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HomeMy WebLinkAbout182210 02/16/2010 ,r c f 6 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1 o ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $133.00 ATLANTA GA CARMEL, INDIANA 46032 830348 -SD80 CHECK NUMBER: 182210 CHECK DATE: 2!1612010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 BG1298219 133.00 BG1298219 26701012010°20121401 /0)024 CRYSYA FL Local Office: Crystal Flash Petroleum PL PO BOX 105080 For billing questions call: (800) 903 -9368 ATLANTA, GA 30348 -5080 Account BG1298219 Please reference account on all payments 111111101 I I I I D I I I I I I I I I 1111 11 STATEMENT NP23281257 DATE 02/01/2010 CITY OF CARMEL ITILITIES DUE DATE 03103!2010 1 CIVIC SQ TOTAL BALANCE DUE $133.00 CARMEL IN 46032 -2584 PAYMENT TERMS Net 30 MN For on scat rr ents 'sirimpie autorrsated Wir ent satup,'contact• custorne� setvi t ai carciservicesCpileefcorom: 1 1 I DESCRIPTION OF CURRENT ACTIVITIES Services and Fees as reported 1/31/2010 Date Description Gallons Amount Due 01/15/2010 PAYMENT: Lockbox Payment Thank You $77.00 CR 02/01/2010 Fleet 1315591 Name: CITY OF CARMEL UTILITIES 49.606 $133.00 Current Activity Previous Statement Prior Balance Payments and Gallons Charges Total Balance Due Date Adjustments 0110112010 $77.00 $77.00 CR 49.606 $133.00 $133.00 FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW. k REMITTANCE COP ,.r.. 4 :a.!!r j. .it. .4,. 3 Y' d-.. 7:, i' `g§ 2673101,2010020121401.00029 CRVS1A, 7FL. M.. Po Box 105080 FLEET MANAGEMENT REPORT ATLANTA, GA 30348 -5080 Account BG1298219 FLEET 1315591 Provided By: Name: CITY OF CARMEL UTILITIES Crystal Flash Petroleum PL (800) 903 9368 MATCHING STATEMENT NP23281257 Page: 1 of 1 CITY OF CARMEL ITILITIES 1 CIVIC SQ CARMEL IN 46032 FLEET MANAGEMENT REPORT FOR 1/1/2010 1/31/2010 SUMMARY FIIS REPORTING PERIOD., FOR ALL ES IN-YOUR-FLEET PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL UNL 49.606 $106.84 $9.23 $16.93 $0.00 $133.00 $1 W $0.00 $133 00' This report is for information only. Please see remittance copy on the statement for the total payment amount. TOTAL MILES: 1,023 `1Transaction,Detail for Cumer sto NO 51315591; CITY O FC I 1/1 1/311 2010a 5 r ,1 FUEL NET TOTAL EXCEPT DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE E567d1T�1 #24�. _h 01/07 08:35 885419 DRIVER 1 29445 24.5 UNL 20.364 2.26380 0.53500 $57.00 01/26 15:05 885419 DRIVER 1 29970 18.0 UNL 29.242 2.07720 0.52192 $76.00 Miles: 1023 21.3 49.606 $133.00 SITE LEGEND SITE SITE NAME ADDRESS CITY STATE 885419 Crystal Flash 467 545 S Rangeline Rd Carmel IN VOUCHER 097240 WARRANT ALLOWED `69001 IN SUM OF$ CRYSTAL FLASH PETROLEUM CORPORATION NIM A Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 011510 01- 7500 -08 $133.00 Voucher Total $133.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 69001 CRYSTAL FLASH Purchase Order No. PETROLEUM CORPORATION Terms PO BOX 684 Due Date 2/8/2010 INDIANAPOLIS, IN 46206 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/8/2010 011510 $133.00 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 Date Officer