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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. zwioi awosoneexni onn 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