189624 09/13/2010 f CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
1. ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
D 1
CARMEL, INDIANA 46032 Po aox 105080 CHECK AMOUNT: $270.15
ATLANTA GA 30348 -5080 CHECK NUMBER: 189624
CHECK DATE: 9/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 270.15 BG1298138
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 NP26458937
Page: 1 of 2
CITY OF CARMEL POLICE
1 CIVIC SID
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 8/1/2010 8/31/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 65.361 $141.00 $12.15 $22.34 $0.00 $175.49
PREM 25.397 $59.76 $4.71 $9.02 $0.00 $73.49
UNL+ 7.586 $17.12 $1.41 $2.64 $0.00 $21.17
Total e 9$ 3A4� g a e z z
$2178$
�$i827� a �$3400„ �$ODO ��a $27015
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This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 2,040
EXCEPTION CODES:
11 Odometer entry is out of sequence.
x re`s° r r "x --°m' i* ^�`r r w -r
T nDetafoCustorrer NO 1315510 CI TYOF GARMEL POLImCE, 81172014 s 8I3112040 EW EN
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
v Q °c u.
X144 „CAR 144 m s s s M I N E s
E x.� .,.a:;. ti, o a�a�Pi°.., fi s a ;a.. p t s, c�T...hf& -w...i
08108 11:19 885419 DRIVER 10 15586 30.0 UNL 15.976 2.17010 0.52863 $43.12
08112 22:41 685531 DRIVER 10 15834 15.3 UNL 16.231 2.09600 0.52315 $42.51
Miles: 728 22.7 32.207 $85.63
4 N e:a f arm rM x. (E, ^^2•°^q, ,p y (g i sm °t^i ka' !m n'� 7€
P16716 !CAR 129 l °t R g
w .:,i�
9 �ws W �r
08103 16:17 88541 DRIVER 10 2569 29.6 PREM 3.517 2.43390 0.54650 $10.48
08111 09:51 885419 DRIVER 10 2704 32.7 UNL 4.123 2.17320 0.52870 $11.13
08113 15:57 885412 DRIVER 10 2856 39.1 UNL+ 3.892 2.30220 0.53777 $11.05
08126 11:21 885419 DRIVER 10 3114 0.0 PREM 4.040 2.26490 0.53432 $11.31
Miles: 391 33.8 15.572 $43.97
3 i y 5 ,�t.: Sit "x^ dr,:;_"C'�"f:
Q V
3 e s a s.
08111 13:08 885412 DRIVER 10 6794 33.8 UNL 4.443 2.21020 0.53120 $12.17
08123 13:50 885419 DRIVER 10 2989 0.0 PREM 3.794 2.35900 0.54195 $11.00 11
08124 14:38 885412 DRIVER 10 6950 0.0 UNL 4.837 2.20800 0.53095 $13.25
Miles: 150 33.8 13.074 $36.42
»'s' ^arcs f r s.
567168 q 'CAR919',: x 3'_
r s�a I u�a� 1 0 0 1 a 1 a�sa r� 1 �a k
08103 16:19 885419 DRIVER 10 2987 37.2 PREM 3.390 2.43360 0.54699 $10.10
08109 16:17 885419 DRIVER 10 3106 30.3 UNL 3.927 2.16960 0.52869 $10.60
08116 09:29 885419 DRIVER 10 3237 35.2 PREM 3.724 2.28250 0.53702 $10.50
08118 10:50 885412 DRIVER 10 3374 37.1 UNL+ 3.694 2.20900 0.53020 $10.12
08123 09:30 885419 DRIVER 10 3506 37.9 PREM 3.483 2.35720 0.54242 $10.10
08130 09:19 885419 DRIVER 10 3632 36.5 PREM 3.449 2.36010 0.54117 $10.00
Miles: 771 35.7 21.667 $61.42
567170 'GAR106� e��'�i�z a a �v
"'g r a. a''?C
ix nT.. 'w'. '��.s..:."�si?n.;�w= «,.cta��. -w �;ae.:`�.t, �!��m.
08127 15:14 885419 DRIVER 10 51590 0.0 UNL 15.824 2.16950 0.52883 $42.71
Miles: 15.824 $42.71
�L FLEET MANAGEMENT REPORT
Account BG1298138
PO BOX 105080 FLEET 1315510
ATLANTA, GA 30348 -5080
Name: CITY OF CARMEL- POLICE
MATCHING STATEMENT NP26458937
Page: 2 of 2
SITE LEGEND
SITE SITE NAME 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 #67 545 S Rangeline Rd Carmel IN
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
fhllllll �IIIIII�Illlfl��l�lll 109 STATEMENT NP26458937
DATE 09/03/2010
CITY OF CARMEL POLICE DUE DATE 1 010 312 01 0
1 CIVIC SQ TOTAL BALANCE DUE $270.15
CARMEL IN 46032 -2584
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 8/31(2010
Date Description Gallons Amount Due
08/2012010 PAYMENT: Lockbox Payment Thank You $171.37 CR
09/03/2010 Fleet 1315510 Name: CITY OF CARMEL- POLICE 98.344 $270.15
Current Activity
Previous
Statement Prior Balance Payments and
Date Adjustments Gallons Charges Total Balance Due
08/0112010 $171.37 $171.37 CR 98.344 $270.15 $270.15
FOR PRO PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE C OPY BELO
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 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))
9/3/10 monthly payment 270.15
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 -1.5.
20
Clerk- Treasurer
VCUCHER NO. WARRANT NO.
ALLOWED 20
Crystal Flash Petroleum
PO Box 105080 IN SUM OF
Atlanta GA 30348 -5080
270.1
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 314 270.15 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
Sept. 8, 2010
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund