HomeMy WebLinkAbout186665 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
i ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $78.00
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 186665
CHECK DATE: 6/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BG1298219 78.00 BG1298219
2627101.2010060774701A0104
t
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
IIIIIII I'I II IIIIIIIIII 104 STATEMENT# NP25149518
DATE 06104/2010
CITY OF CARMEL ITILITIES DUE DATE 07/04/2010
1 CIVIC SQ TOTAL BALANCE DUE $78.00
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For oniine statemeii s and simple, autoriiated paj ment Coinlaci customer "service at cardservices@D_fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 5/31/2010
Date Description Gallons Amount Due
05/28/2010 PAYMENT: Lockbox Payment Thank You $81.00 CR
06/04/2010 Fleet 1315591 Name: CITY OF CARMEL- UTILITIES 29.896 $78.00
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
0510112010 $81.00 $81.00 C 29.896 $78.00 $78.00
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
REMITTANCE ,COPY RETURN- TiilS_ STUB WITH PAYMENT.
2013101,7010000334' /01.00101
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 NP25149518
Page: 1 of 1
CITY OF CARMEL ITILITIES
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 5/1/2010 5/31/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL- VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 29.896 $62.37 $5.56 $10.07 $0.00 $7 8.00
[TOtai
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,061
T ans ton Detail f r Gusto a NO 1315591 CITY O T IESS 201Q 5� 4 131/2010
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
I°g> 3 r �"tl"3
567171 2007FORD F250 24 e- r m� �"f a
'r:.;:. f..:.aa.�r... I�u. x.,&:a�...?.,..�.....,...,.
05/21 10:25 885419 DRIVER 1 33149 35.5 UNL 29.896 2.08620 0.52274 $78.00
Miles: 1061 35.5 29.896 $78.00
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
f
VOUCHER 105630 WARRANT ALLOWED
9003 IN SUM OF
CRYSTAL FLASH
PETROLEUM CORPORATION
PO BOXY 105 -010 I94I4 j1A 6-4
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
052110 01- 7500 -08 $78.00
Voucher Total $78.00
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 6/14/2010
INDIANAPOLIS, IN .46206
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/14/2010 052110 $78.00
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