)) 03/06/13 65129116303 monthly payment $682.66 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