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184064 04/13/2010
CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1 ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CARMEL, INDIANA 46032 Po sox 105080 CHECK AMOUNT: $162.86 ATLANTA GA 30348 -5080 CHECK NUMBER: 184064 CHECK DATE: 4113/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 BG1298138 162.86 BG1298138 2673101.10100414731 X126 jIMRYH7AL7FL;AHM� Local Office: Crystal Flash Petroleum PL Pb BOX 105080 For billing questions call: (800) 903 -9368 ATLANTA, GA 30348 -5080 Account BG1298138 Please reference account on a// payments Ih1lll�llllhl IE�II Ilfllf Illlf 126 STATEMENT NP24205883 l 1 I DATE 04102/2010 CITY OF CARMEL- POLICE DUE DATE 05/02/2010 1 CIVIC SID TOTAL BALANCE DUE $162.86 CARMEL IN 46032 -2584 PAYMENT TERMS Net 30 MN For online statements and simple, automated payment setup, contact customer service at caidservices @fleetcor.com. DESCRIPTION OF CURRENT ACTIVITIES Services and Fees as reported 3/3112010 Date Description Gallons Amount Due 03/19/2010 PAYMENT: Lockbox Payment Thank You $44.66 CR 04/0212010 Fleet 1315510 Name: CITY OF CARMEL- POLICE 57257 $162.86 Current Activity Previous Statement Prior Balance Payments and Ad Adjustments Gallons Charges Total Balance Due Date J 0310112010 1 $44.66 $44.66 CR 57.257 $162.86 $162.86 FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW. 2673101.2010096147301 ,00126 C�Y�7.4�I�IC..4sH. PO BOX 105080 FLEET MANAGEMENT REPORT ATLANTA, GA 30348 -5080 Account BG1298138 FLEET 1315510 Provided By: Name: CITY OF CARMEL- POLICE Crystal Flash Petroleum PL (800) 903 -9368 MATCHING STATEMENT NP24205883 Page: 1 of 1 CITY OF CARMEL POLICE 1 CIVIC SID CARMEL IN 46032 FLEET MANAGEMENT REPORT FOR 3/1/2010 3/31/2010 SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL UNL 17.158 $37.08 $3.19 $5.87 $0.00 $46.14 PREM 40.099 $94.99 $7.45 $14.28 $0.00 $116.72 57:257 3 z $0 00 a 132 O7�° 51064 4 .$20 15 ��r €;$162486 s�',z 'tk_'x.a`t, �:„�`Fµ�r&m,;ar. �a, .zP. <a„ b h.°rs k k r"K ���.ta�� urge ;2 s This report is for information only. Please see remittance copy on the statement for the total payment amount. TOTAL MILES: 865 EXCEPTION CODES: 11 Odometer entry is out of sequence. Transaction De t a!I foryCtistamer�N�U C T7Y2OF CARIVIEL PO ICE31 120 0, 3131f2 ©10 FUEL NET TOTAL EXCEPT DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE -x�" a +aAi .�Ki'^ 3 m1±14 cAR 44r n oI3�m ai.' a E m,E!," ,,,p wi' "z,l �.�f'` �.�R :m,:«�w; W>, .a' u'a3zs.as p .'::u� !:�u. .:.b.® as.: t�rx� .�.a ..m'k:���', 03102 08:08 885419 DRIVER 10 8356 27.0 UNL 17.158 2.16110 0.52802 $46.14 Miles: 464 27.0 17.158 $46.14 'g a„ x k€ #k �`""'3'i""3 •s.� ^'TM' "";a.. r ,�an% W �,..rnM, w4 03/16 14:57 885419 DRIVER 10 11751 0.0 PREM 4.272 2.36890 0.54210 $12.43 03119 15:00 885419 DRIVER 10 11876 30.9 PREM 4.050 2.50860 0.55121 $12.39 03131 15:51 885419 DRIVER 10 12152 0.0 PREM 3.866 2.41080 0.54662 $11.44 M iles: 125 30.9 12.188 $36.26 1567158 CAR 119 v a'�M em ss- -i -1•�.� ...._..�.z`.:,.�a�, 03108 13:24 885419 DRIVER 10 40 0.0 PREM 3.170 2.30280 0.53678 $9.00 11 03(08 15:12 885419 DRIVER 10 11634 0.0 PREM 3.275 2.30230 0.53773 $9.30✓ 03109 11:21 885419 DRIVER 10 24 0.0 PREM 3.416 230390 0.53691 $9.70✓' 11 03(16 16:25 885419 DRIVER 10 5694 0.0 PREM 4.731 2.41390 0.54500 $14.00✓ 03129 15:50 885419 DRIVER 10 5840 30.4 PREM 4.798 2.36770 0.54264 $13.96- 03l29 15:52 885419 DRIVER 10 12033 0.0 PREM 4.365 2.36660 0.54314 $12.70 Miles: 146 30.4 23.755 $68.66 &,2 3# Fk' P;T 7 a x w�,' 567169 CAR 128,., E �!,4'S _x_ a l; ,rc ��ic,t �Z�i.adro- g m,,.dvy,:S.`�' a�o- 2.in a`"'a,. 03/09 07:25 885419 DRIVER 10 5550 31.3 PREM 4.156 2.30270 0.53711 $11.80 Miles: 130 31.3 4.156 $11.80 SITE LEGEND SITE SITE NAME ADDRESS CITY STATE 885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN 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 Crystal Flash Petroleum --PL Purchase Order No. PO Box 105080 Terms Atlanta, GA 30348 -5080 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/8/10 payment for gasoline 162.86 Total 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. 2b Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Crystal Flash Petroleum -PL PO Box 105080 IN SUM OF Atlanta GA 30348 -5030 162.86 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 314 162.86 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 April 8, 2010 1 Signature Chief of Po ice Cost distribution ledger classification if Title claim paid motor vehicle highway fund