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Home My WebLink About224387 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1 ONE CIVIC SQUARE SHELL CREDIT CARD CENTER CHECK AMOUNT: $479.98 '� CARMEL, INDIANA 46032 PO BOX 183019 COLUMBUS OH 43218-3019 CHECK NUMBER: 224387 CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 065129116309 479 . 98 065-129-116 www.shelifleetcard.accountonIine.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: 065-129-116 9 065129116309 SHELL CARD CENTER P.O. BOX 669081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 09-05-2013 09-30-2013 30 TELEPHONE: 1800377-5150 FAX: 1315-226-4045 NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE 505.99 .00 1,325.47 1,351.48 CR .00 479.98 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 1,325.47 CR ° 0001 08-23 15:56 0677021 1230 S RANGELINE RD CARMEL IN 13.661 8 UNL 2.50 50.00✓ �_ 13.661 GAL UNLEADED $50.00 0001 08-30 10:09 0717017 1230 S RANGELINE RD CARMEL IN 13.460 8 UNL 2.46 49.01✓ 13.460 GAL UNLEADED $49.01 _ TOTAL CARD 0001 27.121 4.96 99.01 ** 0002 08-22 08:37 0482885 1821 E 151ST ST CARMEL IN 25.895 8 UNL 4.74 94.75 25.895 GAL UNLEADED S94.75 TOTAL CARD 0002 25.895 4.74 94.75 �* _ 0006 08-12 21:08 0612911 2166 E HADLEY PLAINFIELD IN 11.530 8 UNL 2.11 36.09 11.530 GAL UNLEADED $36.09 0006 08-14 0746 0099960 7788 E 96TH ST FISHERS IN 15.591 8 UNL 2.85 52.70 15.591 GAL UNLEADED $52.70 0006 08-14 1436 0143917 2040 E WASHINGTON INDIANAPOLIS IN 20.383 8 UNL 3.73 73.36 e 20.383 GAL UNLEADED $73.36 TOTAL CARD 0006 47.504 8.69 162.15 ** s 0011 08-09 1154 0594820 1230 S RANGELINE RD CARMEL IN 11.591 8 UNL 2.12 42.31 11.591 GAL UNLEADED $42.31 TOTAL CARD 0011 11.591 2.12 42.31 �* 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 5465 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS Z Z 0005465 Page 1 of 2 FLET2GUG mrormauon Aoour Tour Accoum 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.sheliffeetcard.accountonline.com ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO: SHELL CARD CENTER 065-129.116 9 065129116309 P.O. BOX 689081 CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081 09-05-2013 09-30-2013 30 TELEPHONE: 1-8003773150 FAX: 1315-726-0045 Card A TRANS MSG PROD EXEMPT TRANSACTION Number DATE TIME ID TRANSACTION LOCATION/DESCRIPTION QUANTITY CD CD TAX AMOUNT 0014 08-11 17:04 0559583 2224 N 600 WEST GREENFIELD IN 15.020 8 UNL 2.75 52.57 15.020 GAL UNLEADED $52.57 0014 09-02 14:44 0065698 11601 ALLISONVILLE RD FISHERS IN 15.000 8 UNL 275 55.20 15.000 GAL UNLEADED $55.20 TOTAL CARD 0014 30.020 5.50 107.77 ** GRAND TOTAL 142.131 26.01 505.99 ** FEDERAL EXCISE TAX 142.1 GALLONS GASOLINE 26.01 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 5465 NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS z Z 0005465 Page 2 of 2 FLET2GUG Z oounnanon Roam Tour Nccoum 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.It 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. ALLOWED 20 Shell Fleet Plus Processing Center IN SUM OF $ P.O. Box 183019 Columbus, OH 43218-3019 $479.98 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 65129116309 I 42-314.00 I $479.98 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 �i S� 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 65129116309 monthly payment $479.98 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