181042 01/12/2010 CITY OF CARMEL, INDIANA V ENDOR: 069001 Page 1 of
i pjp ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $746.27
s CARMEL, INDIANA 46032 PO BOX 105080
s, AT LANTA GA 30348 -5080
CHECK NUMBER: 181042
CHECK DATE: 1/12/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 BG1297998 746.27 BG1297998
01 /02/2010 7 :03 :11 PM —0500 FLEETDETAILS PAGE 2 OF 4
C P 7 81.SH, Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1297998
Please reference account on all payments
STATEMENT 11 NP22799954
DATE 5170112010
CITY OF CARMEL -FIRE DUE DATE 01!3112010
1 CIVIC SO
CARMEL IN 46032 TOTAL BALANCE DUE $806.34
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 12/31/2009
Date Description Gallons Amount Due
12/14/2009 PAYMENT: Lockbox Payment Thank You $855.17 CR
01/D1/2010 Fleet# 1315390 Name: CITY OF CARMEL -FIRE 304.242 $771.27
Current Activity
Previous
Statement Prior Balance Payments and Gallons
Date Adjustments Charges Total Bala ce Due,
12/0112009 $890.18 $855.17 CR 304 242
01/02/2010 7:03:11 PM -0500 FLEETDETAILS PAGE 4 OF 4
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CF:117XIAL7F1.44-51-f•
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account EG1297998
FLEET 1315390
Provided By: Name: CITY OF CARMEL -FIRE
Crystal Flash Petroleum PL MATCHING STATEMENT NP22799954
(800) 903 9388
Page: 1 of 1
CITY OF CARMEL -FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 12/1/2009 12/31/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 49.993 $103.76 $9.31 $16.80 $0.00 $129.87
UNL+ 254.249 $486.61 547.26 $82.53 $0.00 $616.40
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.}hyt 0 ti {';5� id t t{..l�t y r1'ii ek', it•:t s 41 :(f 4 0 r r -4 i s..' l: s i
btal:tt i a t ,n} s� tb3 e $5$I?37n z :lt k :z S f i.5 7 ,.r,:; z gRen: 3 r ifEtf:.r r (7 00 a q 4
s l .;f. ::r :l ;1Ft�Y� ,y t i ,e•.. �e.t f���tc-- s t �f r 1J i. i�1.7 f1,�`4E 4w dui s h 7 r
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Late Fee on Invoice #21869119 $25.00
Finance Charge $O.06
Report Total $771.33
This report is for information only.
Please see refnittairce copy on the statement for the total payment amount.
TOTAL MILES: 2,324
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FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
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,4 t t- s,: S tct t s r�r 1 t ,,,t :igi ,i s7 4 .:';si o-'r ft,l� iIku i i3 i i f,ss. 3 rt t.. -s' c� 1A4. i y. n,� i 1 s E a� f: i -hS �r f {r Sr yc; V ,4 7 3 r c,r 5,s421
?5671d8,, 45>$3� r :rro-��;:�,nt �?c?���tt\ �r�. �+._.1:;. r?. u: ��aa4t. 5�i�. �U./, 3: k:. t3 �,.1 t2: a .��.�,'�.�t� ^�.�a��i ���3.�.<:?� 6':\ 41 a. t,` at��. x,, n, �u. ltk.�at,�;a:�.r�- :��..>i`'4rv�F ,us�s:�sr.5Y}
12/01 13:40 885419 DRIVER 1 20167 25.2 UNL+ 17.287 1.94660 0.51300 $42.51
Miles: 436 25.2 17.287 $42.51
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3mn. s' r�S. �xrni. 4�. t: 1i i�' 1��.' �F{' i' i,�r�5�}:1i'r:a�'.,xi'iG>;�;�5 rh.i�se:r5, \,l.r �4' 3tiifi \ir'�S�..y!�"r1f!r4t� \'!!�SrS, tte�'���i.�l<�fr.!�11��� \��..,�r.��..� <f1 1`r��,- >,Skzi tt, f�rka,��, xu..'.: ....:F<.
12/02 08:39 885419 DRIVER 1 14500 0.0 UNL 10.607 2.07690 0.52203 127.57
12/04 08:47 885419 DRIVER 1 14500 0.0 UNL 8.880 2.07550 0.52230 $23.08
12/07 08:48 885419 DRIVER 1 14509 0 -0 UNL+ 11.952 1.94610 (151312 $29.39
12/11 09:31 885419 DRIVER 1 14500 0.0 UNL+ 21.297 1.94630 0.51301 $52.37
12/14 08:27 855419 DRIVER 1 14500 0.0 UNL+ 23 -879 1.94610 0.51284 $58.72
12/21 08:14 885419 DRIVER 1 14500 0.0 UNL 22.270 2.04000 0.51914 $56.99
12/24 09:09 885419 DRIVER 1 14500 0.0 UNL-" 6.173 1.94720 0.51198 $15.18
12/29 08:19 885419 DRIVER 1 14500 0.0 UNL+ 11,612 1.74130 0.49819 $26.00
12/31 10:30 885419 DRIVER 1 14500 0.0 UNL 8.236 2.16970 0.52889 $22.23
Mlles: 124.906 $311.53
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se. 2 k rr- �x .t.3t- ;e.t' ;,f.�,S 1 F,, s 6f S f s.t s.r, s 2 t t .i,< s rF� f �,P ,:t ,x s ,1 {.r i.:. .1'f.,,.
456715t}. •FbOLt,1rAR xu ,r2 4 r xt ,4 r c 1 J I` t t ff k 1, lra t l,,, x r rr, t r 4 ,3 t' r E• t
„�.;,.rav >F,,.w..,ra:,tr;.wr z£ r< a. f�a�? A�• S+ r3< a�rja��fti:, rix, f�,, iF\ ?r,, �1���, 3. �t�. s r? i. a. z„ a", 1tr�. ��y 3+ z., zn? rn? ��t,<. a�. �i,. r. ��S�,, f�s�.? �t< 4 t rr��a�. ..a: .ri a?�. i�.E.r���
12/02 08:09 885419 DRIVER 1 80860 12.2 UNL+ 21.943 1.94640 0.51262 $53.96
12/04 13:27 885419 DRIVER 1 81051 11.7 UNL+ 16.368 1.94590 0.51275 $40.25
12107 08:27 885419 DRIVER 1 81225 11.7 UNL+ 14.859 1.94700 0,51252 $36.54
12/11 08:09 885419 DRIVER 1 81481 39.2 UNL+ 6.527 1.94730 0.51226 $16.05
12/11 11:16 885419 DRIVER 1 81493 0.0 UNL+ 17.263 1.94640 0.51261 $42.45
12/15 15:19 885419 DRIVER 1 81691 11.7 UNL+ 16.986 1.94570 0.51307 $41.77
12/17 17:23 885419 DRIVER 1 81889 11.2 UNL+ 17.734 1.94600 0.51292 $43,61
12/22 20:09 885419 DRIVER 1 82154 12.1 UNL+ 2.1.907 1.94640 0.51284 $53.87
12/29 07:57 885419 DRIVER 1 82345 12.0 UNL+ 15.899 1.74040 0.49855 $35,60
12/31 15:38 885419 DRIVER 1 82492 11.7 UNL+ 12.563 1.74080 0.49848 $28.13
Miles: 1888 14.8 162.049 $392.23
SITE LEGEND
SITE4 SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 5 Rangeline Rd Carmel IN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF$
P.O. Box 684
Indianapolis, IN 46206
$746.27
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
R i -799
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1120 NP22799954 42- 314.00 $746.27 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
JAN 1 1 2010
u �gnis3s'
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts r 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
NP22799954 $746.27
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