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Home My WebLink About221851 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ` ONE CIVIC SQUARE SHELL CREDIT CARD CENTER s CHECK AMOUNT: $1,002.50 �o CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218-3019 CHECK NUMBER: 221851 CHECK DATE: 7/1712013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 65127193307 1, 002 . 50 GASOLINE www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065-127-193 19 065127193307 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 07-05-2013 07-30-2013 30 TELEPHONE: 1-800-377-5150 FAX: 1-515.226-4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 1,054.67 .00 709.85 762.02 CR .00 1,002.50 A PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 07-30-2013 Card TRANS kCTION TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 06-21 PAYMENT-THANK YOU 709.85 CR 0003 06-21 08.20 0182998 9510 E 126TH ST FISHERS IN 17.491 8 UNL 320 65.05 17.491:GAL UNLEADED 565.05 TOTAL CARD 0003 17.491 3.20 65.05 ** 0004 06-28 14:54 0498667 545 S RANGE LINE RD CARMEL IN 21033 8 UNL 422 82.92 23.033 GAL UNLEADED $82.92 ®_ 0004 07-04 09:11 0536425 545 S RANGE LINE RD CARMEL IN 11.620 8 UNL 2.13 39.51 11.620 GAL UNLEADED $39.51 TOTAL CARD 0004 34.653 6.35 122.43 -_ 0014 06-07 15:04 0222570 11601 ALLISONVILLE RD FISHERS IN 11.822 8 UNL 2.16 50.0 11.822 GAL UNLEADED $50.02 0014 06-27 1713 0275511 1230 S RANGELINE RD CARMEL IN 16.500 8 UNL 102 59.40 16.500 GAL UNLEADED S59.40 TOTAL CARD 0014 28.322 5.18 109.42 ' 0016 06-27 14.15 0250118 9510 E 126TH ST FISHERS IN 16.000 8 UNL 2.93 5520 ® 16.000 GAL UNLEADED $55.20 0016 07-02 11:10 0301531 9510 E 126TH ST FISHERS IN 15.280 8 UNL 2.80 50.73 15.280 GAL UNLEADED 550.73 TOTAL CARD 0016 31.280 5.73 105.93 ** 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 5377 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z --- Z 0005377 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 04113 www.sheiltleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 19 065127193307 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: 1800377-55150 FAX: 1315-726-4045 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0018 06-10 20.15 0821470 1821 E 151ST ST CARMEL IN 13.950 8 UNL 2.55 58.59 13.950 GAL UNLEADED 558.59 0018 06-19 11A3 0515684 8924 E 116TH ST FISHERS IN 13.741 8 UNL 2.51 52.78 13.741 GAL UNLEADED $52.78 0018 06-25 2225 0406249 11601 ALLISONVILLE RD FISHERS IN 15.870 8 UNL 2.90 55.53 15.870 GAL UNLEADED 555.53 0018 07-02 00:43 0015768 1821 E 151ST ST CARMEL IN 16.272 8 UNL 2.98 54.35 16.272 GAL UNLEADED S54.35 TOTAL CARD 0018 59.833 10.94 22125 ** ®_ 0025 06-08 11.08 0615732 1601 EAST STATE RD 44 SHELBYVILLE IN 13.890 8 UNL 2.54 59.16✓ 13.890 GAL UNLEADED 559.16 0025 07-03 1920 0433698 808 W MAIN ST CARMEL IN 14.574 8 UNL 2.67 50.12 14.574 GAL UNLEADED $50.12 __- TOTAL CARD 0025 28.464 5.21 10928 x* 0029 06-05 11:49 0005322 7124 TURFWAY RD FLORENCE KY 14.502 8 SUP 2.65 58.01 14.502 GAL SUPER 558.01 _ 0029 06-05 19.21 0008342 7124 TURFWAY RD FLORENCE KY 10.382 8 SUP 1.90 41.53 10.382 GAL SUPER $41.53 0029 06-15 1120 0188979 1541 BELVEDERE RD WEST PALM BEA FL 9.481 8 UNL 1.74 35.83 9.481 GAL UNLEADED $35.83 ® 0029 06-16 18:08 0877761 1821 E 151ST ST CARMEL IN 17.844 8 UNL 3.27 71.18 17.844 GAL UNLEADED S71.18 0029 06-27 09.01 0271726 1230 S RANGELINE RD CARMEL IN 17.130 8 UNL 3.13 61.67 _ 17.130 GAL UNLEADED $61.67 ®_ TOTAL CARD 0029 69.339 12.69 26822 0030 06-28 2332 0268201 9510 E 126TH ST FISHERS IN 15.660 8 UNL 2.87 53.09 15.660 GAL UNLEADED S53.09 TOTAL CARD 0030 15.660 2.87 53.09 ** GRAND TOTAL 285.042 52.17 1,054.67 ° FEDERAL EXCISE TAX 285.0 GALLONS GASOLINE 52.17 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 5377 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0005377 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 04/13 VOUCHER NO. WARRANT NO. Shell Fleet Plus ALLOWED 20 Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $1,002.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65127193307 I 42-314.00 I $1,002.50 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, 'Ju.ly 12, 2013 41Z 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 65127193307 gasoline $1,002.50 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