HomeMy WebLinkAbout225244 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 00351794 Page 1 of 1
ONE CIVIC SQUARE SHELL CREDIT CARD CENTER
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,314.80
PO BOX 183019
M roN�o COLUMBUS OH 43218-3019 CHECK NUMBER: 225244
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 065127193310 1, 314 . 80 065-127-193
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-127-193 29 065127193310 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
10-06-2013 10-31-2013 31 TELEPHONE: 1-8003773150
FAX: 1315-226-4045
NEW CHARGES FLEET FEE REVIOUS BALANCE PAYMENTS/ADJUSTMENTS LATE FEE NEW BALANCE
1,402.08 .00 679.15 766.43 CR 00 1,314.80
A
PAYMENT OF NEW BALANCE MUST BE RECEIVED BY 10-31-2013
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
09-27 PAYMENT-THANK YOU 679.15 CR
® 10-06 DISCOUNT 12.29 CR
° 0004 09-17 10:47 0134718 545 S RANGE LINE RD CARMEL IN 23.521 8 UNL 4.30 78.09
23.521 GAL UNLEADED $78.09
_ TOTAL CARD 0004 23.521 4.30 78.09
0006 09-22 19:33 0202887 8924 E 116TH ST FISHERS IN 11.552 8 UNL 2.11 41.01
11.552 GAL UNLEADED $41.01
TOTAL CARD 0006 11.552 2.11 41.01 **
0008 09-13 1312 0782821 808 W MAIN ST CARMEL IN 16.774 8 UNL 3.07 57.52
16.774 GAL UNLEADED S57.52
® 0008 10-01 06:47 0431635 7024 N KEYSTONE AVE INDIANAPOLIS IN 15.984 8 UNL 2.93 54.65
® 15.984 GAL UNLEADED S54.65
0008 10-04 2138 0932079 1230 S RANGELINE RD CARMEL IN 14.322 8 UNL 2.62 47.12
14.322 GAL UNLEADED $47.12 ,/
TOTAL CARD 0008 47.080 8.62 159.29 �/
° 0010 09-18 13:53 0810002 652 LINCOLNWAY VALPARAISO IN 13.612 8 SUP 2.49 46.42✓
13.612 GAL SUPER $46.42
° 0010 0319 2008 0812032 652 LINCOLNWAY VALPARAISO IN 11.991 8 SUP 2.19 43.3
11.991 GAL SUPER $43.30
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 131006 9366 8015 SH33 9669
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z 0009669 Page 1 of 4 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.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
065-127-193 29 065127193310 SHELL CARD CENTER
P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
10-06-2013 10-31-2013 31 TELEPHONE: 1-8003773150
FAX: 1315.226.4045
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
TOTAL CARD 0010 25.603 4.68 89.72 **
0015 09.07 2012 0696377 2224 N 600 WEST GREENFIELD IN 15.683 8 UNL 2.87 56.46
15.683 GAL UNLEADED $56.46
0015 09-11 19:21 0711895 2224 N 600 WEST GREENFIELD IN 16.332 8 UNL 2.99 56.5
16.332 GAL UNLEADED $56.51
TOTAL CARD 0015 32.015 5.86 112.97
0016 09-13 13:54 0138446 8924 E 116TH ST FISHERS IN 16.731 8 UNL 3.06 54.88
16.731 GAL UNLEADED $54.88
0016 09-23 0842 0139972 9510 E 126TH ST FISHERS IN 16.293 8 UNL 2.98 58.33
® 16.293 GAL UNLEADED $58.33
_ TOTAL CARD 0016 33.024 6.04 11321
®_ 0018 09-14 0636 0720474 1821 E 151ST ST CARMEL IN 13.223 8 UNL 2.42 42.83
13.223 GAL UNLEADED 542.83
0018 09-25 1832 0279166 9400 SR 144 MARTINSVILLE IN 15.011 8 UNL 2.75 50.44
_ 15.011 GAL UNLEADED $50.44
0018 10-02 05:42 0859942 .1821 E 151 ST ST CARMEL IN 15.961 8 UNL 2.92 52.02
15.961 GAL UNLEADED $52.02
TOTAL CARD 0018 44.195 8.09 14529
0020 09-17 0622 0808535 652 LINCOLNWAY VALPARAISO IN 11.431 8 SUP 2.09 38.96
11.431 GAL SUPER $38.96 /
® 0020 09-18 17:49 0810366 652 LINCOLNWAY VALPARAISO IN 8.580 8 SUP 1.57 2926rr/
8.580 GAL SUPER $29.26 /
0020 09-20 06:38 0812263 652 LINCOLNWAY VALPARAISO IN 11.701 8 SUP 2.14 42.231,/
11.701 GAL SUPER $42.23
TOTAL CARD 0020 31.712 5.80 110.45
0024 09-16 15:24 0807867 652 LINCOLNWAY VALPARAISO IN 13.733 8 SUP 2.51 46.f
13.733 GAL SUPER $46.83
0024 09-20 09:14 0812396 652 LINCOLNWAY VALPARAISO IN 12.603 8 SUP 2.31 45.51
12.603 GAL SUPER S45.51
TOTAL CARD 0024 26.336 4.82 92.34 **
®_ 0025 10-04 17:18 0277657 545 S RANGE LINE RD CARMEL IN 14.100 8 UNL 2.58 46.53
14.100 GAL UNLEADED $46.53
_ TOTAL CARD 0025 14.100 2.58 46.53 t
0026 09-16 15:46 0807917 652 LINCOLNWAY VALPARAISO IN 21.056 8 SUP 3.85 71.78 V
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 131006 9366 8015 SH33 9669
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z 0009669 Page 2 of 4 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 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
I
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065-127-193 29 065127193310 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
10-06-2013 10-31-2013 31 TELEPHONE: 1-800377.5150
FAX: 1-515.226.4045
Card TRANS TRANSACTION LOCATION/DESCRIPTION QUANTITY MSG PROD EXEMPT TRANSACTION
Number DATE TIME ID CD CD TAX AMOUNT
21.056 GAL SUPER $71.78
0026 09-20 0706 0812297 652 LINCOLNWAY VALPARAISO IN 16.120 8 SUP 2.95 5821
16.120 GAL SUPER $58.21
TOTAL CARD 0026 37.176 6.80 129.99 **
0027 09-20 1053 0845321 1230 S RANGELINE RD CARMEL IN 8.780 8 UNL 1.61 28.88✓
8.780 GAL UNLEADED $28.88
0027 10-01 19:27 0225136 9510 E 126TH ST FISHERS IN 6.520 8 UNL 1.19 22.00
6.520 GAL UNLEADED $22.00
TOTAL CARD 0027 15.300 2.80 50.88 1*
0030 09-10 18:20 0314880 7788 E 96TH ST FISHERS IN 15.571 8 UNL 2.85 54.501/
15.571 GAL UNLEADED $54.50
® 0030 09-20 16:39 0849018 1230 S RANGELINE RD CARMEL IN 15.772 8 UNL 2.89 51.89 f�
15.772 GAL UNLEADED $51.89
0030 09-26 19:53 0227827 8924 E 116TH ST FISHERS IN 15.972 8 UNL 2.92 54.77E
15.972 GAL UNLEADED $54.77
TOTAL CARD 0030 47.315 8.66 161.16 r
-_ 0034 10-02 10:29 0916007 1230 S RANGELINE RD CARMEL IN 10.062 8 UNL 1-84 34.00
10.062 GAL UNLEADED $34.00 /
0034 10-02 1452 0061564 47381 FIVE MILE RD PLYMOUTH MI 10.862 8 UNL 1.99 37.15x✓
_ 10.862 GAL UNLEADED $37.15
TOTAL CARD 0034 20.924 3.83 71.15 **
GRAND TOTAL 409.853 74.99 1,402.08 i1*
_® FEDERAL EXCISE TAX
409.8 GALLONS GASOLINE 74.99 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 131006 9366 8015 SH33 9669
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
Z
Z 0009669 Page 3 of 4 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 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
www.shelifleetcard.accountonline.com
ACCOUNT NUMBER TOTAL TRANSACTIONS INVOICE NUMBER SEND INQUIRIES TO:
SHELL CARD CENTER
065-127-193 29 065127193310 P.O. BOX 689081
CLOSING DATE DUE DATE CYCLE DAYS DES MOINES,IA 50368-9081
10-06-13 10-31-13 31 io TELEPHONE: 1.800.3775150
FAX: 1515426-4045
DISCOUNT LOCATION ADDRESS DISC TIER PRODUCT DISC DISC UNITS DOLLAR DISC
TYPE TYPE BASIS DESCR % CENTS PURCH SALES AMOUNT
PROGRAM TDCPGO36 C U ALL FUELS 409.853 12.29
SUB-TOTAL 1129
TOTAL 12.29
TOTAL DISCOUNT 12.29
DISC TYPE: %-Percent of Dollar Sales; C-Cents per Unit TIER BASIS: U-Units Purchased; D-Dollar Sales
6057 0014 GUG 1 7 2 131006 9366 8015 SH33 9669
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION PLEASE KEEP THIS PORTION FOR YOUR RECORDS
z
z 0009669 Page 4 of 4 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
$1,314.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 10 65127193310 I 42-314.00 I $1,314.80 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, October 17, 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))
10/06/13 65127193310 monthly payment $1,314.80
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