183118 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CHECK AMOUNT: $695.55
CARMEL, INDIANA 46032 PO Box 105080
ATLANTA GA 30348 -5080
CHECK NUMBER: 183118
CHECK DATE: 3/16/2010
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 BG1297998 695.55 GASOLINE
03/01/2010 8:39:39 PM --0500 FLEETDETAFLS PAGE 2 OF 3
Looal 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 NP23741176
DATE 03/01/2010
CITY OF CARMEL -FIRE DUE DATE 03/3112010
1 CIVIC SQ
CARMEL IN 46032 TOTAL BALANCE DUE $695.55
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 2/2812010
Date Description Gallons Amount Due
02/12/2010 CREDIT. LATE FEE $10.01 CR
0211912010 PAYMENT: Lockbox Payment Thank You $592.43 CR
03/0112010 Fleet 1315390 Name: CITY OF CARMEL -FIRE 283.086 $695.55
Current Activity
Previous
Stalemant Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
0210112010 $602.44 $602.44 CR 283.086 $695.55 $695.55
FOR PROPER PAYMENT POSTING, PLEASE SU BMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
03/01/2010 8:39:39 PM -0500 FLEETDETAILS PAGE 3 OF 3
J
CRYS7X
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 NP23741176
(800) 903 -9368
Page: 1 of 1
CITY OF CARMEL -FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 2!1!2010 2128/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 92.765 $192.93 $17.24 $31.19 $0.00 $241.36
UNL+ 83.012 $156.89 $15.43 $26.83 $0 -00 $199.15
E85 107,309 $235.10 $19.94 $0.00 $0.00 $255.04
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This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 2,157
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FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE"'
_C'.Y �xr:yw iiw-, P. v.. w. r,. Wq. 1 r.,. w, w�• i,. y ti v n. v. C "..;..,,..w.... ;..,v.,.'.. ",.r.,.� v. rv,. rw.. w.. �ir. r• 5..... v\""::' 1:' ".�,.;...;..;......y,.
Q ry t 5��,} 5 �r s ,,a� 7 >re�� >�•a;;�t asa�atiu1• "a�w a'�.a.,�.s. yk
t v a r ,r r.. u 3 r, f ,,,,,.,;,t Yrsf -fFit r r. s s 3• *sl;�r ,a.rrF,. >,,,s,�•�:1;,�• ,,,r rzt-ir i r.,t•3r sr Y;,� •r.,,...;:,d... •r.,� �,K •rh „i
:�_r..iu.v r :,'a,�>�? >x<�rk'kur�.r F�� .�.;k�t�r�'�F,d�ith.�fitt✓'��, ?fir; 4I��+ i; 1. ��h; ffnkr, �f.# r3✓. 3xkr, �uf��,;; 11�r, �n. ��t. �r. �air� '�.�'t�'r�,:t�u�����+r��;:.� i:�tiF`�F �r,: a��rt?�+ ,�"_�.;l:Y�.�?���:�t�:;:�.;;`sk
02/05 08:25 885419 DRIVER 1 22256 0,0 E85 10.766 2.21350 0.18590 $25.83
Miles: 19.766 $25.83
er r r w v r w..,.,",.,.,. w v 5 w•; r•:r',- ^•:r,r.,,,,,,,,,
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��yu� �rt�',s �`4a�'�,i�s „its SZ yx =.:�1 x..S rSs�r,,... ,r i�r. £s :t; }c i i 2 s y;i r,. 5s:.,t� •7 tF.i•. ,i f t,� }c,� c,S r 3 s ,3 r zrf i-
"14if Vpp f n n Af .5 /S. �d. t •A,S t= 3 Y. !C i E�, 1 ,r tt ,s ,.s,n p x /11 r� ��rY -df s. S Y�
A. kn< kw, s, 1J.:+ i..7- .fi13�- S�T•F'�1�..Y.�\�,i �it,.,s�a'iisA.�51. �L.'aUt�Yh d5 t fZ �54�iT'r1) ����.)F,.Y!7� „j G;�C,`�R„ai'1 r :,����(Jn,�i �l,�Xf`r �lrYktv3,. r. J:, l�e aiH, 1't t`SN�iv�:�..`�� <��vd_..SLiS �d,. .2a
02102 08:25 885419 DRIVER 1 14500 0.0 UNL+ 19.758 1.88940 0.50901 $47.40
02104 09:04 885419 DRIVER 1 14500 0.0 UNL+ 11.817 1.89050 0.50876 $28.35
02111 0828 885419 DRIVER 1 14500 0.0 UNL 3.862 2.06630 0.52090 $10.00
02113 10:33 885414 DRIVER 1 14500 0.0 UNL 9.724 1.95500 0.51370 $24.01
02115 13:30 885419 DRIVER 1 14500 0.0 UNL 10.173 2.06820 0.52138 $26.34
02118 15:26 885414 DRIVER 1 14500 0.0 UNL 11.804 2.07810 0.52161 $30.68
02120 11.44 885414 DRIVER 1 14500 0 -0 UNL 10.360 2.05890 0.52069 $26.72
02122 08:25 885419 DRIVER 1 14500 0.0 UNL 23.497 2.05900 0.52060 $60.60
02124 09:09 885419 DRIVER 1 14500 0.0 UNL 11.504 2.16970 0.52889 $31.05
02126 09:31 885419 DRIVER 1 14500 0.0 UNL 11.841 2.17040 0.52876 $31.96
Miles: 124.340 $317.11
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i" tay. ?a >ya:a. a;,ra }5:ava.a ava a:o. are, �:at >taca:'ava:� }-:,.'a, o.'> a,.a ay q. a 50a} tay ai .,.S. e >.5 a. ':,.!'a;:'+.?� ';arm "•,'aya•,a a.a;- �,a.a,Sya. z, a.-, „�:,a.,,,t
r t- r w h f .v+. F >�yr,.+- r -Yx}r> ,c. G r •r- tiw� r r r• r -,t` t r f �r�. r ti
''I ��t�Q 1r�,�. rp3. Zf,�t s, �.�,z ,,,r f�1 �i�'.Y ;Jd: �;i CF<i},.�} f�i, ,�.,f yi,,,;�N(..y;t f,r ,Z� Y. a, i ^n4 f•hi2 ,:r2 .,,n „2 A4 ti �i f ai �Z!•,y c;�;;A
�a�,'w' plc;;' t rv,.. �u._ �h1 5�xkf >�s�r�,���r�1r�r�l�' �i�Jlr�t i�c;�:'1c,n�rr::k.X� ?�kf z�, r'�zl z.'Yr�:?.��' i�r �il k,' ��s�e: 3i, ��r�t�' �1 �aT�vYrSt.,' Sr, �Z�s�k. ��y` 6 s' e �����v`, S ✓.L�
02101 08:26 885419 DRIVER 1 84795 11.2 UNL+ 20.846 1.89050 0.50878 $50.01
02/03 11:39 885419 DRIVER 1 85051 12.5 UNL+ 20.500 1.88980 0.50907 $49.18
02104 09'01 885419 DRIVER 1 85168 11.6 UNL+ 10.091 1.86980 0.50869 $24.21
02108 16:52 885419 DRIVER 1 85293 10.1 E85 12.346 2.21370 0.18590 $29.62
02110 10:04 885419 DRIVER 1 85419 11.5 E85 10.996 221350 0.18590 $26.38
02112 07:45 885419 DRIVER 1 85573 11.8 E85 13.005 2.21380 0.18590 $31.20
02122 13:06 885419 DRIVER 1 86240 36,4 E85 18.342 2.17320 0.18590 $43.27
02/24 07:12 885419 DRIVER 1 86414 11.1 E85 15.637 2.17310 0.18590 $36.89
02/25 16:04 685419 DRIVER 1 86599 11.6 E85 16.006 2.17290 0.18590 537,76
02126 13:05 885419 DRIVER 1 86719 11.8 E85 10.211 2.17320 0.18590 $24.09
Miles: 2157 14.0 147.980 $352.61
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885414 Crystal Flash #43 7935 S Ernerson Ave Ste D Indianapolis IN
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
VOUCH NO. WARRANT NO,
ALLOWED 20
Crystal' Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$695.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
f.0,
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 42- 314.00 $695.55 1 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
MAR 5.01t
r
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))
$695.55
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