HomeMy WebLinkAbout227248 12/17/2013 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: $832.38
COLUMBUS OH 43218-3019 CHECK NUMBER: 227248
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 65129116312 832 . 38 GASOLINE
ccount Statement
C Commercial Account
Customer Service:
CARMEL POLICE DEPARTMENT
shellfleetcardaccountonlinecom
Shell Fleet Plus Card o Account Inquiries: Account Number` 065129116
1-800-377-5150 Fax 1-866-533-5302 1.lnvoice' Nutriber: 0000000065129116312.
Summary of Account Activity Payment Information
Previous Balance $737.34_ Current Due $832.38
Payments -$737.34 Past Due Amount — —� + $0.00
Credits -$51.17 Minimum Payment Due _ $832.38
Purchases _ +$883.55 -- — -
Debits +$0.00 Payment Due Date 12/31/13
Late Fees — — +$0.00 Credit Line _ _ $4,250
New Balance $832.38 Credit Available _ $3,417
Total Transactions 22 Closing Date _ 12/06/13
Send Notice of Billing Errors and Customer Service Inquiries to:
SHELL Next Closing Date 01/06/14
P.O.Box 6406,Sioux Falls,SD 57117-6406
Everything you need to know about your account is here: account number, payments, contact information and more.
Please see the enclosed sample for additional information on how to read your statement: —`—
� TRANSACTIONS
Er Trans Trans Trans Msg Prod
O Date Time ID Location/Description Quantity Code Code Exempt Tax Amount
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
11/21 I I PAYMENT-THANK YOU ( i l $737.34-
PURCHASES AND DEBITS
CARD NUMBER 0002 _
11/08 07:40 0054858 808 W MAIN ST CARMEL IN 27.296 8y� UNL —�- $5.00 $83.50✓
4 27.296 GAL UNLEADED $83.50
11112 08:15 1 0178665 1821 E 151ST ST CARMEL IN + 30.376 j 8 ( UNL $5.56 i $86.24
30.376 GAL UNLEADED $86.24 I
I
11/20 1 15:10 0495655 14554 HERRIMAN BLVD NOBLESVILLE IN i 9.860 i 8 UNL $1.80 { $33.15
i 9.860 GAL UNLEADED $33.15
11/27 11:47 1 0736991 1360 N GREEN BROWNSBURG IN ! 6.481 8 + UNL ( $1.19 $21.00
6.481 GAL UNLEADED $21.00
i CARD NUMBER 0002 TOTAL I 74.013 j S13.55 s $223.89
CARD NUMBER 0003 _
11114 1422 1 0189878 11230SRANGELINE�3-64RMECIN 8392 GAL U 8.392 8� UNL { $1.54 $25.00
VI0Ze ed
Information About Your Account Payment Other Than By Mail.
When Your Payment Will Be Credited.If we receive your payment in Phone.Call the phone number on Page 1 of your statement to make
proper form at our processing facility by 5 p.m.local time there,it will a payment.We may process your payment electronically after we
be credited as of that day.A payment received there in proper form verify your identity.You will be charged$14.95 to use this service.
after that time will be credited as of the next day.Allow 5 to 7 days for The payment cutoff time for Phone Payments is midnight Eastern
payments by regular mail to reach us.There may be a delay of up to time.This means that we will credit your account as of the calendar
5 days in crediting a payment we receive that is not in proper form or day,based on Eastern time,that we receive your payment request.
is not sent to the correct address.The correct address for regular mail If you send an eligible check with this payment coupon,you authorize
is the address on the front of the payment coupon. us to complete your payment by electronic debit.If we do,the checking
Proper Form.For a payment sent by mail or courier to be in proper account will be debited in the amount on the check.We may do this as
form,you must: soon as the day we receive the check.Also,the check will be destroyed.
Enclose a valid check or money order.No cash,gift cards, Report a Lost or Stolen Card Immediately.You may call Customer
or foreign currency please. Service 24 hours a day,7 days a week.
Include your name and the last four digits of your account number.
0
T04563-H2-9366-8015-0001-OOL--0---04/01/91-273-60-P--O--O-O-O-S H FLEET2---03/31/10-S H33-November 5,2013---
PLOCOMM OCT13
Account: **** **** **** 9116
TRANSACTIONS(cont.)
Trans Trans Trans Msg Prod
Date Time ID Location/Description Quantity Code Code Exempt Tax Amount_
11/20 10:44 0225847 1230 S RANGELINE RD CARMEL IN - 12.141 8 ( UNL - - $2.22 $38.61
12.141 GAL UNLEADED $38.61
11/20 16:29 i 0496547 1 14554 HERRIMAN BLVD NOBLESVILLE IN 4.961 f 8 I UNL $0.91 $16.67
r 4.961 GAL UNLEADED $16.67 I j
12/05 17:25 0187617 808 W MAIN ST CARMEL IN ( 5.061 8 ! UNL $0.93 i $17.00!/
5.061 GAL UNLEADED $17.00 f
CARD NUMBER 0003 TOTAL 30.555 ' $5.600 $97.28_
CARD NUMBER 0004
11/15 17:27 0766808 i 116 AiLLISONVILLE RD FISHERS IN 21.494 ^8 UNL $3.93 $69.62
1 T`
21.494 GAL UNLEADED $69.62
I
11120 11:23 1 0578591 8924 E 116TH ST FISHERS IN 13.832 f 8 1 UNL $2.53 $43.71
� J
13.832 GAL UNLEADED $43.71 f kI
11/21 19:06 1 0198150 12320 CHESTER BLVD.RICHMOND IN ` 17.680 I 8 I UNL $3.24 $59.39
I 17.680 GAL UNLEADED $59.39 I
11/29 13:12 0643544 8924 E 116TH ST FISHERS IN ` 9.741 8 UNL j $1.78 $30.10
9.741 GAL UNLEADED $30.10
CARD NUMBER 0004 TOTAL 62.747 Y _L� $11.48 $202.82
CARD NUMBER 0006
11/07 20:30 0429621 2108 N EMERSON AVE INDIANAPOLIS IN _ 10.051 8 UNL $1.84 $31.16
10.051 GAL UNLEADED $31.16 �� ���
11/13 21:21 0459081 2108 N EMERSON AVE INDIANAPOLIS IN 15.613 8 I UNL $2.86 $51.51
L� 15.613 GAL UNLEADED $51.51
0�, 11/16 05:29 0995902 2166 E HADLEY PLAINFIELD IN 11.022 8 UNL $2.02 $35.91
C3 11.022 GAL UNLEADED $35.91
rL 11/27 1 09:45 0352005 2040 E WASHINGTON INDIANAPOLIS IN 0.220 8 UNP $0.04 $0.74
j 0.220 GAL UNL PLUS $0.74 f
� 4 ,
11/27 09:46 0352021 12040 E WASHINGTON INDIANAPOLIS IN I 0.090 8 UNP i $0.02 $0.30
0.090 GAL UNL PLUS $0.30 I
11/27 1 09:47 0352039 2040 E WASHINGTON INDIANAPOLIS IN !{ 3.310 j 8 I SUP $0.61 $11.01
I 3.310 GAL SUPER $11.01 I f
11/27 14:37 0277103 1230 S RANGELINE RD CARMEL IN 15.220 8 = UNL $2.79 $47.93
1 15.220 GAL UNLEADED $47.93 I f
12/01 17:08 0144956 1 6955 S EMERSON INDIANAPOLIS IN 23.255 8 I UNL $4.26 $73.00
23.255 GAL UNLEADED $73.00 !y
12103 16:33 0552968 p 2434 N KEYSTONE AVE INDIANAPOLIS IN 15.483 8 SUP $2.83 $48.00
} 15.483 GAL SUPER ER AR
CD NUMB 0006 TOTAL
_ � 94.264 517.27 $299.56
CARD NUMBER 0007
11/21 19:06 0198143 2320 CHESTER BLVD.RICHMOND IN 17.8612 8 UNL $3.27 $60.00
17.862 GAL UNLEADED $60.00 ^�
CARD NUMBER 0007 TOTAL ( 17.862 $3.27 $60.00
GRAND TOTAL I 279.441 $51.17 ` $883.55
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
TAX EXEMPTION SUMMARY
Description Amount
FEDERAL EXCISE TAX-
279.4 GALLONS GASOLINE -$51.17
Page 3 of 4 1-800-377-5150 shellfleetcard.accountonline.com
I
Account: **** **** **** 9116
Your new u
t
nt : clear A concise!•
ul
F Clear: Statements show you exactly how much you've spent, how much you owe,-and your
available credit.
Concise: The information is "bucketed" into sections that make it simple to find what you're
looking for and is written in normal, everyday language.
I
Account Number/ Account Statement
Payment Information
Contact Information Customer SeVioe: u.
Shows s�euF�elvlDtcDa o 6 ro Shows what you owe,
MAccaent tnq Pe:�s-eooe9o-9999 M nvdce NUnber: r.99989988 DB88
Summary of � due dates and minimum
Account Activity Summa of Account Activity Payment;ntom$at;0n payment information y
` A quick, complete
Flow— _ _$9.999.999.99 Cunent Due $9999999.99 3
q p PaymerBS _ __ --$9.999.899.89 Past Due A—Rt-______-___.. + $9999.999 99 ?
view-of your-account— —
Duda — ±$�s9�999�99`s�s- �_$9.99s.99999
Transactions =
DebI1B -- - --- - .♦$8999.999.85 Payment Due Date- 1AMOMY" E Lists your purchase
all in one place L.I.Fear. - - +$9.999.999.99
3 New Balance 59,989,999.99 Credft Line $9999.999 activity; including
Total Tnaeecpons `. 9,999,999 Godtl Aver �9 � dates, locations,
Arrr nt Over Crodil Lina - $9,999 999_
ze dNOlice of aIliag C"se- I auBle:v Cbsing Dale v _ _ MMIDD/YY (�
PO BOXd ,,Gi'f Bi 8)88&9989. Next Closing Dale MM1DWYY quantity of gallons,
�f { and type of fuel ;
o 'RA"SA°"°NS Payments,Credits
Tana Tale Tara nm9 Pr9a ,Year-to-Date n wm na. I. L99.W/Desc D119n aoun, coda Coda E-0 TA. Aawnt
ru PA__,CREDJT9,PEES AND ADAJETMENIB i Fees and Adjustments
Summary MMAD (PAY MENT-THANKYOU $8,898,880 BB g
A summary of MMAD CREDITADWUSEYENTTOYOURA000UM r �. $8 890 989 80. ff
Mmi ;LGYALTYRE-1R0 ,` ,. i EB09B BB994 A record of payments i
MWID! 'DISCOUNT ' 14 -:;,h I I EB,9B9,9BB.BB. '" you've made and credit
total gallons this
PUshThWWSANDDFBnS ' z adjustments affecting
statement period SUGCCT9999Y996NAME1
' MM1DD 8888 129168] 23 MAIN STREET ANYWHERE CARD NUMBS l i
x GRUJAnsURCOn _ __ _ 9 9 _
and year-to-date ^AU T �'2]993 GAL IANADItD \BBB 899 9 SUP {8880809.89 I EB9B9809B9 your account i
170001 TOTAL 989999 ffBAWA9999 ( 39999,99°.99 p /�
GRD NUMBER 0009 - T--�- Remit Coupon
MmD 8888 123168) 1231 MAIN STREET ANYWHERE,USA / 9a9Ba9 0 /REG� t1o,aBB,8p9M f 0°99099
Tax Exemption 27.993 GA UN[.BADRD Identifies payment t
GRD NUMBER OOIM TOTAL 313811 I Esmeem 3appq pgyp
fSummary -,- „-.-�. - _ ..___ TOEALSUBACCT9999WWNAMEI aa.aaB yLLm..7• _ � '� ..,59 � due date; new balance,
_ A summary of the % any past due amount,
tax exemption NOTICE SEE REVERSE SIDE FOR IMPORTANT INFORMATION 5."u 1 1ti �^9B T1II-- w I...11ae7_N.A: minimum payment I
credits by state, city, Illlllllllllllllllllllllllll1lIIIIIIIIIIIII � due, and an area to
Your A=unl Numbs,is 9999 9999 9999 9999
t
county, and federal Q shd,Flaancad bvoceNumber write in the amount
Psymenl Due Date �`MDmh DD,VVVV
for qualified tax PC � of your payment t
P_ ue Amounts 59,999,999.99 1
exempt accounts mP nntDue $9,999.899.99 Discount Summary
i Statement Enclosed -- - -� f
i tE closed$J_--i-z-_U_' J_1 Represents merchant i
�ck,Ou,.. e". .dew funded and program 9999 P9y,ble to
t ADCOLnt:" EA-,1Tea ^e°"' discounts. Merchant
�9nAAISAC710NS conU awmm x)CCODC(
-- Tre"• Cn p°- ,ttbgNDeecd811on - - - - - - 9 - - k IUnd ed�U�scounts --
�1e n,m
Pun;T,,sEs AND DEa,T9,c°„y ,111111 I I III"'I NIP( (III'I are broken down by
099998 NPMF2
CARD NUMBER 0001 -2y MAIN STREET AN'IYJHERE,UGA 5 4 89 EJJ 00 each merchant when
M,NW 0. 12345?)'1 SALES TAR
m Accesso9Y s z1.99 18.]11 9 MI4AAAAAAA CCAD
applicable
'
NC.1, 4A lzalssT�4l rscamTREET ANYwHErE.usA $2,00 - }
t es:6eii 1 t 6T.00 I Account,
{ I 1,gSN1GO9 L pNLEADED E 8.00 19.111 �_ D};««««+«a
DISCOUNT SUM
MARY
��11 fey S I L9callgyp
j CARD NUMBER IA^a2' E` ER U6R S]6.51 S I MFRCNANT �aa TI¢r D
S IUD i 09'88 1 12M58] 198A6 Aq
4 { B,RFET ANVWHERE,UG^ $T2.n. 1 18.508 I 121A MAINS �h9VRTfERE,usA YP9 Bevle VNL Off% Caag NICM1
I MM1DD 00'08 19HA56]I. niim OAL UNLEADED BEOn.a•R TOTAL 29873 717337 DIXq salsa A.- i
t pARO NUMBFP 0002 NAME21 999.899 1231 MAIN STREET r
C a[• TOTAL BUBf`CCT� � WHERE USA C tf U SUP so,woo
i I }999.999 99s,sB9.999 ! 39 999 999 99
l 'GppryOTOTAL]1 ' ,r.-�"-- 1214 NI BTREETA 1` SURTOTALZ C U DEL i x.02 999.9BB.B98 1
' ,211 MAIN NVRE1Ep�VSA '�Po 999.999.839 1 ; 39999999
- 4 EMstrOriG Sale WIBIOUt AU9loNJa BTIEETANYyIe,ERE,U54 D UNL i _jF( 599939p9,
T.EbGBprllc Sala om AAoAzsi`o" 5-KBfed Sale wilhOUl AOlhoi¢s90 - C U EUP f
M09se9a codes: witl1A0UKK1L9tI0n' -^�--+- �?-_--Y•�� `UBIOTAL
➢ � R Kq'ed � -°'"'�-•-:OT�,�EACNANT 4BWLMT I I SD.0100� 899989999 ! t9,999939.B9
Y PRDORAMD�OEaYI l �l"`•�-�.. I '�� l��_ t I f9 899993.98
TDSEOW I
9 YEAR-TO-OATESUfAALARY
i Tola,I Ga�lb,rha_d t,. - B09B9,BBBBBB0
�Aoo I_A y q D
P" I AU-WE1S
t Total GallolR PUlcEa9�l"YYY Y
aTeTAli R' 1 0 ALL FUEi,S T' ( I E9,989989�;
MµTNY Y »__�_._'TDTxAIVROORAM '(- S89s9 Beg BB
( TAX EXEMPTION SU ., i
p rlPtlon - �='TOTAL DI$ 1 'F' E9,9B9.999'99 r is 69999999
E a_ _� Drsa TYDe:R-PUCen10 COUNT j
{STATE NAME(STATE MOTOR EUEL TPX "� ➢ IDOfy BWe C
C.
t BBB 890.9 GALLONS GASOLINE _- •---�~ _ ➢ ts P9�UM
3 _ � ! M
T 0 � {9989899 Be
BBB BBBBGALLONS DIESEL EUEL ,� U-U'Ins PU,o'rosed D DO9er 1 59,999,999.gg
({ (STATE NAME)STATE MOTOR FUEL TAX _M1e•� / i Selen
1 998,890.8 GALL ONS GASODNE- `�--�_ ` f `P,-
{c 9 �ALLANSgE5E1FVE` �_�� or Illustration_-purposes only. SH F2 TE HTR 10713
Page 4 of 4 1-800-377-5150 shellfleetcard.accountonline.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shell Fleet Plus
Processing Center
IN SUM OF $
P.O. Box 183019
Columbus, OH 43218-3019
$832.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 65129116312 I 42-314.00 I $832.38 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
Frid y, December 13, 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))
12/06/13 65129116312 monthly payment $832.38
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