HomeMy WebLinkAbout196223 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1
0 ONE CIVIC SQUARE FLEET SERVICES CHECK AMOUNT: $634.33
CARMEL, INDIANA 46032 PO Box 6293
CAROL STREAM IL 60197 CHECK NUMBER: 196223
CHECK DATE: 4113/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 25670476 634.33 0496 -00- 138012 -0
I nvoi ce Ratemant
INVOICE NUMBER: 25670476
IRM ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
0495-00- 138012 -0 3400.00 31 1 1`1 APR 26-2011 674.33
DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS /CREDITS
MAR -14 -2011 PAYMENT THANK YOU 200.67
MAR -31 -2011 FUEL PURCHASES 634.33
REMINDER
BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS
BEEN MADE, PLEASE DISREGARD THIS NOTICE. PAST DUE
ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION
PURCHASE$ RETURNSAND PAYMENTSMADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOICEISTATEM ENT.
CURRENT PERIO ONE BILLING PERIOD PAST DU TWO BILLING PERIODS PAST DUE THREE+ BILLING PERIODS PAST DUE1 TOTAL DUE
644.33 30.00 0.00 0.00 674.33
PREVIOUS BALANCE PAYMENTS (,)PURCHASES (,)DEBITS CREDITS (,)LATE FE )NEW BALANCE
230.67 200.67 634.33 0.00 0.00 10.00 674.33
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To he balance subject to late
applying a monthly rate of RATE of fee for this period which is
2.00 24.00 30.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
TO ENSURE RROPER CREDIT-TEAR AT PERFORATION AND —1 INCLUDE BOT TOM_RORTI ON WITH YOUR PAYM ENT.
Card Card prompt prompt Prompt2 Transacdo Site Zip river Last Driver First Driver
Account Number Vehicle ID trump" Type Transaction Date Posted Date SFe Ste Name Site Street Address Site State p Driver ID Federal State emp Reposed Non Exchange
Number Department Type Value Value nTime Site Ciry Produce Units Discount Unit Grass Cqst Net Cost Fuel Cost MPG
Code Name Name Departure Exempted Exempted Exempted Tav Cost ]sale
0496001380120 1Unassignetl Ch ief5mith Driver lb 2465 Odometer 14500 3/14/2011 11 3126 /20115hell /Equ-Services MACS Convenience Sto 3801 N Post Road Indianapoll IN 4622£5551 tlriver 1 2465 Unassignec UNL 14.5 $0.00 $3.48 $50,47 1$2,65) $0.00 $0.00 54782 155.5]) $50. -07 $0.00 LOOOOOOD 0
0496001380120 1 Unassi8ned ChietSmith Orlrer l0 2465 Odometer 14500 3/28)2011 8:00:00 3/30/20115he11 /Equiva Services MACS Convenience Stu 3801NPost Road Indianappli IN 46226 -5551 driver 1 2465 Unassigne<UNL 15.28 $0,00 $3.50 $53.69 [52,80) $0,07 $0.00 $50.69 [$5.88) $53.49 $0.00 1.0000000 O
0496001380120 3Unassigned Asst Chief Haboush Dri-0 2465 Odometer 37920 3/14/2011 13:47:00 3 /16(20115heiVEqufva Services Circle K Store 2366 545 S Range line Rd Carmel IN 46032 -2140 driver 1 2465 Unassfgner UNL 25.66 $0.00 $3.26 584.29 (54,73) $0.00 50.00 $79.56 (59.55) $84.29 $0.001.00011000 0
0496601380120 3 Unassigned Asst. Chief Haboush Driver lb 2465 Odometer 38080 3/18/2011 14:30:00 3/22/2011 Shell /Equiva Services Circle K Store 2368 5455 Range line Rd Carmel IN 46032-21-0 driver 1 2465 Unassfgner UNL 14.71 50.00 $126 $47,97 (5269) $0.00 $ODO $45.28 (55.441 $47.97 50.00 1.0000000 10.9
0496001380120 3Unassigned Asst. Chief Haboush Driver ID 2465 Odometer 57 3/20/2011 15:47:00 3 /22/20115he11/Equiva Services Circle K Store 2368 5455 Range Line Rd Carmel IN 46032-2140 driver 1 2465 Unassignec UNL 23.22 $0.00 $3.25 $75.47 (54.25) $0.00 $0.00 $71.22 (58.56) $75.47 $0.00 1.0000000 p
0496001380120 4 Unassigned EMS Chief HuletI Driver lD 2465 Odometer 83095 3/18/201£ 10:43:00 3/22/2011 Shell/Equiva Services Circle K Store 2368 5455 Range Line Rd Carmel IN 46032 -214D driver 1 2465 Unassignec UNL 11.35 $0.00 $3,26 $37.00 (52.081 $0.00 $0.00 $34,92 ($4.19) $37.00 $0.170 1.0000000 0
049660'.1380120 4 Unassigned EMS Chief Hulett Driver ID 2465 Odometer 83557 31202011 7:46:00 3/30/2011 Shell /Equiva Services Circle K Store 2368 5455 Range Line Rd Carmel IN 46032 -2140 driver 1 2465 Unassignec UNL 13.38 $0.00 $3.25 $43.50 152.45) 50.00- 50.00 $41.05 1543:1 $43.50 $0.00 1 00000cor 34,5
0496WAS0120 8Unassigned Chris Ellison Driver ID 2465 Odometer 5075 311/2011 7:15:00 3/3/2011 Shell /Equiva Services Circle K$tore 2368 5455 Range Une Rd Carmel IN 46032 -2140 driver 1 2465 Unassignec UNL 12.89 $0.00 $2.76 $35.57 {52.361 $0.00 $0.00 $33.21 (54.34) $35.57 kw 1.0000700 0
04960013WI20 8 Unassigned Chess Ellison Driver ID 2465 Odometer 5200 30/201I 7:37:00 3/912011 Shell /Equiva Services Circle K Store 2368 5455 Range tine Rd Carmel IN 46032 -2140 driver 1 2465 Unassigne, UNL 14,2 $0.00 $3.00 $42.59 {$2601 $0.00 $0,00 $39.99 (55.01) $42.59 $0.00 1.0000600 8
0496001380120 8 Unassigned Chris Ellison Driver ID 2465 Odometer 5221 3111/2011 10:26:00 311512021 Shell /Equiva Services Circle K Shore 2368 5455 Range Line Rd Carmel IN 46032 -2140 driver 1 2465 Unassignec UNL 11.56 50.00 53.10 $35_&3 ($2.12) $0.00 SO.CO $33.71 (54.5) $35.83 $0.00 1.000000OI I s
0496001380120 8 Unassigned Chris Ellison Driver ID 2465 Odometer 5251 312112011 7:47:00 3/2312011 $hell /Egviva Services Circle K Store 2368 5455 Range Line Rd Carmel IN 46032 -2140 driver 1 2465 Unassignec UNL 11.56 $0.00 $325 $37,58 [$2.k21 50.00 $0.00 $35.46 (54:,5) $37.58 $000 1.0000000 2.6
0496001380120 9 Unassigned keith Freer Driver ID 2465 Odometer 132652 3/712011 8:18:00 3/912011 Shell/Equiva Services Circle K Store 2368 5455 Range Line Rd Carmel IN 46032 -2140 driver 1 2465 Unassignec UNL 8.95 $0.00 $3.00 $26.86 1$1 -6=) 50.00 $0.00 $25.22 ($3.15) $2686 $0.00 1.ODOOD00 0
0496607380220 9 Unassigned keith Freer Driver 10 2465 Odometer 333240 3/14/2011 16:33:47 3116/2011 Mat's Convenience Stores Circle K 2364 14554 Herriman Blvd Noblesville IN 460664948 driver 1 2465 Unassignec UNL. 12.185 $0.00 $3.57 $43.12 152 -231 1$2.531 $0.00 $38.36 ($2.191 $43.12 $0.00 1,0000000 48.3
0496001380120 9Unassigned keith Freer Driver 10 2465 Odometer 133060 3/16/2011 1729:07 3118/2011 Mac's Convenience Stores Circle K2364 14554 Herriman BNd Noblesville IN 460SC14948 driver 1 2465 Unassfgner UNL 11.505 $0.00 $3.48 $40.03 152.117 (52.35) $0.00 $35.57 ($207) $40,03 $000 1.0000000 0
0496001380120 9 Unassigned keith Freer Driver 10 2465 Odometer 133400 311912011 9:46:10 3122/2011 Marathon Oil CO. MACS Convenient Stor, 8635 Main St Upland IN 46989-9103 driver 1 2465 Unassignec VNL 6.948 $0.00 $3.60 $25.01 (51.27] (S1A7) $0.00 $22.27 {51.25) $25.01 50.0 1.00000[0 48.9
f
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fleet Services
IN SUM OF
P.O. Box 6293
Carol Stream, IL 60197
$1,797.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
P Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 25670476 42- 314.00 $634.33 1 hereby certify that the attached invoice(s), or
1120 25642694 42- 314.00 $1,163.30 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
`-t which charge is made were ordered and
received except
0 4
f '0" !Y 6 0.
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))
25670476 $63433
25642694 $1,163.30
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
20
Clerk- Treasurer