HomeMy WebLinkAbout181043 01/12/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
1 O NE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
e 'l a CARMEL, INDIANA 46032 PO BOX 105080 CHECK AMOUNT: $56.89
z'r, ,_..,�o f ATLANTA GA 30348 -5080 CHECK NUMBER: 181043
CHECK DATE: 1/12/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 56.89 BG1298138
2 ,31al.zmaniaoaIoO1 (r1n
�L.
rCR .ceL7F'L Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298138
Please reference account on all payments
111111 11111 1111 1111111111111 117 STATEMENT NP22799956
DATE 01/01/2010
CITY OF CARMEL- POLICE DUE DATE 01/31/2010
1 CIVIC SQ
TOTAL BALANCE DUE $82.67
I
CARMEL N 46032 -2584
PAYMENT TERMS Net 30 MN
For online statements and simple, automated payment setup, contact customer service at cardservices@fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 12/31/2009
Date Description Gallons Amount Due
12/17/2009 PAYMENT: Lockbox Payment Thank You $199.22 CR
12/18/2009 CREDIT: LATE FEE $100.91 CR
01/01/2010 Fleet 1315510 Name: CITY OF CARMEL- POLICE 21.925 $56.89
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
12/01/2009 $325.91 $300.13 CR 2t925 $56.89 $82.67
,FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE-REMITTANCE COPY BELONG
F ?.1G1 21, 1IIOIO00i901 0011:
C/rzlY574L]FL■5H
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298138
FLEET 1315510
Provided By: Name: CITY OF CARMEL POLICE
Crystal Flash Petroleum PL
(800) 903 9368 MATCHING STATEMENT NP22799956
Page: 1 of 1
CITY OF CARMEL POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 1211/2009 12/3112009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 17.924 $36.39 $3.33 $5.97 $0.00 $45.69
UNL+ 4.001 $9.06 $0.74 $1.40 $0.00 $11.20
This report is for information only
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 177
'gTrans coon Detatllfor.Cusfomer NO. 1315510 ;CITY.OF PO I `121112009 12%31/2009 *E4NFA 1il 1i
ans i ili,f T,m 510• k ..>aaF.a ayA
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
I &f
'144 CAR 144 0 ri 1 y o 5 J i 1€ ,k -2, a
r n Ww 4 a te .awn� 's° s 9 Y°
12/28 13:12 685531 DRIVER 10 5948 0.0 UNL 17.924 2.03020 0.51873 $45.69
Miles: 17.924 $45.69
'567168CAR11 3 'e'5 {$'cF,a.?�£ I' tl a 1 k T 5
N:1a: k.. Axdۥ,a A x: s' x R-n. Ts
12/01 08:16 885419 DRIVER 10 27695 44.2 UNL+ 4.001 2.26440 0.53586 $11.20
Miles: 177 44.2 4.001 $11.20
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
685531 Crystal Flash #71 14554 Herriman Blvd Noblesville IN
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
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
Crystal Flash Petroleum Purchase Order No.
P.O. Box 105080 Terms
Atlanta, GA 30348 -5080 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 /1 /10 monthly payment 56.89
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash Petroleum IN SUM OF
P.O. Box 105080
Atlanta, GA 30348 -5080
56.89
ON ACCOUNT OF APPROPRIATION FOR
police generalfund
aR Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 314 56.89 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
January 8 20 10
b zie itad
Signature
Chef`of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund