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Home My WebLink About224386 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ` ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $679.15 CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218-3019 CHECK NUMBER: 224386 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065127193309 679 . 15 065-127-193 www.shelifleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 13 065127193309 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 09-05-2013 09-30-2013 30 TELEPHONE: 1-800-377-5150 FAX: 1-515-226-4045 NEW CHARGES FLEET FEE PREVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 715.36 .00 1,065.68 1,101.89 CR 00 679.15 PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 09-30-2013 Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 08-29 PAYMENT-THANK YOU 1,065.68 CR 0003 08-10 1322 0069765 7788 E 96TH ST FISHERS IN 8.751 8 UNL 1.60 30.01✓ 8.751 GAL UNLEADED S30.01 TOTAL CARD 0003 8.751 1.60 30.01 _ 0004 08-07 22:05 0836866 545 S RANGE LINE RD CARMEL IN 23.642 8 UNL 4.33 86.53 23.642 GAL UNLEADED $86.53 0004 08-19 1823 0921148 545 S RANGE LINE RD CARMEL IN 21.231 8 UNL 3.89 76.01 21.231 GAL UNLEADED S76.01 0004 08-28 09:55 0982777 545 S RANGE LINE RD CARMEL IN 22.003 8 UNL 4.03 80.51 22.003 GAL UNLEADED $80.51 TOTAL CARD 0004 66.876 12.25 243.05 ** 0014 08-13 0843 0615344 1230 S RANGELINE RD CARMEL IN 16.944 8 UNL 3.10 61.00 16.944 GAL UNLEADED $61.00 ® TOTAL CARD 0014 16.944 3.10 61.00 ** 0016 08-11 0731 0698449 9510 E 126TH ST FISHERS IN 13.463 8 UNL 2.46 48.32 13.463 GAL UNLEADED 548.32 _ TOTAL CARD 0016 13.463 2.46 48.32 *" _ 0018 08-19 1644 0455766 1821 E 151 ST ST CARMEL IN 6.670 8 UNL 1.22 22.64 6.670 GAL UNLEADED S22.64 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 130905 9366 8015 SH33 5464 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z Z 0005464 Page 1 of 2 FLET2GUG imurmauun rioour Tour Hccoum 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 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 www.shelitleetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-127-193 13 065127193309 SHELL CARD CENTER P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 09-05-2013 09-30-2013 30 TELEPHONE: 1.800377-5150 FAX: 1-515-226-4045 Caid TRANSACTION TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION Number DATE TIME ID CD CD TAX AMOUNT 0018 09-01 21:25 0585224 1821 E 151ST ST CARMEL IN 16.743 8 UNL 3.06 61.60 16.743 GAL UNLEADED 561.60 TOTAL CARD 0018 23.413 4.28 84.24 0023 08-10 0953 0368134 457 BENEFIT STREET PROVIDENCE RI 13.880 8 UNL 2.54 52.33 13.880 GAL UNLEADED 552.33 TOTAL CARD 0023 13.880 2.54 52.33 0025 08-06 2121 0596528 808 W MAIN ST CARMEL IN 14.880 8 UNL 2.72 54.91 14.880 GAL UNLEADED 554.91 TOTAL CARD 0025 14.880 2.72 54.91 ** ° 0027 08-23 1433 0676171 1230 S RANGELINE RD CARMEL IN 9.830 8 UNL 1.80 36.00 Y _ 9.830 GAL UNLEADED S36.00 TOTAL CARD 0027 9.830 1.80 36.00 ® 0030 08-10 2043 0073858 7788 E 96TH ST FISHERS IN 15.032 8 UNL 2.75 51.56 15.032 GAL UNLEADED S51.56 / 0030 08-25 0026 0007815 8924 E 116TH ST FISHERS IN 14.822 8 UNL 2.71 53.94{/ 14.822 GAL UNLEADED 553.94 TOTAL CARD 0030 29.854 5.46 105.50 ** GRAND TOTAL 197.891 36.21 715.36 ** _ FEDERAL EXCISE TAX ° 197.8 GALLONS GASOLINE 36.21 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 130905 9366 8015 SH33 5464 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z K- 0005464 Page 2 of 2 FLET2GUG uuvunauun t.uvui rout t.cwum 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 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 VOUCHER NO. WARRANT NO, Shell Fleet Plus ALLOWED 20 Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $679.15 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65127193309 I 42-314.00 I $679.15 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, September 19, 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)) 09/05/13 65127193309 gasoline $679.15 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