HomeMy WebLinkAbout178589 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $175.47
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 178589
CHECK DATE: 10128/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231400 BG1298100 175.47 BG1298100
26]31(11. 1 04100155001 01136
Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298100
Please reference account on all payments
11111 11111 IN 1136 STATEMENT# NP21339572
DATE 10/02/2009
CITY OF CARMEL- MAINTENANCE DUE DATE 11/01/2009
1 CIVIC SQ TOTAL BALANCE DUE $307.29
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For online statements and simple, automated payment setup, contact customer service at cardservices @fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 9/30/2009
Date Description Gallons Amount Due
09/10/2009 CREDIT: LATE FEE $25.00 CR
09110/2009 CREDIT: FINANCE CHARGE $1.40 CR
09/19/2009 PAYMENT: Lockbox Payment Thank You $190.34 CR
10/02/2009 Fleet 1315492 Name: CITY OF CARMEL- MAINTENANCE 71.851 $200.47
1
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
09/01/2009 $322.32 $216.74 CR 71.851 $201.71 $307.29
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
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PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298100
FLEET 1315492
Provided By: Name: CITY OF CARMEL- MAINTENANCE
Crystal Flash Petroleum PL MATCHING STATEMENT NP21339572
(800) 903 9368
Page: 1 of 3
CITY OF CARMEL- MAINTENANCE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 9/1/2009 9/30/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 64.260 $126.06 $11.95 $21.07 $0.00 $159.08
UNL+ 7.591 $12.64 $1.41 $2.34 $0.00 $16.39
m �1 851 $138. x $13 36� $23 41 175 47
TOtaI p $0 00
0
Late Fee on Invoice #20351906 $25.00
Finance Charge $1.24
Report Total $201.71
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
DEPARTMENTAL SUMMARIES
DEPT .BASE FED STATE 'LOCAL MAINT /OTH# EXTENDED EXCEPT:
DEPARTMENT NAME QTY
A', NUM z PRICE rTAXES TAXES =,TAXESx (Noii Fuel) TOTAL COUNT
No Department 0 64.260 126.06 11.95 21.07 0.00 0.00 159.08 0
MAYOR 809016 7.591 12.64 1.41 2.34 0.00 0.00 16.39 0
EXCEPTION CODES:
11 Odometer entry is out of sequence.
FLEET MANAGEMENT REPORT
Account BG1298100
FLEET 1315492
PO BOX 105080
ATLANTA, GA 30348 -5080 Name: CITY OF CARMEL- MAINTENANCE
MATCHING STATEMENT NP21339572
Page: 2 of 3
Trans
actioWD tail
e fo
rt tjstomer NO -1315492 CITY 0F.CARMEL- MAINTENANCE,.911 /2009 9/30 %2009
Department: No Department
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
581400 GRASS 42 ry s� t fir
t Wec N
09/03 16:36 885419 DRIVER 1 0 0.0 UNL 13.501 1.98360 0.51515 $33.74 11
09/09 17:04 885419 DRIVER 1 0 0.0 UNL 17.354 1.98400 0.51535 $43.37 11
09/12 19:51 885419 DRIVER 1 0 0.0 UNL 10.792 1.98390 0.51582 $26.97 11
09/18 20:21 885419 DRIVER 1 0 0.0 UNL 17.547 1.94620 0.51268 $43.15 11
09/29 19:19 885419 DRIVER 1 0 0.0 UNL 5.066 1.83380 0.50421 $11.85 11
Miles: 64.260 $159.08
Department: UNL 64.260 -$159.08--
Department Totals 64.260 $159.08
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
FLEET MANAGEMENT REPORT
Account BG1298100
CA?YS7 L7)=L AH1-1.' FLEET 1315492
PO BOX 105080
ATLANTA, GA 30348 -5080 Name: CITY OF CARMEL- MAINTENANCE
MATCHING STATEMENT NP21339572
Page: 3 of 3
Transaction Detail for Customer N0 1315492 C"ITY OF CARMEL� MAINTENANCE, 9%U2009 98012009
Department: MAYOR
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE CITY PRICE TAXES AMT CODE
�1 'MAYOR 4 =�4 Y a 7 �v
r.
09128 12:34 885419 MAYOR 34936 0.0 UNL+ 7.591 1.66510 0.49314 $16.39
Miles: 7.591 $16.39
Department: MAYOR UNL+ 7.591 $16.39
Department Totals 7.591 $16.39
SITE LEGEND
SITE SITE N." :"E ADDRESS CITY. STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
Prescribed by Stale Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
A Date Number (or note attached invoice(s) or bill(s))
N� (7 Z9 o f S��\ t 1, 7 e G"0
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. o WARRANT NO.
ALLOWED 20
IC•�., n�`� \eyw rj L IN SUM OF
�o IS o
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Iz�S 6 t2q 3t Z�I ?l 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
20
Cost distribution ledger classification if Title -1J
claim paid motor vehicle highway fund