HomeMy WebLinkAbout191526 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
�J d ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $34.54
CARMEL, INDIANA 46032 PO BOX 105060
ory ATLANTA GA 30348 -5080 CHECK NUMBER: 191526
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 13G1297998 34.54 DC1297998
11/01/2010 8:31:47 PM -0500 FLEETDETAILS PAGE 2 OF 3
C P Local office' Crystal Flash Petroleum PL
Mannatec Driven, G55 Engineering Drive, Suite 300 For billing questions call: (800) 903 -9368
Norcross, GA 30092
Account BG1297998
Please reference account on all payments
STATEMENT NP27281564
DATE 11101/2010
CITY OF CARMEL -FIRE DUE DATE 12JO112010
1 civic so
CARMEL IN 46032 TOTAL BALANCE DUE $34.54
PAYMENT TERMS Net 30 MN
Although Crystal Flash sold some locations to Circle K, your Crystal Flash Mannatec fleet cards should still work at
the new Circle K locations, and will continue to work at the remaining Crystal Flash locations.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 10/31/2010
Date Description Gallons Amount Due
10/15/7010 PAYMENT: Lockbox Payment Thank You $692.47 CR
11/01/201U Fleet# 1315390 Name: CITY OF CARMEL -FIRE 12.123 $34.54
Current Activity
Previous
Statement Prior Balance Payrnents and Gallons Charges Total Balance Due
Date Adjustments
10/01/2010 $692.47 $692.47 CR 12.123 $34.54 $34.54
FOR PROPER PAYMENT POSTIN PLEASE SUBMIT Y RSHgf Y THE REM ITTANCE COPY BELOW.
11/01/2010 8:31:47 PM —0500 FLEETDETAILS PAGE 3 OF 3
Mannalec Driven, 655 Engineering Drive, Suite 300
FLEET MANAGEMENT REPORT
Norcross, GA 30092 Account BG1297998
FLEET 1315390
Provided By: Name: CITY OF CARMEL -FIRE
Crystal Flash Petroleum PL MATCHING STATEMENT NP27281564
000) 903 -9368
Page: 1 of 1
CITY OF CARMEL -FIRE
1 CIVIC so
CARMFL IN 46032
FLEET MANAGEMENT REPORT FOR 10/1/2010 10!31/2010
SUMMARY OF 1 THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 12.123 $28.02 $2.25 $4.27 $0.00 $34.54
'r. Y, F!. Irt 'l,• S l.rs 'rs� 7 ..y ,k' jrtl•�Fr. J
•�I`R3t81' a�.jrts t s �,�r 4tr 4 �:12�1`l •ti ti ll y ,r,l �>�3it� f �US.k I ���)4,v? d.�7�•� F� V. be0�)z`'� 2 ,1 Li! �4;
i): t> X. a.; S1:. Cr .d(v.,i= ....L�.�L..`4.,_,._.� N•�.,.n s. bi, ...0 �.L xi ,�1, {.:.u.:./ v, r v_.x!... :..._i., »ct. _s!�.....)w,,:_.r7F•.�4z s._- a.,,,,Gv. r,,,i:'tit,�.,, ,.'v. ul��..l. fit.
This report Is for intorrnation only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
x�r ^:k Y .r.7- _a,'x1�. „:1 Lti.}?ax ii }�]t s };,.r k. .y.. fF:.. k 'g': :x,,. r5 't 7s}ga,}} 1:: ti }3iii Iii Y 3•a`r }'j.•t
�4a�1,a.tvzx., b, ,b'_:.>rasu,., 1<.:. ;:d�'.::xlf��Qw �,..s1�i.6 is a�t,,.,,ft,t 3. ,a ;rta ,f•s��c�,�..,� UH�; GV�VoF.. ,,11��1�7�i��V�`,Kwr.�?x���sjah r�, }3�:.�T �1 „7 "t�.tsl, jV�:. h.t$'
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
101111 17 :15 885406 DRIVER 1 14500 0.0 UNL 12.123 2.31130 0.53640 $34.54
Miles: 12.123 $34.54
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885406 Crystal Flash #30 8501 E Washington Indianapolis IN
VOUCHER NO. WARRANT NO.
Crystal Flash ALLOWED 20
IN SUM OF
P.O. Bow-
Z
$34.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NQ ACCT /TITLE AMOUNT Board Members
1120 NP27281564 42- 314.00 $34.54 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
NO V 7 2010
n
r
Fire Chief
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))
NP27281564 $34.54
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
2d
Clerk- Treasurer