HomeMy WebLinkAbout172281 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 Po Box 105080
y off ATLANTA GA 30348 -5080 CHECK NUMBER: 172281
CHECK DATE: 5/13/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1205 4231400 BG1298100 100.00 GASOLINE
267 101200905(N10f 001$1
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
III III IIIIIIIIIIIIIIIIIIIIIII� 111 STATEMENT NP18045754
DATE 05/01/2009
CITY OF CARMEL- MAINTENANCE DUE DATE 05/31/2009
1 C IVIC SQ TOTAL BALANCE DUE $179.95
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For onl;ne statements and simple, automated payment sefup, contact customer service at cardservices @fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 4/30/2009
Date Description Gallons Amount Due
04/23/2009 PAYMENT: Lockbox Payment Thank You $161.87 CR
05/01/2009 Fleet 1315492 Name: CITY OF CARMEL- MAINTENANCE 49.038 $100.00
Current Activity
Previous
Statement Prior Balance Payrnents and Gallons Charges Total Balance Due
Date Adjustments
04/01/2009 $241.82 $161.87 CR 49.038 $100.00 $179.95
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
(800) 903 -9368 MATCHING STATEMENT NP18045754
Page: 1 of 1
CITY OF CARMEL- MAINTENANCE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 4/1/2009 4/30/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 49.038 $76.23 $9.11 $14.66 $0.00 $100.00
Total 49.038 $76 23 $9 11 $14 66 $0 00 $100:00
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
EXCEPTION CODES:
11 Odometer entry is out of sequence.
Transaction Detail for 6 ustomer N01315492 CITY OF CARMEL MAtNTENANC 4/1/2009 F 4!3012009
r.
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
581400 'GRASS'
n bAxk
f
04/08 17:07 885419 DRIVER 1 0 0.0 UNL 12.291 1.61090 0.48899 $25.80 11
04/16 08:09 885419 DRIVER 1 0 0.0 UNL 18.275 1.50750 0.48206 $36.35 11
04/25 16:12 885419 DRIVER 1 0 0.0 UNL 18.472 1.56350 0.48580 $37.85 11
Miles: 49.038 $100.00
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
I
Prescribed by State 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.
Paee
Crystal Flash Petroleum PL
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
BG12981 0 Gas
$100.00
Total
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
VOUCHER N 1 /09/V ARRANT NO.
—r• ALLOWED 20
eum orp
IN SUM OF
Atlanta, GA 30348 5n8n
$100.00
ON ACCOU�LTeo APP L FUND N FOR
1205 Administration
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I 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
20
ASignaturfl
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund