HomeMy WebLinkAbout183120 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $44.66
s? CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 183120
CHECK DATE: 311612010
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 44.66 BG1298138
X-01 20ino.�21, l 0 ,7
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
!III IIIIIIIII VIII
1 11 1 1 I N IN 67 STATEMENT NP23741178
DATE 03/01/2010
CITY OF CARMEL- POLICE DUE DATE 03131/2010
1 CIVIC so TOTAL BALANCE DUE $44.66
CARMEL IN 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 2/28/2010
Date Description Gallons Amount Due
02/12/2010 CREDIT: LATE FEE $25.78 CR
02/19/2010 PAYMENT: Lockbox Payment Thank You $89.07 CR
03/01/2010 Fleet 1315510 Name: CITY OF CARMEL- POLICE 17.183 $44.66
Current Activity
Previous
Statement Prior Balance Payments and
Ad Adjustments
Gallons Charges Total Balance Due
Date 1
02101/2010 $114.85 $114.85 CR 17.183 $44.66 $44.66
FOR PROPER PAYMENT POSTING. PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY RFC OW
aana: zn ¢x[swz; �n; own
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 NP23741178
Page: 1 of 1
CITY OF CARMEL POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 2/1/2010 212812010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 17.183 $35.70 $3.19 $5.77 $0.00 $44.66
e
ITntal �E 17183 `,z$35 70 $3 19 a W2 q
$5 77
u xa. wr Hart e a..s �a°e a ass >a 2i+s oa;4 �i. aw,u,�ua:iL
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
dT�ans'a'ctior>'D'etail far`,Custome� NO. 131551&9 CITY OF CARMEL POLICE ,2!1/2010 2I2812Q10 f
....r. .5 may.. rzt Y, g _5R;<� -*t: Q,
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
xz iaa`%I.a .:yE y."' ui f 7� ,ma y!,
144 CAR 144 a ��s S
.h u.n,... .'y%'e'F`M".� m. feat ��v ..a�, a�.t s a 3 .`�'a "`'^,q ?T;xi wua ,..�.<"ks&�awx'iwu€�5, "�a ��'�,!rte?
02/18 22:58 685531 DRIVER 10 7892 0.0 UNL 17.183 2.07760 0.52197 $44.66
Miles: 17.183 $44.66
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
685531 Crystal Flash #71 14554 Herriman Blvd Noblesville IN
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
3/10/10 a ent for gasoline 44.66
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
44.66
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
L I Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 44.66 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
March 1.0 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund