HomeMy WebLinkAbout197059 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00352984 Page 1 of 1
ONE CIVIC SQUARE FLEET SERVICES
CARMEL, INDIANA 46032 PO BOX 6293 CHECK AMOUNT: $632.00
+o CAROL STREAM IL 60197
CHECK NUMBER: 197059
CHECK DATE: 5f1112D11
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 049600138012 632.00 0496 -00- 138012 -0
I nvoi ce Statement
INVOICE NUMBER: 25933581
190) ACCOUNT NAME: City of Carmel Fire
PAGE 1 OF 1
ACCOUNT NUMBER CREDIT LIMIT DAYS THIS PERIOD BILL CLOSING DATE PAYMENT DUE DATE AMOUNT DUE
049&-00-138012-0 3400.D0 30 APR -30 -2011 MAY 25-2011 667.00
DATE ACTIVITY DESCRIPTION CHARGES /DEBITS PAYMENTS/CREDITS
APR -18 -2011 PAYMENT THANK YOU 634.33
APR -29 -2011' FUEL PURCHASES 617.00
REMINDER
BALANCE INCLUDES PAST DUE AMOUNT IF PAYMENT HAS
BEEN MADE, PLEASE DISREGARD THIS NOTICE. PAST DUE
ACCOUNTS ARE SUBJECT TO SERVICE INTERRUPTION
PURCHASE$ RETURNSAND PAYMENTS MADE JUST PRIOR TO BILLING DATE MAY NOT APPEAR UNTIL THE NEXT INVOXE/STATEMENT.
CURRENT PERIO ONE BILLING PERIOD PAST DU TWO BILLING PERIODS PAST DUE THREE+ BILLING PERIODS PAST DUE TOTAL DUE
627.00 40.00 0.00 0.00 667.00
PREVIOUS BALANCE PAYMENTS (,)PURCHASES DEBITS J) CREDITS LATE FE NEW BALANCE
674.33 634.33 617.00 0.00 0.00 10.00 667.00
CALL CUSTOMER SERVICE TO PAY BY PHONE
FEDERAL TAX ID: 841425616 The Late Fee is determined by Which is an EFFECTIVE ANNUAL To the balance subject to late
applying a monthly rate of RATE of fee for [his period which is
200 24.00 40.00
SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND TERMS.
TO ENSURE PROPER CREDIT. TEAR AT PERFORATION AND INCLUDE BOTTOM PORTION WITH YOUR PAYMENT.
Card Vehicle ID Embossing Transaction Transaction Posted Date Site Name Site Street Address Site Zip Co( Produ Units Unit Cost Gross Cost Federal ExE State Exem Other E Net Cost Reported Fuel Cost
1 Chief Smith 4/3/2011 11:30:00 4/5/2011 MACS Com 3801 N Post Road 46226 -555 UNL 7.1 $3.65 $25.91 ($1.30) $0.00 $0.00 $24.61 ($2.81) $25.91
2 Asst. Chief Hoffman 4/1/2011 20:02:00 4/5/2011 MACS Com 2166 E Hadley 46168 -791, UNL 24.63 $3.63 $89.38 ($4.51) $0.00 $0.00 $84.87 ($9.69) $89.38
2 Asst. Chief Hoffman 4/26/2011 .16:22:00 4/28/2011 MACS Corn 9611 Allisonville Rd 46250 -291 UNL 26.56 $4.10 $108.89 ($4.86) $0.00 $0.00 $104.03 ($11.27) $108.89
4 EMS Chief Hulett 3/31/2011 13:53:00 4/4/2011 Circle K Sto 545 S Range Line Rd 46032 -2141 UNL 12 $3.25 $39.00 ($2.20) $0.00 $0.00 $36.80 ($4.43) $39.00
4 EMS Chief Hulett 4/4/2011 12:43:00 4/6/2011 Circle K Sto 545 S Range Line Rd 46032 -2141 UNL 11.08 $3.10 $34.35 ($2.03) $0.00 $0.00 $32.32 ($3.97) $34.35
4 EMS Chief Hulett 4/7/2011 9:58:00 4/11/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 13.74 $3.30 $45.35 ($2.51) $0.00 $0.00 $42.84 ($5.11) $45.35
8 Chris Ellison 3/31/2011 7:25:00 4/4/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 18.98 $3.25 $61.69 ($3.47) $0.00 $0.00 $58.22. ($7.00) $61.69
8 Chris Ellison 4/1/2011 12:48:00 4/5/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 5.76 $3.10 $17.88 ($1.05) $0.00 $0.00 $16.83 ($2.07) $17.88
8 Chris Ellison 4/4/2011 8:29:00 4 /6 /2011'Circle K Sto 545 S Range Line Rd 46032 -214 UNL 9.44 $3.10 $29.26 ($1.73) $0.00 $0.00 $27.53 ($3.39) $29.26
8 Chris Ellison 4/6/2011 10:12:00 4/8/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 14.23 $3.30 $46.97 ($2.60) $0.00 $0.00 $44.37 ($5.29) $46.97
8 Chris Ellison 4/11/2011 7:25:00 4/13/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 15.45 $3.30 $50.99 ($2.83) $0.00 $0.00 $48.16 ($5.75) $50.99
8 Chris Ellison 4/15/2011 7:12:00 4/19/2011 Circle K Stc 545 S Range Line Rd 46032 -214 UNL 8.82 $3.36 $29.65 ($1.61) $0.00 $0.00 $28.04 ($3.32) $29.65
8 Chris Ellison 4/21/2011 7:18:00 4/25/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 11.19 $3.20 $35.81 ($2.05) $0.00 $0.00 $33.76 ($4.09) $35.81
8 Chris Ellison 4/26/2011 7:20:00 4/28/2011 Circle K Sto 545 S Range Line Rd 46032 -214 UNL 10.69 $3.42 $36.58 ($1.96) $0.00 $0.00 $34.6 ($4.06) $36.58
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fleet Services
IN SUM OF
P.O. Box 6293
Carol Stream, IL 60197
$1,635.52
ON ACCOUNT OF APPROPRIATION FOR
A-e .Carmel Fire Department
04'�3- j
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 25940250 42- 314.00 $1,018.52 1 hereby certify that the attached invoice(s), or
1120 7 25933581 42- 314.00 $617.00 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
M AY °9 2011
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))
25940250 $1,018.52
25933581 $617.00
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