182211 02/16/2010 :1 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
1 ,7 ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $592.43
)0 CARMEL, INDIANA 46032 PO BOX 105080
w ATLANTA GA 30348 -5080 CHECK NUMBER: 182211
CHECK DATE: 2/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 BG1297998 592.43 BG1297998
02/02/2010 8:07:16 PM —0500 FLEETDETAILS PAGE 2 OF 3
t<
c L FL" Local Office: Crystal Flash Petroleum PL
PO SOX 105080 For billing questions call: (800) 903 -9388
ATLANTA, GA 30348 -5080
Account BG1297998
Please reference account on all payments
STATEMENT NP23281252
DATE 02101/2010
CITY OF CARMEL -FIRE DUE DATE 0310312010
1 CIVIC SQ
CARMEL IN 46032 TOTAL BALANCE DUE $602.44
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 1/31/2010
Date Description Gallons Amount Due
01/08/2010 CREDIT: LATE FEE $50.00 CR
01/08/2010 CREDIT: FINANCE CHARGE $.06 CR
01/15/2010 PAYMENT: Lockbox Payment Thank You $746.27 CR
02/01/2010 Fleet 1315390 Neme7 CITY OF CARMEL -FIRE 243.832 $592.43
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
0110112010 $806.34 $796.33 CR 243.832 $592.43 $602.44
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH'ONLY THE COPY BELOW.-
02/02/2010 8:07:16 PM -0500 FLEETDETAILS PAGE 3 OF 3
PO BOX 105080
FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1297998
FLEET 1315390
Provided By: Name: CITY OF CARMEL -FIRE
Crystal Flash petroleum PL MATCHING STATEMENT NP23281252
(800) 903 9368
Page: 1 of 1
CITY OF CARMEL FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 1/1/2010 1/31/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 46.697 $97.00 $8.67 $15.70 $0,00 $121,37
UNLt 197.135 $370.86 $36.65 $63.55 $0.00 $471.06
°;-:r• .xx..•:rim:r.;n r:r•x:: ;:z: rs 4ew. r::z:;rr:;;s;::;:s,. g cr.;•x:;:cr'r-' x. r•: r.: r.:• a: s• z::::. r• s..^ m:: r.: r:::::,-. u: ::•s::•a:sr,:s:,;x;r•:r,,.... �x^: :;:r-•:::::::c x.:cr. s, ^.:rr;:x yit
A.,,..i ,i.. ,i f, a, 1..i, i. t.. f .t..h..,.4.t..a f.., a..t... a. a. 6. a..t. ,.,.i.,,..�. ,C .i. a. a .:..{..,i..,..nn.,.r.. ..i. a..t..0 .t. a:.,...t:.:...f..t.. .i..�, a. a..v .i..C.., d- ..i..,..�t..i a ..P,.:..�. a .i..,...f..:.a
x. s t i s 3, cs t sr v r s f. n l r, 5' ;,rr• r S :�ttz�fi r f rs: i r .tif ;R:} >lr try'
'T t�l f f� f r, 4 t �.t t fit, t `x„43 i i. i s L• s k7: •.i �s� !i i.. .�i.r�2t, Y rE, r g i t n 'r 7� 3 7` i r i r r .ua nS E !1 t�h r
�h' 4. �t�,' t:,�t,<�t,.��t3�.,:1��•,.'��'t• �t,f;�.�.k:rf_t2.na�it:�t�� �f�'.k.5h'?,�.MIS,Fr�.bt 1��•'v�Y.:�s�,.af., i�: sise�;: i��., r' �ukz. s. ���r25::�t �t<�+f1,�1 ,c, �F':, a� .:i.�:,':c`:ti;��:,� <:.ct.etti
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,419
EXCEPTION CODES:
11 Odometer entry Is out of sequence.
•S,a :a:a5 5 .5a 5 a a:s. ,a, s :5.a•5 w w� a �y�i• s5 a �`�g�'� i '`'�ti�
�5
t'aftsaEa iffy br 11stb egi 1 ,L of r ,5 •IR 7,4, r `0 #�3 j. Tio: ,0 ip r r ter rES
r;f n, r P
t.g.& u a::�u rn a, .._,V,xr:ac tllrir=.i, ,.✓i in F'Zi,v; S„t AUtdM".,,> 1
..t I' y:' rr "_..•slOin.. i',, A,VAV r a ,M C 1} I?E A,;.:‘ Ni fi I, {1 hr.. i,6s 1
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE**
:_`A._ iie'T_'SC F:c:2� ,a s 2' 2.' ,z.e�,� _i,& 'r.s p's,,. 7� a a 2%r r e t e a k u• c +g.S,G.�, a•F,a.�.r
~3'3, .A2, e �s a.Yrn ar:aF•,'1 ""r •F+"•r" i s. 5•kr 1 t rr e`�i Z} t 5 E L 1�S ri'� r{ F' a 116r,YkerS rr4•trh"irel r r b•,r 1rsE
5.677 8v ,v "ii 1 i 'i „?I Iti„kf: „c,?,�s ��r; tiA,• .J :N'io, �;t !kit S' J;�ra ,r ,g A ,h Ar
01/06 08:17 885419 DRIVER 1 21535 0 -0 UNL+ 18.274 1.89070 0.50888 $43.84
Miles: 18.274 $43.84
c:•r.::, r c s: s:r. r_ T :r.:r.s::::': n:: rc;rrc:.rr T :p i -•r :::r:. r. •s ::r: :r.:; :a: :4 r:: 'M
y r .a..: .G f. .i .r fFi r.{ i r t i P i t... (:ai ..l t, .i. .t. .i +t; t J t J t iF t r t ,f d G t „i i, .i ,i a, d?' d..t. k: S..
S� �O !,'r� ar t,r4, -K rc•�li rR`a�'1r<s h:rsn +,ciS :40:. prl• +,are r ,a t, ii,,..< S. ,e. ,n•.,lc' c `,,iH r r 11,
lj6 8 d .2 r s•tb.,: .,x�ti a�4 t t 0k /1.,.•,.,i,. t4,tY i:o ,6!��,,, ,4 e >6...V.j d r i Sl., a F t -i.� v ,i,.,
�1,"..., 1. �vw. vi .dr,xer,t.,., 3�c._��nf,�s �lt. Ln,.. .,:a.i,,..�.- ,:�1J.�..a� ?��S }4 �f�..F ,1�i.,xf a�.i. l.\ x,.,. vrn ii7, x._: is ,._.l ?f,.,,,.t<�.�...� a... �He,� }n,t� -'F: k.�. ,,sT.i�x.z<,.,
01/12 08:21 885419 DRIVER 1 14500 0.0 UNL+ 18.395 1.89020 0.50909 544.13
01/15 10:09 885419 DRIVER 1 14500 0.0 UNL+ 21.488 1.89040 0.50900 $51.55
01121 08:38 885419 DRIVER 1 14500 0.0 UNL+ 19.549 1.88960 0.50890 $46.90
01/25 08:29 885419 DRIVER 1 14500 0.0 UNL 24.070 2.07730 0.52214 $62.56
01129 08:49 885419 DRIVER 1 14500 0.0 UNL 22.627 2.07720 0.52219 $56.81
Miles: 106.129 $263.95
i,,.. r r r r• C:..; r. ir., .,��..��.t....: :17 (i T 4F ••ql' 6 ,,F'. :s
sl5�. cu:. e.:;:: v, r•;,=.••: icP; ot�ti�' rsF5i5. 5+ Y5 +Y�ia"r5ra ^r fi .'a s` 'a 'a §.s a'a ,a'a sro.n n.ro 5 a.a >s a .3 a .a.a.a. s. y a.s s.S.s
t ;i, r- r t, s .r- r r3 t -a a, r -a r� err x t e s r F u ,..,a•
a5t371.50 f'OS]1_iaG�AR r,; x,% ",s a s n 4 a ,,,a .,a 1;, r,t,,. r s SF,�i,.•,f ,•,d S i r,, s •r b s zk s de e a r t
:a:v ....h tr s:s� ,,..v. vs: ;�x�'s:�Sri.�:�'�,�"u�:�FW':�,� ��c.✓�:,� �i�± �asr >��tfi!i? >�„!'r�r��Y,��-,.�i i�r�t��>R,�?'�.�' k x6�w; .:'G;��t,�.x.�x,�,�r.✓�:t.;�r�. nr��t�r, u :�?�tr�r�s.;ir�ft?i1a,�;s�:�;�, s�'�../,
01/04 09:19 885419 DRIVER 1 82623 11.2 UNL+ 11.737 1.74070 0.49859 $26.28
01/07 08:29 885419 DRIVER 1 82823 11.6 UNL+ 17.315 1.89030 0.50873 $41.54
01/15 08:11 885419 DRIVER 1 83482 31.2 UNL+ 21.133 1.89040 0.50887 $50.70
01/19 08:22 885419 DRIVER 1 83741 i2.3 UNL+ 20.975 1.88990 0.50892 $50.32
01/21 13:31 885419 DRIVER 1 83911 11.7 UNL+ 14.564 1.88960 0.50911 $34.94
01/26 16:59 885419 DRIVER 1 83442 0,0 UNL+ 13.230 1.89040 0.50893 $31.74 11
01/29 08:14 685419 DRIVER 1 84562 0.0 UNL+ 20.475 1.89010 0.50874 $49.12
Miles: 1419 15.6 119.429 $284.64
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$592.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
j Yl t
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 NP23281252 42- 314.00 $592.43 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
FEB 15 min
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts 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))
N P23281252 $592.43
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