HomeMy WebLinkAbout190608 10/12/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $32.02
CARMEL, INDIANA 46032 Po Box 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 190608
CHECK DATE: 10/12/2010
DEPARTMENT ACCOUNT P NUM BER I NUMBER AMOUNT DESCRIPTION
651 5023990 BG1298219 32.02 BG1298219
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
IIIIII III III I II I IIII III IIII 78 STATEMENT NP26843876
DATE 10/01/2010
CITY OF CARMEL ITILITIES DUE DATE 10/3112010
1 CIVIC SQ TOTAL BALANCE DUE $32.02
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 9/30/2010
Date Description Gallons Amount Due
09/18/2010 PAYMENT: Lockbox Payment Thank You $84.00 CR
10/01/2010 Fleet 1315591 Name: CITY OF CARMEL- UTILITIES 11.358 $32.02
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
09/03/2010 $84.00 $84.00 CR 11.358 $32.02 $32.02
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
MITTANCE COPY— RETURN THIS STUB WITH PAYMENT A'r.a r
L=A7YS.4 .S14_
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 NP26843876
Page: 1 of 1
CITY OF CARMEL ITILITIES
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 9/1/2010 9/30/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 11.358 $25.94 $2.11 $3.97 $0.00 $32.02
P zP€i. e r 11 Aa$397 .i $t)'DO a�x x$3202
TTotal 11 358 i 25 9 4 2 i
.a��a:.�..ia�.rsv.ws...�ww,.w.0 ._...SJ.i:4°....arx..u.r.. ..�cM.tzvl..,,,,. ,...."[.,.._..x
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
Tr sac n D IES
it *fore sto'mer NO 1315591 CITY OF CARMEL ITIL'IT, 9!1/2010 9!3012010�r x
x.:i.�:: i.�....,,, �r :..�.a oa r<�..n�s..,`d ,.,..wask,
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
56717x1
OR
09/16 F k ar s
..a;w x�_ a �Elw.
09/16 10:38 885419 DRIVER 1 55697 0.0 UNL 11.358 2.28390 0.53614 $32.02
Miles: 11.358 $32.02
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
l
VOUCHER 106367 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
26843876 01- 7500 -08 $32.02
Voucher Total $32.02
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Re 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 10/7/2010
Atlanta, GA 30348 -5080
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/7/2010 26843876 $32.02
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 icer