186639 06/21/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $407.13
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 186639
CHECK DATE: 6/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 407.13 BG1298138
2673101.2010060334701.00102
f
CJqY�TAL7PL AH".. 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
II 11 /III 11111111111111111 102 STATEMENT NP25149515
DATE 06/04/2010
CITY OF CARMEL- POLICE DUE DATE 07/04/2010
1 CIVIC SQ TOTAL BALANCE DUE $407.13
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
FOi onifne Statements and Simple, automated payment setup, contaci; c ustomef serv at cardsze @fleetcol.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 5/31/2010
Date Description Gallons Amount Due
05/24/2010 PAYMENT: Lockbox Payment Thank You $172.53 CR
06/04/2010 Fleet 1315510 Name: CITY OF CARMEL POLICE 147.336 $407.13
Current Activity
Previous
Statement Prior Balance Payments and
Ad Adjustments
Gallons Charges Total Balance Due
Date 1
0510112010 $172.53 $172.53 CR 147.336 $407.13 $407.13
FOR PROPFR PAVMFNT PORTINfA PI FARF RI IRMIT Vnl IR rHFrK WITH nNl V THE RFMITTAAIf F rnov RFI nw
2673101 2 0i1KK0:f54NI M102
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 ACCOUC1t BG1298138
FLEET 1315510
Provided By: Name: CITY OF CARMEL POLICE
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP25149515
Page: 1 of 2
CITY OF CARMEL- POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 5/1/2010 5/31/2010
SUMMARY TRANSACTIONS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 98.091 $209.82 $18.23 $33.40 $0.00 $261.45
PREM 45.048 $107.92 $8.35 $16.15 $0.00 $132.42
UNL+ 4.197 $10.91 $0.78 $1.57 $0.00 $13.26
'1 :rd e X57' i ;ro c d?axh ;K. ate'
otal ro �u a a
T s� uw s72 Q
.1r- ,`�.m` 147336 328 „65 .z o .$27 36�tI $51 12 E a 447 t3
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,641
i h
xn
QTransacttorl Deta t[ for C�stomertiVO 1315510CETYOF'CARMEL POLICE
51112010 5131 l 2 0 10 �1� .v, q
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
1_44_ CAR 144
E: .y�� 6 0 Q21'214 a
M w
05/31 13:19 885419 DRIVER 10 12463 0.0 UNL 17.711 2.04900 0.51988 $45.50
Miles: 17.711 $45.50
f1fi7n169: h CAR 129 Z 'M'M 3 a a F E a
wfi= :z a 21 <n.c� s:
05/04 09:45 885412 DRIVER 10 763 32.4 UNL+ 4.197 2.59950 0.55936 $1326
05/06 08:37 885419 DRIVER 10 858 32.0 PREM 2.972 2.58410 0.55760 $9.33
05113 09:27 885419 DRIVER 10 983 33.9 PREM 3.682 2.37640 0.54429 $10.75
05114 16:05 885419 DRIVER 10 1124 34.2 PREM 4.124 2.37880 0.54321 $12.04
05/25 11:28 885419 DRIVER 10 1248 31.2 PREM 3.969 2.24490 0.53463 $11.03
05/27 13:57 885419 DRIVER 10 1362 31.4 PREM 3.635 2.19810 0.52996 $9.92
Miles: 735 32.5 22.579 $66.33
':r6 ,`ry f F 91154 r, :d �!`4 E gl "mss,%%I
567165 CAR�59 3 a m a r a
.�aa.�d...s.., v" d4 1""''^ »�,"��6.,. e.�,.,�.,..m,�^ r "b ..�..H".'uff dam.��.
05/14 15:56 885411 DP,IVER 10 26978 0.0 UNL 13.361 2.29250 0.53682 0.85
Miles: 13.361 $37.80
Rim
z�" �t
s, r� u w��3.: �"a a a.7� z -'A• :4....ar�.a:,a
05/03 14:50 885419 DRIVER 10 741 31.2 PREM 4.651 2.58220 0.55651 $14-60
05/06 08:36 885419 DRIVER 10 876 38.2 PREM 3.536 2.57920 0.55690 $11.1
05!11 14:15 885419 DRIVER 10 1003 34.1 PREM 3.722 2.46100 0.54785 $11.20;
05/19 15:20 885419 DRIVER 10 1128 34.5 PREM 3.628 2.30150 0.53852 $10.30//
05/26 09:04 885419 DRIVER 10 1238 32.3 PREM 3.407 2.20140 0.53146 $9.30
M iles: 642 34.1 18.944 $56.50
C.
567168',, CA1�;82 z
T�"al,zu,W!'. :,zmi,,. ON 0�a,aas,�aa�,t
05/04 17:20 685531 DRIVER 10 50754 0.0 UNL 15.720 2.40330 0.54511 $46.36/
Miles: 15.720 $46.36
0
5 67169CAR128 r r mr M E .y y e3� Yiki
5 +ae .a ..w ='�i t .r> w n j `.fin
05/06 08:36 885419 DRIVER 10 6092 32.2 PREM 3.504 2.57990 0.55855 $11.00,
05/20 10:58 885419 DRIVER 10 6243 35.8 PREM 4.218 2.27600 0.53474 $11.85
05/29 01:44 885419 DRIVER 10 41729 0.0 UNL 33.086 2.04920 0.52007 $85.00✓
05/31 04:55 885419 DRIVER 10 69699 0.0 UNL 18.213 2.04910 0.52030 $46.79
Miles: 264 34.0 59.021 $154.64
FLEET MANAGEMENT REPORT
Account BG1298138
Po Box 105080 FLEET 1315510
ATLANTA, GA 30348 -5080
Name: CITY OF CARMEL POLICE
MATCHING STATEMENT NP25149515
Page: 2 of 2
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
685531 Crystal Flash #71 14554 Herriman Blvd Noblesville IN
885411 Crystal Flash 439 5 S State St North Vernon IN
885412 Crystal Flash #41 10598 N College Ave Indianapolis IN
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.
P.O. Box 105080 Terms
Atlanta, GA 30348 -5080 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/4/10 monthly a enmt 407.13
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash Petroleum IN SUM OF
P.O. Box 105080
Atlanta, GA 30348-5080
407.13
ON ACCOUNT OF APPROPRIATION FOR
police general ufnd
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 407.13 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
June 14 20 10
0 ",j b, f.
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund