HomeMy WebLinkAbout221852 07/17/2013 F 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: $594.32
COLUMBUS OH 43218-3019 CHECK NUMBER: 221852
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65129116307 594 . 32 GASOLINE
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065-129-116 12 065129116307 P.O BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
07-05-2013 07-30-2013 30 TELEPHONE: 1.8003773150
FAX: 1-515-226-4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE
624.06 .00 906.50 936.24 CR .00 594.32
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 07-30-2013
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
06-21 PAYMENT-THANK YOU 906.50 CR
° 0001 06-11 16:25 0177006 1230 S RANGELINE RD CARMEL IN 10.740 8 UNL 1.97 45.13✓
e 10.740°GAL UNLEADED $45.13
0001 06-12 1514 0598508 7788 E 96TH ST FISHERS IN 14.711 8 UNL 2.69 61.79
14.711 GAL UNLEADED $61.79
_® TOTAL CARD 0001 25.451 4.66 106.92 "
_ 0002 06-06 17.59 0300921 808 W MAIN ST CARMEL IN 20.190 8 UNL 3.69 86.01
° 20.190 GAL UNLEADED $86.01
TOTAL CARD 0002 20.190 3.69 86.01
00**
_ 0006 06-06 10:04 0999862 2040 E WASHINGTON INDIANAPOLIS IN 7.161 8 UNL 1.31 30.130
7.161 GAL UNLEADED $30.00
° 0006 06-06 2039 0361022 2540 N HIGH SCHOOL RD SPEEDWAY IN 5.950 8 UNL 1.09 25.00
° 5.950 GAL UNLEADED $25.00
_ 0006 06-19 17:11 0488395 5960 E 46TH ST INDIANAPOLIS IN 10.810 8 UNL 1.98 40.00
10.830 GAL UNLEADED $40.00
0006 06-21 07:18 0707448 11 B3 E MAIN GREENWOOD IN 16.082 8 UNL 2.94 59.49✓
16.082 GAL UNLEADED $59.49 /
0006 07-02 1836 0196410 1229 N BLUFF RD GREENWOOD IN 11110 8 UNL 2.14 41.00 Y
11.710 GAL UNLEADED $41.00
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 0005 GUG 1 7 2 130705 9366 8015 SH33 5378
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
z
Z 0005378 Page 1 of 2 FLET2GUG
i
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:
065-129-116 12 065129116307 SHELL CARD CENTER
P-O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
07-05-2013 07-30-2013 30 TELEPHONE: 1.800377-6150
FAX: 1315-226-4045
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
TOTAL CARD 0006 51.713 9.46 195.49
0009 06-24 17.33 0257006 1230 S RANGELINE RD CARMEL IN 22.212 8 UNL 4.06 80-63
22.212 GAL UNLEADED 580.63
TOTAL CARD 0009 21.212 4.06 80.63 �*
0011 06-14 1009 0194498 1230 S RANGELINE RD CARMEL IN 8.090 8 UNL 1.48 33.59
8.090 GAL UNLEADED $33.59
TOTAL CARD 0011 8.090 1.48 33.59 �*
0014 06-25 1342 0261511 1230 S RANGELINE RD CARMEL IN 16.892 8 UNL 3.09 61.15
16.892 GAL UNLEADED $61.15
0014 06-30 1700 0602243 8924 E 116TH ST FISHERS IN 18.050 8 UNL 3.30 60.27
®_ 18.050 GAL UNLEADED $60.27
TOTAL CARD 0014 34.942 6.39 121.42 **
GRAND TOTAL 162.598 29.74 624.06 **
FEDERAL EXCISE TAX
162.5 GALLONS GASOLINE 29.74 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 0005 GUG 1 7 2 130705 9366 8015 SH33 5378
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z
Z 0005378 Page 2 of 2 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 04113
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF $
P.O. Box 183019
Columbus, OH 43218-3019
$594.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 65129116307 I 42-314.00 I $594.32 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, July 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))
07/05/13 65129116307 gasoline $594.32
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