HomeMy WebLinkAbout179058 11/10/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CHECK AMOUNT: $189.08
CARMEL, INDIANA 46032 Po aox 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 179058
CHECK DATE: 11/10/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 189.08 BG1298138
i
C' Y AL7J=L Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298138
Please reference account on all payments
IlillNil 111111111111111111111 135 STATEMENT NP21869121
DATE 11/02/2009
CITY OF CARMEL- POLICE DUE DATE 12/02/2009
1 CIVIC SQ TOTAL BALANCE DUE $289.99
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 10/31/2009
Date Description Gallons Amount Due
11/02/2009 Fleet 1315510 Name: CITY OF CARMEL- POLICE 73.254 $214.08
10/17/2009 PAYMENT: Lockbox Payment Thank You $342.78 CR
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
1010112009 $418.17 $342.78 CR 73.254 $214.60 $289.99
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
L7FL
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA. GA 30348 -5080 Account BG1298138
FLEET 1315510
Provided By: Name: CITY OF CARMEL- POLICE
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP21869121
Page: 1 of 1
CITY OF CARMEL- POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 10/1/2009 10/31/2009
SUMMARY OF TRANSAC T iO1VS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 29.524 $56.46 $5.49 $9.57 $0.00 $71.52
UNL+ 43.730 $94.51 $8.10 $14.95 $0.00 $117.56
Total 73.254 $150.97 °$13.59 $24.52 $0.00, $189.08'
Late Fee on Invoice #20891993 $25.00
Finance Charge $0.52
Report Total $214.60
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,953
Transaction D i f
gtaior Customer NO 10 131.55 .CITY OF CARMEL POLICE
10%1/2009 2 10/31y2009
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE"
967169 '<129
CAR >i
10/01 12:47 885412 DRIVER 10 10881 35.5 UNL+ 4.079 1.92940 0.51074 $9.95
10/22 12:25 885412 DRIVER 10 11026 31.2 UNL+ 4.646 2.35690 0.54163 $13.47
Miles: 290 33.4 8.725 $23.42
567160 =CAR B T
10/01 11:07 885413 DRIVER 10 54002 402 UNL 11.301 1.63880 0.49093 $24.06
10110 19:32 885413 DRIVER 10 54576 0.0 UNL 8.216 1.97420 0.51465 $20.45
10/22 02:16 885412 DRIVER 10 55297 0.0 UNL 10.007 2.17050 0.52879 $27.01
Miles: 454 40.2 29.524 $71.52
567168 'CAR 119
10/02 07:33 885419 DRIVER 10 26717 37.3 UNL+ 2.040 1.99020 0.51315 $5.10
10/05 10:52 885419 DRIVER 10 26845 36.1 UNL+ 3.544 2.02030 0.51698 $9.00
10/19 08:46 885419 DRIVER 10 26967 30.9 UNL+ 3.947 2.22700 0.53298 $10.89✓
10/22 09:17 885419 DRIVER 10 27099 37.5 UNL+ 3.518 2.35930 0.54077 $10.20
Miles: 458 35.5 13.049 $35.19
56716$ °CAR 118 r
10/01 11:50 885419 DRIVER 10 22373 33.2 UNL+ 4.093 1.98390 0.51516 $10.23
10/07 10:12 885419 DRIVER 10 22525 34.0 UNL+ 4.474 2.07870 0.52118 $11.63
10/21 15:05 885412 DRIVER 10 22659 31.0 UNL+ 4.325 2.35840 0.54237 $12.54
Miles: 422 32.7 12.892 $34.40
567169 CAR 128
10/01 14:39 885419 DRIVER 10 5257 38.4 UNL+ 4.321 1.98570 0.51476 $10.80//
10/21 13:35 885419 DRIVER 10 5420 3 4_ .4 UNL+ 4.743 2.35720 0.54246 $13.75
Miles: 329 36.4 9.064 $24.55
SITE LEGEND
SIT SITE NAME ADDRESS CITY STATE
885412 Crystal Flash #41 10598 N College Ave Indianapolis IN
885413 Crystal Flash #42 1215 S Girls School Rd Indianapolis IN
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
Prescribed ;y 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
Crystal Flash Petroleum PL Purchase Order No.
P.O. Box 105080 Terms
Atlanta, GA 30348 -5080 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/ 2/09 monthly a ent 189.08
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
C rystal Flash Petroleum PL IN SUM OF
P.O. BOx 105080
Atlanta, GA 30348 -5080
189.08
ON ACCOUNT OF APPROPRIATION FOR
police 1general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 189.08 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
November 6 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund