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Home My WebLink About220917 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 Q � ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $906.50 CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218-3019 CHECK NUMBER: 220917 CHECK DATE: 6/18/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116306 906 . 50 065-129-116 www.shellffeetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-129-116 21 065129116306 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 06-05-2013 06-30-2013 30 TELEPHONE: 1-8003773150 FAX: 1315-726-4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 952.12 .00 582.47 628.09 CR .00 906.50 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 06-30-2013 Card A TRANS MSG PROD EXEMPT TRANSACTION Numbei DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY CD CD TAX AMOUNT 05-24 PAYMENT-THANK YOU 582.47 CR r ® 0001 05-10 1320 0952226 1230 S RANGELINE RD CARMEL IN 10 700 8 UNL 1.96 40.01 10.700 GAL UNLEADED $40.01 ® 0001 05-20 1552 0280180 8924 E 116TH ST FISHERS IN 12-990 8 UNL 2.38 50.00 e 12.990 GAL UNLEADED S50.00 / 0001 05-29 1721 0131664 11601 ALLISONVILLE RD FISHERS IN 15.360 8 UNL 2.81 59.89 ® 15.360 GAL UNLEADED S59.89 ® TOTAL CARD 0001 39.050 7.15 149.90 ** 0002 05-12 2004 0177105 808 W MAIN ST CARMEL IN 13.882 8 UNL 254 53.60 13.882 GAL UNLEADED S53.60 0002 05-19 1722 0019455 1230 S RANGELINE RD CARMEL IN 12.822 8 UNL 235 50.02 12.822 GAL UNLEADED $50.02 0002 05-29 1102 0346650 8924 E 116TH ST FISHERS IN 18.000 8 UNL 3.29 70.20 a 18.000 GAL UNLEADED $70.20 ®_ 0002 06-04 1558 0129205 1230 S RANGELINE RD CARMEL IN 15 150 8 UNL 2.77 6060 15.150 GAL UNLEADED $60.60 TOTAL CARD 0002 59.854 10.95 234.42 0006 05-13 2032 0692707 3060 W 16TH ST INDIANAPOLIS IN 14.350 8 UNL 2.63 5426✓ ® 14.350 GAL UNLEADED S54.26 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 130605 9366 8015 SH33 5167 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0005167 Page 1 of 2 FLET2GUG Z 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 tour 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 04113 I www.shelifleetcard.accountonIine.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES SHELL CARD CENTER 065-129-116 21 065129116306 P.O BOX 689081 CLOSING DATE DUE DATE "CYCLE DAYS DES MOINES,IA 50368-9081 06-05-2013 06-30-2013 30 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 0006 05-15 01:33 0236240 2540 N HIGH SCHOOL RD SPEEDWAY IN 13.582 8 UNL 249 50.24 13.582 GAL UNLEADED S50.24 / 0006 05-16 10.08 0935650 2040 E WASHINGTON INDIANAPOLIS IN 15.930 8 UNL 2.92 58.13/ 15.930 GAL UNLEADED S58.13 0006 05-23 21:26 0024448 3060 W 16TH ST INDIANAPOLIS IN 10.521 8 UNL 193 38.93 10.521 GAL UNLEADED $38.93 / 0006 05-30 1042 0102772 2434 N KEYSTONE AVE INDIANAPOLIS IN 8.221 8 SUP 1.50 32.08'x/ 8.221 GAL SUPER S32.08 0006 05-31 18:19 0540468 2108 N EMERSON AVE INDIANAPOLIS IN 7.871 8 UNL 1 44 30.00 7.871 GAL UNLEADED $30.00 0006 06-04 1546 0349084 2540 N HIGH SCHOOL RD SPEEDWAY IN 10.261 8 UNL 1.88 40.00 10.261 GAL UNLEADED $40.00 xx TOTAL CARD 0006 80.736 14.79 303.64 0009 05-10 10:35 0950543 1230 S RANGELINE RD CARMEL IN 3.030 8 UNL 0.55 11.35 .® 3.030 GAL UNLEADED S11.35 0009 05-10 1035 0950535 1230 S RANGELINE RD CARMEL IN 3.000 8 UNL 0.55 1122 3.000 GAL UNLEADED $11.22 _® 0009 05-10 10.39 0950600 1230 S RANGELINE RD CARMEL IN 3.000 8 UNL 0.55 11.22 3.000 GAL UNLEADED $11.22 ® 0009 05-31 1129 0098970 1230 S RANGELINE RD CARMEL IN 10 182 8 UNL 1.86 39.63 10.182 GAL UNLEADED $39.63 TOTAL CARD 0009 19.212 3.51 73.42 w� 0014 05-11 1153 0136382 2224 N 600 WEST GREENFIELD IN 17.694 8 UNL 3.24 65.47 17.694 GAL UNLEADED $65.47 0014 05-17 13.16 0004630 1230 S RANGELINE RD CARMEL IN 17.970 8 UNL 3.29 6827 17.970 GAL UNLEADED $68.27 ® 0014 06-01 10:16 0214544 9609 OLIO RD MCCORDSVILLE IN 14.690 8 UNL 269 57.00 14.690 GAL UNLEADED $57.00 TOTAL CARD 0014 50.354 9.22 190.74 xx GRAND TOTAL 249.206 45.62 952.12 xx �® FEDERAL EXCISE TAX 249.2 GALLONS GASOLINE 45.62 CR 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 130605 9366 8015 SH33 5167 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z 0005167 Page 2 of 2 FLET2GUG z Information About Your Account I 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 S14 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)) 06/05/13 65129116306 monthly payment $906.50 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 $906.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116306 I 42-314.00 I $906.50 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 Friday, June 14, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund