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HomeMy WebLinkAbout190606 10/12/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1 ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CARMEL, INDIANA 46032 PO Box 105080 CHECK AMOUNT: $105.16 ATLANTA GA 30348 -5080 CHECK NUMBER: 190606 CHECK DATE: 10112/2040 DEPARTMENT A CCOUNT PO NUMBER INVOI NUM BER AMOUNT DESCRIPTION 1205 4231400 BG1298100 105.16 BG1298100 4CMYS7A L]F'L`AH"h 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 I�III�IIIIII��I�IIIIIIII�IIII 698 STATEMENT# NP26843872 DATE 10/01/2010 CITY OF CARMEL- MAINTENANCE DUE DATE 10/31/2010 1 CIVIC S© TOTAL BALANCE DUE $105.16 CARMEL IN 46032 -2584 PAYMENT TERMS Net 30 MN For online statements and simple, automated payment setup, contact customer service at cardservices@fieetcor.com. DESCRIPTION OF CURRENT ACTIVITIES Services and Fees as reported 913012010 Date Description Gallons Amount Due 10(01/2010 Fleet 1315492 Name: CITY OF CARMEL- MAINTENANCE 39.596 $105.16 D LI OCT 1 1 Mo By Current Activity Previous Statement Prior Balance Payments and Gallons Charges Total Balance Due Date Adjustments 09/03/2010 $0.00 $0.00 39.596 $105.16 $105.16 FOR PROPE PAYME POSTING PLEAS SUBMIT YOUR CHECK WITH ONLY THE REMITTANC COPY BELOW. PO BOX 1 05080 FLEET MANAGEMENT REPORT ATLANTA, GA 30348 -5080 Account BG1298100 FLEET 1315492 Provided By: Name: CITY OF CARMEL MAINTENANCE Crystal Flash Petroleum PL MATCHING STATEMENT NP26843872 (800) 903 9368 Page: 1 of 2 CITY OF CARMEL MAINTENANCE 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 15.036 $31.64 $2.80 $5.09 $0.00 $39.53 PREM 16.598 $39.12 $3.09 $5.91 $0.00 $48.12 E85 7.962 $16.02 $1.49 $0.00 $0.00 $17.51 -.cxr Total LLx w� 39 536 86 78 ,4 0 a a� Q $7 38 '$11 00 H Oiy, s 1051E JU This report is for information only. Please see remittance copy on the statement for the total payment amount. TOTAL MILES: 375 DEPARTMENTAL SUMMARIES 'A�= .p,.tia P ©EPT „BASE E,FED Q STATE LOCALS MAINTIOTH EXTENDED EXCEPT ODEP ftT EN x,NUl41 Q Y aPRICE a TAX_ ES TAXES�T;4XES ti (�f8n Fuel) v `T04L 000NT MAYOR 809016 39.5961 86.78 7.38 ii.00l 0.001 0.00 105.16 1 EXCEPTION CODES: 11 Odometer entry its out of sequence. FLEET MANAGEMENT REPORT r /L.. Account BG1298100 FLEET 1315492 PO BOX 105080 ATLANTA, GA 30348 -5080 Name: CITY OF CARMEL- MAINTENANCE MATCHING STATEMENT NP26843872 Page: 2 of 2 r Transact�on Detarf for Customer NO�1315492� g Cl'T'Y OF�CAFtMEL MAINTENANCE,�9f�112010 �913d12d10� Y a m m t Department: MAYOR FUEL NET TOTAL EXCEPT DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE 31 MAYOR s r rS n� -�r' a i i g6 a 4s 4�twll 4 tip '.a o awT A.� a�x -�sxs -fir�M� 4�..€ 09101 c 09:57 885419 MAYOR 1965 0.0 E85 7.962 2.01210 0.18590 $17.51 11 09101 12:03 885419 MAYOR 2340 24.9 UNL 15.036 2.10430 0.52421 $39.53 09122 12:11 885419 MAYOR 2340 0.0 PREM 16.598 2.35690 0.54158 $48.12 Miles: 375 24.9 39.596 $105.16 Department: MAYOR UNL 15.036 $39.53 PREM 16.598 $48.12 E85 7.962 $17.51 Department Totals 39.596 $105.16 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 $105.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members T 1205 I NP26843872 I 42- 314.00 $105.16 I 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, October 11, 2010 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)) 10/01/10 NP26843872 $105.16 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with lC 5- 11- 10 -1.6 20 Clerk- Treasurer