HomeMy WebLinkAbout220036 05/21/2013 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: $1,148.49
COLUMBUS OH 43218-3019 CHECK NUMBER: 220036
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193305 1, 148 . 49 GASOLINE
I
www.shelitleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065-127-193 22 065127193305 P O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
05-06-2013 05-31-2013 31 TELEPHONE: 1-800.377.5150
FAX: 1-515-226-4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE
1,220.98 .00 1,093.60 1,166.09 CR .00 1,148.49
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 05-31-2013
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
_ 04-27 PAYMENT-THANK YOU 1,093.60 CR
05-06 DISCOUNT 10.21 CR
0004 04-12 0908 0890863 545 S RANGE LINE RD CARMEL IN 20.343 8 UNL 3.72 71.00
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20.343 GAL UNLEADED $71.00
0004 04-18 1116 0077396 9599 N MERIDIAN ST INDIANAPOLIS IN 7.470 8 UNL 1.37 2525
7.470 GAL UNLEADED $25.25
_ 0004 04-19 1357 0944660 545 S RANGE LINE RD CARMEL IN 22.564 8 UNL 413 76.02
22.564 GAL UNLEADED $76.02
TOTAL CARD 0004 50.377 9.22 172.27
® 0006 04-07 17:07 0941559 8924 E 116TH ST FISHERS IN 8.810 8 UNL 1.61 32.00
8.810 GAL UNLEADED $32.00
TOTAL CARD 0006 8.810 1.61 32.00
0014 04-12 0924 0747758 1230 S RANGELINE RD CARMEL IN 17.340 8 UNL 3.17 60.50
17.340 GAL UNLEADED $60.50
TOTAL CARD 0014 17.340 3.17 60.50
0015 04-18 1326 0865311 7024 N KEYSTONE AVE INDIANAPOLIS IN 16.430 8 UNL 3.01 57.82
16.430 GAL UNLEADED $57.82
0015 05-05 2053 0511444 437 W JEFFERSON BLVD FORT WAYNE IN 14 463 8 UNL 2.65 53.21
14.463 GAL UNLEADED $53.21
® 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 130506 9366 8015 SH33 9829
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z 0009829 Page 1 of 4 FL E 1-2Gl%a
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Information About Your Account
Report a Lost or Stolen Card Immediately. You may call Customer Service 24 hours a day.7 days a week.
When Your Payment Will Be Credited. If we receive your payment in proper form at our processing facility by 5 p.m.local time there,it will be credited as of that day A payment received there
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 regular mail is the address on the front of the payment coupon.
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,gift cards,or foreign currency please.
•Include your name and the last four digits of your account number.
Payment Other Than By Mail.
Phone. Call the phone number on Page 1 of your statement to make a payment.We may process your payment electronically after we verify your identity. You will be charged$14.95 to use this
service. The payment cutoff time for Phone Payments is midnight Eastern time. This means that we will credit your account as of the calendar day,based on Eastern time,that we receive your
payment request.
If you send an eligible check with this 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.
This Account is Issued by Citibank,N.A.
PLOCOMM Rev 04/13
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-127-193 22 065127193305 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
05-06-2013 05-31-2013 31 TELEPHONE: 1-800.377.5150
FAX: 1-515-226-4045
Caid TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Numbei DATE TIME ID CD CD TAX AMOUNT
TOTAL CARD 0015 30.893 5.66 111.03 **
0016 04-07 2049 0402354 9510 E 126TH ST FISHERS IN 14.670 8 UNL 2.68 51.92
14.670 GAL UNLEADED 551.92
0016 04-08 13 55 0066225 6101 BROADWAY MERRILLVILLE IN 9.121 8 UNL 1.67 34.67✓
9.121 GAL UNLEADED $34.67
0016 04-11 2151 0003699 6416 E STATE ROAD 334 WHITESTOWN IN 13.710 8 UNL 2.51 48.00
13.710 GAL UNLEADED $48.00
0016 04-18 1100 0505735 9510 E 126TH ST FISHERS IN 16.483 8 UNL 3.02 58.32
16.483 GAL UNLEADED $58.32
° TOTAL CARD 0016 53.984 9.88 192.91
_ 0018 04-11 0828 0651745 11601 ALLISONVILLE RD FISHERS IN 17.282 8 UNL 3.16 59.28
®_ 17.282 GAL UNLEADED $59.28
0018 0422 16.43 0317545 1821 E 151ST ST CARMEL IN '' 13.763 8 UNL 2.52 50.91
13.763 GAL UNLEADED $50.91
_ TOTAL CARD 0018 31.045 5.68 110.19 /�*
0020 05-01 1140 0883827 1230 S RANGELINE RD CARMEL IN 25.641 8 UNL 4.69 100.00✓
25.641 GAL UNLEADED 5100.00
° TOTAL CARD 0020 25.641 4.69 100.00
° 0025 04-17 20 17 0057034 808 W MAIN ST CARMEL IN 11.000 8 UNL 2-01 38.491/
® 11.000 GAL UNLEADED 538.49 //
° 0025 04-25 1648 0092874 808 W MAIN ST CARMEL IN 15.460 8 UNL 283 56.9/
15.460 GAL UNLEADED 556.91
TOTAL CARD 0025 26.460 4.84 95.40
® 0029 04-19 14.01 0065094 808 W MAIN ST CARMEL IN 17.623 8 UNL 3.23 59.55
17.623 GAL UNLEADED $59.55
° 0029 04-26 2117 0546820 633 W MAIN SR 32 WESTFIELD IN 17114 8 UNL 3.24 62.87
17.714 GAL UNLEADED 562.87
0029 04-30 12.47 0875393 1230 S RANGELINE RD CARMEL IN 17.100 8 UNL 3.13 62.57
17.100 GAL UNLEADED 562.57
0029 05-05 10:39 0912873 1230 S RANGELINE RD CARMEL IN 14.033 8 UNL 2.57 5372
® 14.033 GAL UNLEADED 553.72
TOTAL CARD 0029 66.470 12.17 238.71
0030 04-16 0811 0366450 4887 KENTUCKY AVE INDIANAPOLIS IN 14.180 8 SUP 2.59 51.0
° 14.180 GAL SUPER $51.05
° 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 130506 9366 8015 SH33 9829
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z
Z 0009829 Page 2 01 4 FLET2GUG
Information About Your Account
Report a Lost or Stolen Card Immediately. You may call Customer Service 24 hours a day,7 days a week.
When Your Payment Will Be Credited. If we receive your payment in proper form at our processing facility by 5 p.m.local time there,it will be credited as of that day.A payment received there
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 regular mail is the address on the front of the payment coupon.
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,gift cards,or foreign currency please.
•Include your name and the last four digits of your account number.
Payment Other Than By Mail.
Phone. Call the phone number on Page 1 of your statement to make a payment.We may process your payment electronically after we verify your identity. You will be charged$14 95 to use this
service The payment cutoff time for Phone Payments is midnight Eastern time. This means that we will credit your account as of the calendar day,based on Eastern time.that we receive your
payment request.
If you send an eligible check with this 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.
This Account is Issued by Citibank,N.A.
PLOCOMM Rev 04/13
.dgaft .
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065-127-193 22 065127193305 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
05-06-2013 05-31-2013 31 TELEPHONE: 1-8003773150
FAX: 1-515-226-4045
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
0030 04-22 14:16 0182337 7788 E 96TH ST FISHERS IN 15.142 8 UNL 2.77 56.92
15.142 GAL UNLEADED $56.92
TOTAL CARD 0030 29.322 5.36 107.97 **
GRAND TOTAL 340.342 62.28 1,220.98 �*
FEDERAL EXCISE TAX
340.3 GALLONS GASOLINE 6228 CR
® rP
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 130506 9366 8015 SH33 9829
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z nnn �o Page 3 of 4 FLET2GUG
Information About Your Account
Report a Lost or Stolen Card Immediately. You may call Customer Service 24 hours a day.7 days a week
When Your Payment Will Be Credited. If we receive your payment in proper form at our processing facility by 5 p.m.local time there,it will be credited as of that day.A payment received there
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 regular mail is the address on the front of the payment coupon.
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,gift cards,or foreign currency please
•Include your name and the last four digits of your account number.
Payment Other Than By Mail,
Phone. Call the phone number on Page 1 of your statement to make a payment.We may process your payment electronically after we verify your identity. You will be charged 574.95 to use this
service The payment cutoff time for Phone Payments is midnight Eastern time. This means that we will credit your account as of the calendar day.based on Eastern time,that we receive your
payment request
If you send an eligible check with this 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.
This Account is Issued by Citibank,N.A
PLOCOMM Rev 04/13
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-127-193 22 065127193305 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
05-06-13 05-31-13 31 TELEPHONE: 1-800-377-5150
FAX: 1-515-726-4045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR %, CENTS PURCH SALES AMOUNT
PROGRAM TDCPG036 C U ALL FUELS 340.342 10.21
SUB-TOTAL 10.21
TOTAL 10.21
TOTAL DISCOUNT 1021
DISC TYPE: %-Percent of Dollar Sales; C-Cents per Unit TIER BASIS: U-Units Purchased; D-Dollar Sales
6057 0014 GUG 1 7 2 130506 9366 8015 SH33 9829
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
z
nr 9P'>4
Page 4 of 4 FLET2GUG
Information About Your Account
Report a Lost or Stolen Card Immediately. You may call Customer Service 24 hours a day,7 days a week.
When Your Payment Will Be Credited. If we receive your payment in proper form at our processing facility by 5 p.m.local time there,it will be credited as of that day A payment received there
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 regular mail is the address on the front of the payment coupon
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,gift cards,or foreign currency please.
•Include your name and the last four digits of your account number.
Payment Other Than By Mail.
Phone. Call the phone number on Page 1 of your statement to make a payment.We may process your payment electronically after we verify your identify. You will be charged 514.95 to use this
service The payment cutoff time for Phone Payments is midnight Eastern time. This means that we will credit your account as of the calendar day,based on Eastern time,that we receive your
payment request.
If you send an eligible check with this 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.
This Account is Issued by Citibank,N.A.
PLOCOMM Rev 04/13
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))
05/06/13 65127193305 gasoline $1,148.49
I 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
$1,148.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 65127193305 I 42-314.00 I $1,148.49 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
Thursday, May 16, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund