HomeMy WebLinkAbout188664 08/17/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CARMEL, INDIANA 46032 PO BOX 105080 CHECK AMOUNT: $59.11
ATLANTA GA 30348 -5080
a CHECK NUMBER: 188654
CHECK DATE: 8/1712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 BG1298100 69.11 BG1298100
2611- 20ID08on3,,s IX]]6t
Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298100
Please reference account on all payments
II IIIIIII !III Ill III III !III 704 STATEMENT NP26006482
DATE 08/02/2010
CITY OF CARMEL MAINTENANCE DUE DATE 09/01/2010
1 CIVIC SQ TOTAL BALANCE DUE $69.11
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 7/3112010
Date Description Gallons Amount Due
07/24/2010 PAYMENT: Lockbox Payment Thank You $210.24 CR
08/02/2010 Fleet 1315492 Name: CITY OF CARMEL- MAINTENANCE 27.410 $69.11
Lr
AUG 16 2010
By
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
07/0112010 $210.24 $210.24 CR 27.410 $69.11 $69.11
FOR PROPER PAYMENT POSTING. PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
2fi73101.201o119f103ON 1.0071
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298100
FLEET 1315492
Provided By: Name: CITY OF CARMEL MAINTENANCE
Crystal Flash Petroleum PL MATCHING STATEMENT NP26006482
(800) 903 -9368
Page: 1 of 2
CITY OF CARMEL MAINTENANCE
1 CIVIC SO
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 7/112010 7131/2010
SUivii5ARY 'OF "TRA4SACTIOIvS'THfJ REPORTIING PERI'CD AL1 VEHii,LES IN 'FOUR FLEET'
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 17.665 $38.34 $3.28 $6.06 $0.00 $47.68
E85 9.745 $19.62 $1.81 $0.00 $0.00 $21.43
'`Awy�- .a a "if 9 �f w sl. ,w
00
x r 1 x r
T O tat Ii v a n„ t C3a2 r Fa z r
27 410 s F 1 $57 96 $5 05 $6 060 69 11'
Cat h� a1 a "+:�.0 u r ti. a a. „�rsa,l`�,� as s r u...sR,,i 2 ti,,� s.. �,i......`r a w a' �k,offa�,.l ,.a�:.�._ L,�4
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 386
DEPARTMENTAL SUMMARIES
aEPARTMENT IN MEi5” A O Y BASE a� FED STATE LOCAL. MAI T10Tii EXTENDED EXCEPT;
,3 NISM Eq PRICE, TAXES fr P TAXES TAXES r !Nor► Fuell TOTAL 000NT
MAYOR 809016 27.410 57.96 5.09 6.061 0.001 0.001 69.11 1
EXCEPTION CODES:
11 Odometer entry is out of sequence.
FLEET MANAGEMENT REPORT
Account BG1298100
CA7Y= L7PLAH 4' FLEET 1315492
PO BOX 105080
ATLANTA, GA 30348 -5080 Name. CITY OF CARMEL- MAINTENANCE
MATCHING STATEMENT NP26006482
Page: 2 of 2
Transaction betail�fo °r C�stoiner NQ '1315492 ,,,CITY OE!CARMEt_ MAiIVTENA,NCE,�
Department: MAYOR
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
1 "MAYOR �e ,w r ,a k fx 3 i 11 �A
,.,�1,' M_,� dt�,;a .Fw� °�a,m� n: awp;.��,�u.. w`:,n�.�rs'e'.v`r n,E NR
07129 10:55 885419 MAYOR 1954 0.0 E85 9.745 2.01330 018590 $21.43 11
07130 06:16 885419 MAYOR 2340 21.9 UNL 17.665 2.17040 0.52874 $47.68
Miles: 386 21.9 27.410 $69.11
Department: MAYOR UNL 17.665 $47.68
E85 9.745 $21.43
Department Totals 27.410
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
PO Box 105080
Atlanta, GA 30348 -5080
$69.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 NP26006482 I 42- 314.00 I $69.11 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
Monday, August 16, 2010
1 V
4 e-
Director, Administration
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))
09/01/10 NP26006482 $69.11
1 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