Example Invoice for E10.pdf

PDF 133 KB Posted

Attached to
RFP - GASOLINE AND DIESEL FUEL DELIVERY SERVICE
Solicitation number
RFP-171-250000001001-3
Issued by
Eaton County, Lansing City, Michigan

About this file

This document is an invoice from Crystal Flash Inc. to the State of Michigan Vehicle and Transportation Services (VTS) for fuel purchases. The invoice, dated 05/15/24, covers two fuel types: NL E10 87 (8,500 gallons at $2.542434 per gallon) and E-85 (1,973 gallons at $2.011607 per gallon), with additional charges for MUSTFA (Motor Fuel Underground Storage Tank Fee Assessment) and Federal Leaking Underground Storage Tank (LUST) fees. The total invoice amount is $25,694.79, with a due date of 05/25/24.

The invoice includes detailed pricing breakdowns, showing the unit prices, quantities, and extended prices for each fuel type and associated fees. Crystal Flash, a 100% employee-owned company based in Grand Rapids, MI, provides the fuel delivery to the State of Michigan VTS location at 6951 Crowner Dr in Lansing, MI. The company notes its commitment to supporting over 125 local charities and community initiatives, with focus areas including agriculture and rural life advancement, veterans assistance, and cancer research and assistance.

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Text version

Ship Date

Ship ToShip Via/CommentBill of Lading #

Purchase Order #

Invoice DateInvoice #

Please detach and return above portion with your payment.

INVOICE

INVOICE

Make checks payable to Crystal Flash.

Due Date

TOTAL DUE:

Check # Amount Enclosed

Invoice #

Due Date

TOTAL DUE:

Account #

Make checks payable to Crystal Flash. Include account number on your check.

PAY YOUR BILL ONLINE

Sign up for paperless billing & 24/7 account access.

Include account number on your check. If mailing, please allow 5 business days to reach our o�ice. Manage your account, order fuel, make ePayments and more using our online customer portal, my.crystalflash.com. Questions about this invoice? Call 800.875.4851. We appreciate your business.

PRODUCT DESCRIPTION UNIT PRICE QUANTITY EXTENDED PRICE

PO Box 1804 • Grand Rapids, MI 49501-1804

STATE OF MICHIGAN VTS

PO BOX 30026

LANSING, MI 48933-2014

$25,694.79

$25,694.79

70001 312463

70001 05/15/24 05/15/24

05/25/24

05/25/24

602186

23*1821

CRYSTAL FLASH CENTRAL STATE OF MICHIGAN VT

6951 CROWNER DR

LANSING, MI 4891300

TATTTTDATDDDFFDTDATDADTATAFAFDFAFDTAFDFDAAFFDDDTTATFDDFDFDFAAFTDD

Crystal Flash Inc.

PO Box 1804 Grand Rapids, MI 49501-1804

PO Box 1804 • Grand Rapids, MI 49501-1804

#F#S#T# 312463 70001 71 05/15/24 $25,694.79

%TX%C999 0000657982 S

31 NL E10 87 2.542434 8500.000 $21,610.69

MUSTFA 0.010000 8500.000 $85.00

FED LUST 0.001000 8500.000 $8.50

34 E-85 2.011607 1973.000 $3,968.90

MUSTFA 0.010000 1973.000 $19.73

FED LUST 0.001000 1973.000 $1.97

0 0 0 0 0 0

DPSYS_NEWPAGE 312463 5/15/2024 12:00:00 AM STATE OF MICHIGAN VTS PO BOX 30026 LANSING MI 48933-2014 71 29

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