HomeMy WebLinkAbout193011 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
k CHECK AMOUNT: $40.68
CARMEL, INDIANA 46032 Po aox iosoao
ATLANTA GA 30348 -5080
CHECK NUMBER: 193011
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 BG1298100 40.68 GASOLINE
2673101 .2010120255501 00578
CRYS�lcB��L�6..�al�,I' Local Office: Crystal Flash Petroleum PL
Mannatec Driven, 655 Engineering Drive, Suite 300 For billing questions call: (800) 903 -9368
Norcross, GA 30092
Account BG1298100
Please reference account on all payments
II� IIII�III�IIII�I�IIII 578 STATEMENT# NP27731880
DATE 12/0312010
CITY OF CARMEL MAINTENANCE DUE DATE 01/0212011
1 CIVIC SQ TOTAL BALANCE DUE $40.68
CARMEL IN 46032 -2584
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 cort;n� a to-work at -the remaining C. sta! Flash !ocatiors,
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 11130/2010
Date Description Gallons Amount Due
12/03/2010 Fleet 1315492 Name: CITY OF CARMEL- MAINTENANCE 14.690 $40.68
D
D 0 2 010
By�
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
11/0112010 $0.00 $0.00 14.690 $40.68 $40.68
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
2673101,M 0/20255501 00576
C�Y�iT L7FLA.�",
Mannatec Driven, 655 Engineering Drive, Suite 300 FLEET MANAGEMENT REPORT
Norcross, GA 30092 Account BG1298100
FLEET 1315492
Provided B Name: CITY OF CARMEL- MAINTENANCE
Crystal Flash Petroleum PL MATCHING STATEMENT NP27731880
(800) 903 9368
Page: 1 of 2
CITY OF CARMEL- MAINTENANCE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 11/1/2010 11130/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 14.690 $32.85 $2.73 $5.10 $0.00 $40.68
.a �Et�sFe'r •C' N "g i�Ei rcF'� w lc E,r�-'s
k Total U 1!1:690 $32 85 4 �y'� ail 510 ,$0 OO .N I
�s,Fa s!
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
DEPARTMENTAL SUMMARIES
t W w DEPT �M ,BASE; STATE LffiOCALMAINl /flTHEXTENDED l 7 q b p i� i DEPARTMENT] NAMES QTY a N ws PRICE TO C m a.W MAYOR 809016 14.690 32.85 2.73 5.10 0A0 0.00 40p68
FLEET MANAGEMENT REPORT
Account BG1298100
CRYS7":4L�FL��� -sl
FLEET 1315492
Mannatec Driven, 655 Engineering Drive, Suite 300
Norcross, GA 30092 Name: CITY OF CARMEL MAINTENANCE
MATCHING STATEMENT NP27731880
Page: 2 of 2
�7ransaction�Deta� f ri,C stomer�N0�1315492�C [T�YOF_CARMEL 11,/1/201Q��" �4�1 „l3012010�
Department: MAYOR
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
�rRZ,n a^^ai �,';z, ms .,tea u ,p'R "'°':^z "�'S �i"';Y sa
21 m
10/07 12:41 191392 MAYOR 2340 0.0 UNL 14.690 2.23620 0.53315 $40.68
Miles: 14.690 $40.68
Department: MAYOR UNL 14.690 $40.68
Department Totals 14.690 $40.68
SITE LEGEND
SITE SITE NA ADDRES CITY STATE
191392 Circle K #2368 545 S Rangeline Rd Carmel IN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
PO Box 105080
Atlanta, GA 30348 -5080
$40.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT #£TITLE AMOUNT Board Members
1205 731880 I 42- 314.00 I $40.68 l 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, December 20, 2010
C�
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))
12/03/10 NP27731880 $40.68
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