185598 05/25/2010 a CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
`t. ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $81.00
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 185598
CHECK DATE: 5125/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BG1298219 81.00 BG1298219
2673101.201 W 500518111,0"1
Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298219
Please reference account on all payments
�II IIIII�hll�lllll f II 91 STATEMENT NP24701829
DATE 05/0312010
CITY OF CARMEL ITILITIES DUE DATE 06/02/2010
1 CIVIC SQ TOTAL BALANCE DUE $81.00
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For online statements and simple, automated payment setup, cFontact customer service at cardservices@fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 4/30/2010
Date Description Gallons Amount Due
04/16/2010 PAYMENT: Lockbox Payment Thank You $5.67 CR
05103/2010 Fleet 1315591 Name: CITY OF CARMEL- UTILITIES 28.938 $81.00
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
0410112010 $5.67 $5.67 CR 28.938 $81.00 $81.00
FOR PRO PAY MENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
2673101 201005W51801,00091
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298219
FLEET 1315591
Provided By: Name: CITY OF CARMEL- UTILITIES
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP24701829
Page: 1 of 1
CITY OF CARMEL ITILITIES
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 4/1/2010 4/30/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 28.938 $65.51 $5.38 $10.11 $0.00 $81.00
JA's w se s a w e. s ai
,.P a;s
Total s X28 938 65 51 5;38 $10 11 f $OUO "$81.fl0'
mi.z��.n. e
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,227
er.�3 ��:xr �s�.. �3Pt�, ax�a5ia&E '«s5 �3';"�7 a
Transact�anpeta +IrfforiCustomer NO �131559 ,CITY OFf:CARMEL ITILITIES X4'11/2010; 4/30/2010 �E
w._ ..u. e. .r.� s ss ,a s ,a €;�1 �v .�s,3,..... �ffetaaa N �,..a.._, m. .,.gym. ��.�,�,�,�a1�t
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
567171 2007,, 0; 24 f' i
FQRD F250 e i 24 .,�..;r
'4 m a
x
04/09 10:07 885419 DRIVER 1 32088 42.4 UNL 28.938 226380 0.53521 $81.00
Miles: 1227 42.4 28.938 $81.00
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
VOUCHER 105432 WARRANT ALLOWED
69001 IN SUM OF
CRYSTAL FLASH
PETROLEUM CORPORATION
PO BOXY 1 050"'0 fiklA,0A GA
11�tBfi,�Ai 303 Y g
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
t3c, I� �1
0510310 01- 7500 -08 $81.00
Voucher Total $81.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
69601
CRYSTAL FLASH Purchase Order No.
PETROLEUM CORPORATION Terms
PO BOX 684 Due Date 5/13/2010
INDIANAPOLIS, IN 46206
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/13/2010 0510310 $81.00
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
Date Officer