185535 05/20/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CARMEL, INDIANA 46032 PO BOX 105080 CHECK AMOUNT: $172.53
oa'do ATLANTA GA 30348 -5080 CHECK NUMBER: 185535
CHECK DATE: 5/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 172.53 BG1298138
CA7VS- FLAHM- Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298138
Please reference account on all payments
full flllllllllillllllfllllllllllll 89 STATEMENT NP24701826
DATE 05/0312010
CITY OF CARMEL POLICE DUE DATE 06/02/2010
1 CIVIC 5Q TOTAL BALANCE DUE $172.53
CARMEL IN 46032 -2584
PAYMENTTERMS Net 30 MN
For online statements and simple, automated payment Setup, contact customer service at cardservices @fteetcor.con,
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 4130/2010
Date Description Gallons Amount Due
04/16/2010 PAYMENT: Lockbox Payment Thank You $162.86 CR
05/03!2010 Fleet 1315510 Name: CITY OF CARMEL- POLICE 60.288 $172.53
Current Activity
Previous
Statement Prior Balance Payments and
Date Adjustments Gallons Charges Total Balance Due
04/01/2010 $162.86 $162.86 CR 60.288 $172.53 $172:53
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCF CORY RFI nW
CA?YS7- L7,FLAH"_
PC eox 1o5oso 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 9 NP24701826
Page: 1 of 1
CITY OF CARMEL- POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET ARAN_ AGEMENT REPORT FOR 4/1/2010 4130/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QU BASE, PRICE FEDERAL STATE OTHER TOTAL
UNL 21138 $47.03 $3.93 $7.32 $0.00 $58.28
PREM 34,899 $82.57 $6.48 $12.45 $0,00 $101.50
UNL+ 4.251 $1 0,42 $0 $1.54 $0.00 $1
TotK- 02 b'* a 5 201 x r L Y1 $D 00 $!72~53
.ate-.
This report is for information only.
Please see remittance copy on the statement for the total,payment amount.
TOTAL MILES:' 913
EXCEPTION CODES:
11 Odometer entry is out of sequence.
TarE 6 fD
r U etait,fo� Customer,�fd0: 1375510 GITY OF CAFttti71 P 4I,1 /Z010 4/30
E
�.:x+x rs_.., u._- x+.._., o- EL OLI �b�r ?�.e.tx_
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE"
b!. Y' .1®'1.1+ i �W.• .�4 1S ��..Sr_. J t �=Y__ u�..�
04108 .22:41 585531 DRIVER 10 10494 0.0 UNL w 16.810 2.22610 0.53235 $46.3-8
Miles: 16.810 $46.38
167 +169wrC �x
04 /06 15 :05 885419 DRIVER i0 153 0.6 PREM 4.007 2.50810 0.55309 $12.26 11
04113 08:29 885419 DRIVER 10 236 26.0 PREM 3.265 2.40430 0:54435 $9.63
04116 0913 885419 DRIVER 10 353 29.7 PREM 3.870 2.50650 0.55161 $11.84
04/20 16:05 885412 DRIVER 10 485 31.1 UNL+ 4.251 2.45120 0.54762 $12.75
04/27 15:45 885419 DRIVER 10 627 30.3 PREM 4.884 2.50640 0.55310 $14.33
Miles: 474 29.3 20017 $60.81
4 ,,,�r ,�,mwa.!.�.. ,mat,.. _.a :5.. -�i.�w .t �..s.�, -3 t...
04113 08:30 885419 DRIVER 10 157 0.0. UNL 4 328 2.22040 0.53071 $11.9 11
04/15 13:01 865419 DRIVER 10 257 26.6 PREM 3.759 2.50600 0.55148 $11.50
04179 15;28_ 885419 DRIVER 10 373 31.9 PREM 3.634 2.44910 0.54926 $10.90
04121 15:46 885419 DRIVER 10 492 31.4 PREM 3.793 2.43340 0.54727 $11.30
04/27 15:45 885419 DRIVER 10 596 29.7 PREM 3.497 2.50790 0.55319 $10.70✓
Miles: 439 29.9 19.011 $55.30
Y
04113 15:18 885419 DRIVER 10 5979 0.0 PREM 4.390 1.57400 0.48752 $9.04
Miles: 4.390 $9.04
SITE LEGEND
SITE SIT NA ADDRESS CITY STATE
685531 Crystal Flash #71 14554 Herriman Blvd Noblesville IN
'885412 Crystal.Flash #41 10598 N College Ave Indianapolis IN
885419 Crystal Flash #67 645 S Rangeline Rd Carmel IN
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201(Re..1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Costal Flash Petroleum Purchase Order No.
P.O. Box 105080 Terms
Atlanta, GA 3034'8 -5080 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/ 3/10 payment for aso ine
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in.accordance
with IC 5- 11- 10 -1.6:
20
Clerk- Treasurer
vvvvI IL_ n iw. VV^MM,*11V 1 IV V.
ALLOWED 20
Crystal Flasb Petroleum
IN SUM OF$
P.Q. Box 105080
Atlanta, gA 30348 -5080
172.53
ON ACCOUNT OF APPROPRIATION FOR
police general
Board Members
Pos°r INVOICE NO: ACCT /TITLE AMOUNT
DEPT I hereby certify that-the attached invoice(s), or
1110 314 172.53 bill(s) is (are) true and correct and that the
materials or services itemized thereon .far
which charge is made were ordered and
received except
May 7 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund