218318 03/20/2013 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: $1,115.52
t?� COLUMBUS OH 43218-3019
CHECK NUMBER: 218318
CHECK DATE: 3/2012013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193303 1, 115 . 52 065-127-193
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-127-193 21 065127193303 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: 1-800377-5150
FAX: 1-515-226-4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE
1,181.72 .00 631.02 697.22 CR .00 1015.52
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 03-31-2013
Caid I TRANSACTION TRANS I MSG IPROD EXEMPT TRANSACTION
Number DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY CD CO TAX I AMOUNT
i 02-16 PAYMENT-THANK YOU 631-02 CR
® 03-06 DISCOUNT 9.32 CR
®_ 0004 02-12 11:19 0407783 1230 S RANGELINE RD CARMEL IN 22.541 8 UNL 4.13 81,15 V
22.541 GAL UNLEADED 581.15 /
® 0004 02-21 12:51 0571968 545 S RANGE LINE RD CARMEL IN 21284 8 UNL 3.89 81.50 V
® 21.284 GAL UNLEADED S81-50
0004 02-23 10:33 0584821 545 S RANGE LINE RD CARMEL IN 6,261 8 UNL 1.15 2400
6.261 GAL UNLEADED $24.00
0004 03-02 14.23 0838615 14554 HERRIMAN BLVD NOBLESVILLE IN 204 8 UNL 406 85.02
® 22.204 GAL UNLEADED $85.02
® TOTAL CARD 0004 72.290 13.23 271.67 �J
0014 02.22 08:53 0470237 1230 S RANGELINE RD CARMEL IN 14.240 8 UNL 2.61 54.40 V/
14.240 GAL UNLEADED S54-40
®_ TOTAL CARD 0014 14.240 2-61 54.40 ;�
0015 02-26 1102 0665398 8924 E 116TH ST FISHERS IN iC951 8 UNL 2.74 55.17✓
® 14.951 GAL UNLEADED 555.17
® TO TAI CARD 0015 14.951 2.74 55.17
® 0016 02-06 1532 0-34323 2104 N CAPITOL AVE INDIANAPOLIS IN 15.940 8 UNL 2.92 58.66
15.940 GAL UNLEADED $58.66
® 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 9623
® NOTICE:SEE 14FVERSE SIDE FOR WPORTANT INFORMATION PLEASE KEEP TKS POIITI014 FOR-YOUR RECOPPS
000%,-23 Page 1 o14 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.
e 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.AS.Issued-by Citibank,,N.A.
,. . >_._. �...._.....:_,....._. ._. ..-._ PLOCOMM Rev 01 112
www.shellfleetcard.accountonli ne.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER
SEND INQUIRIES TO:
065-127-193 21 065127193303 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: 1.800377-5150
FAX: 1.515.226.4045
Card TRANSKTION TRANS "'S
TRANSACTION EXEMPT I TRANSACTION
Numb DATE TIME ID CD CD TAX
er TRANSACTION LOCATION/DESCRIPTION QUANTITY f AMOUNT
0016 02-15 17:38 0569541 1230 WEST SR 32 LEBANON IN 15,320 8 UNL 2-80 59.75
15.320 GAL UNLEADED $59.75
0016 03-04 12:24 0077453 9510 E 126TH ST FISHERS IN 6.800 8 UNL 1.24 25.70
6.800 GAL UNLEADED S25.70
TOTAL CARD 0016 38.060 6,96 144.11 r f
0018 02.27 09:37 0299081 11601 ALLISONVILLE RD FISHERS IN 16.894 8 UNL 3,09 65.87
16.894 GAL UNLEADED 565.87
TOTAL CARD 0018 16.894 3.09 65.87 **
0025 02-24 11:43 0227603 106 MICHIGAN RD GREENSBURG IN 15,050 8 UNL 2.75 57,19
®_ 15.050 GAL UNLEADED $57.19
0025 03-03 19:24 0854646 808 W MAIN ST CARMEL IN 13.840 6 UNL 2.53 53.99
® 13.640 CAL WALEA4cU s5L.99
TOTAL CARD 0025 28,890 528 111.18 t�
® 0026 02-28 14:57 0973271 2400 JONATHON MOORE PIKE COLUMBUS IN 11.521 8 UNL 2.11 42.87
11.521 GAL UNLEADED $42.87
TOTAL CARD 0026 11,521 2.11 42.87 �/�
0027 02.05 16:26 0396465 9611 ALLISONVILLE RD INDIANAPOLIS IN 10,810 8 UNL 1,98 40.011/
® 10.810 GAL UNLEADED $40.01
° 0027 02-13 08:29 0896167 9510 E 126TH ST FISHERS IN 12242 8 UNL 2.24 46.03✓
12.242 GAL UNLEADED $46.03
® 0027 02.25 18:51 0016469 9510 E 126TH ST FISHERS IN 11.600 8 MIS 2.12 47.67
DISCOUNT 51.16
11.600 GAL UNLEADED $42.83
WASH JOB 56.00
0027 03-01 0722 0916601 4887 KENTUCKY AVE INDIANAPOLIS IN 14.161 8 SUP 2,59 53.80
14.161 GAL SUPER $53.80
_ TOTAL CARD 0027 48.813 8.93 187.51 *�
0029 02-09 14:28 0648600 1821 E 151ST ST CARMEL IN 17,703 8 UNL 3,24 66.90
17.703 GAL UNLEADED $66-90
0
0029 02-19 19:11 0739557 1821 E 151ST ST CARMEL IN 14.050 8 UNL 2.57 53.39
14.050 GAL UNLEADED 553.39
0029 02.22 22:49 0474379 1230 S RANGELINE RD CARMEL IN 16,160 8 UNL 2,96 6135
16.160 GAL UNLEADED $61.75
0029 02-27 17:31 0814251 1 1821 E 151ST ST CARMEL IN 17.242 8 UNL 3.16 66.90
®_ 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 0015 GUG 1 7 2 130306 9366 8015 SH33 9623
0
® NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP TI US PORTION FOR YOUR RECORDS
Z 0009623 Page 2 of 4 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
S14.95 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.
PLOCOMW Rev 61112
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF $
P.O. Box 183019
Columbus, OH 43218-3019
$1,115.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 65127193303 I 42-314.00 I $1,115.52 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
IV Of
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 65127193303 monthly payment $1,115.52
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