HomeMy WebLinkAbout189625 09/13/2010 f CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $84.00
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 189625
CHECK DATE: 9/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
651 5023990 BG1298219 84.00 BG1298219
CR'Y 7:4Z]r-LA_4Fgl 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
III�I� III I+III III�I Ifll IIII Ill u z STATE ENT NP26458940
I 1 I f1 DATE 09/03/2010
CITY OF CARMEL ITILITIES DUE DATE 10/03/2010
1 CIVIC SQ TOTAL BALANCE DUE $84.00
CARMEL IN 46632 -2584
PAYMENT TERMS Net 3D MN
For online and simple, automated payment setup, contact customer service at cardservices @fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Senrices and Fees as reported 8/3112010
Date Description Gallons Amount Due
08/2012010 PAYMENT: Lockbox Payment Thank You $1.89 CR
09/03/2010 Fleet 1315591 Name: CITY OF CARMEL UTILITIES 31.122 $84.00
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
0810112010 $1.89 $1.89 CR 31.122 $84.00 $84.00
FOR PROPER PAYMENT POS PLEASE SUBMIT Yr �•g�� s npy,p
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 NP26458940
Page. 1 of 1
CITY OF CARMEL ITILITIES
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 8!1!2010 8/31/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 31.122 $67.55 $5.79 $10.66 $0.00 $84.00
ay
67 55 A ry Al :79 10 66 0':
6otal r 00 8 0M
re$ r re 400i
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,426
Tra sn ac'tion D;e #ail for Cust mer, N,O', 1315591 CITY OF AI211AEi ITIL (TIES 1 1 2
8111201 3 E f
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE'*
...z s y; r- a w '.yDur 9
f 56717t :2007 FO RD F25[f,24'�!
08120 12:34 885419 DRIVER 1 34575 45.8 UNL 31.122 2.17050 0.52853 $84.00
Miles: 1426 45.8 31.122 $84.00
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
V
VOUCHER 106196 WARRANT ALLOWED
69001 IN SUM OF
CRYSTAL FLASH
PETROLEUM CORPORATION
PO BOX 105080
Atlanta, GA 30348 -5080
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
NP26458940 01- 7500 -08 $84.00
Voucher Total $84.00
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 105080 Due Date 9/8/2010
Atlanta, GA 30348 -5080
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2010 NP26458940 $84.00
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 ffi