190605 10/12/2010 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CARMEL, INDIANA 46032 PO BOX 105080 CHECK AMOUNT: $692.47
ATLANTA GA 30348 -5080
CHECK NUMBER: 190605
CHECK DATE: 10/12/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 BG1297998 692.47 BG1297998
10/01 /2010 7 :39:27 PM -0400 FLEETDETAILS PAGE 2 OF 4
CR VS 7 A PFL -4 VH Local Office' Crystal Flash Petrolevm PL
PO BOX 105080 For bllling questions call- (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1297998
Please reference account on all payments
STATEMENT NP26843871
DATE 1 010 11201 0
CITY OF CARMEL -FIRE DUE DATE 10131/2010
1 CIVIC SO
CARMEL IN 46032 TOTAL BALANCE DUE $692.47
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 9/3012010
Date Description Gallons Amount Due
09/1812010 PAYMENT. Lockbox Payment Thank You $923.24 CR
10/01/2010 Fleet 1315390 Name: CITY OF CARMEL -FIRE 306.733 $692.47
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
30 .$fi92.47 $692.47
10/01/2010 7 :39:27 PM -0400 FLEETDETAILS PAGE 3 OF 4
FLEET MANAGEMENT REPORT
Po BOX 105080
ATLANTA, GA 30348 -5080 Account BG1297998
FLEET 1315390
Provided By: Name: CITY OF CARMEL FIRE
Crystal Flash Petroleum PL MATCHING STATEMENT NP26843871
(800) 903 -9366
Page: 1 of 2
CITY OF C ARMEL -FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 9/1/2010 9/30/2010
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL TATE OTHER TOTAL
UNL 37.267 $80.26 $6.92 $12.72 $0.00 $99.90
E85 269 -466 $54247 $50.10 $0.00 $0.00 $592.57
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This report is for information only.
Please Gee romlttanco copy on the statement for the total payment amount.
TOTAL MILES: 2,368
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FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
v,-.s, C4CC': r: RV•: 'JYJ':VC: ""VC!: ".J`•:�:;'1':,•: ^rJ!;V':r: "A "v vYv':,v r: W: YC' „:;;v•r:':J:4:YC,vsA ^rvY,vCN AV 4.v `:N AY 'r %Cr4 4:v ;:4 C. S'! YV": 4 VVN FV ':f. ^,4Y,vl';JA','f•:,4'•:;JC;V \':v, \VY"!`!:4 \'1':r \•J':,'f`:(:•rrlC.i.rJ Vr::'r ";VC'•gvCrr'J:: vr: M: 'r,VVF J: S.v V:V YV4A a,^ Y`l�vw ;a'\':V S,v
3°�� �ti Yy ,a',' ,i Jx.,: i' �F,�: w 3, ati.,,., dr a•,!•,_• a•• r.!• M: t�, �x.,. t. i. a., t. y�., s a. r:'J_ «.��._r.� F. �a�"• k:
BEM,,, {.,r,{ r §ti •s ?,,,.,z, Mq•k' „tr•?,f•"�,c', >,,.�:,�k, .,tr•r, nd .nti�r f ,v..;,.,. J «l „c< „t� 1„t �y tr•, ,�.F,� �M4, �,s,.5•
+;i 3 „ar:��?e. r! z�t! �rh`: hrl. �f, s?�! t: �f�r�, 1, �>?s' a;, ri��rt ,�r�ffi���'�strfi�r��isn`rr,"�, tEEy�. t;: �6; i i Z: t�' �r' 1�Gn:,' eizw���" r .+�Yr,C�hr;!$:�,i'x�?rt4 ?�:kt4? fit, >?vt�* sir ;✓�.�rre3f�)t<rs�.�;rarkr;'����
09/20 09'14 885419 DRIVER 1 31008 0.0 E85 17.853 2.01310 0.18590 $39 -26
Mlles: 17.853 $39.26
`�c t f}t� g fl 7r}., `•r, �y �t 3�e� s.f t�r•,. �',.f�.,.,r;� ?r`33i 7 7. 3,F�,:+2�}�;� TJt r r i rt, %�r >��.�F}• -f >3r- �A,Tan. 3�'�; >rr
09108 12:35 885419 DRIVER 1 14500 0.0 E85 15.634 2.01290 0.18590 $34.38
09110 08 :52 885419 DRIVER 1 14500 0.0 E85 16.903 2.01330 0.18590 $37.17
09117 09 :04 885419 DRIVER 1 14500 0.0 E85 18.535 2.01300 0.18590 $40.76
09119 12:58 885404 DRIVER 1 14500 0.0 UNL 14.427 2.17090 0.52839 $38.94
09120 08:28 885419 DRIVER 1 14500 0.0 E85 14.592 2.01340 0.18590 $32.09
Miles: 80.091 $183.34
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:r t`, �s:,: r�� ..r,.<i,>,�r.`�.�..ur�';1;t?r. r,r�i�`,:I,rs ?+1, tai, s' r;:? F'1 ���4it�1� ,r1 lac; �t' i,' ktC. r�r •�r� <?Cr::sr,.: }r�4�,C.F?<r �t�:a�C::�',! ,,`�sr,.,r.�..,,�._�ir,•:tia, ^J ,,,r.1J, >�,:,?x�F,
09/24 12:03 885412 DRIVER 1 17000 0 -0 UNL 22.840 2.14270 0.52651 $60 -96
Miles: 22.840 $60.96
p ...,.r..,x. r, �';d.K, ?.i iE,. aSi�. -,.z l.".:._..� ,F3' a •�•a.3' d. r s.d .t :rYd' "•2 f n3irri" 3X�i: d: �3: r: f>:: is5�; f,: f. a ":{r'.�.;._:; �k':��.Y'cr °:Y';
�-,r tr f r..s::, ,��rr i a zr 1\, s ss F 3 r ,i� sc,� .<4 '�r4 s�` �r -i #i a r t �3 la r ay 5 r r��k r >,i r, is n },S,i ass St ntcsr ki�tr y 3'< .1.
09117 14:17 885419 DRIVER 1 74105 0.0 E85 12.733 2.01370 0.18590 $28.00
09126 16:57 885419 DRIVER 1 74556 34.2 E85 13.187 2.01340 0.18590 $29.00
Miles: 451 34.2 25.920 $57.00
4:" r•; 4,:,. 4':. 4-;..., Y: 4 Y. Yr:: YY:: Y:.:, r:`:. YS, 4::, Y' rr:': 4•: 4`::';`:; Y, 4YY•;::; Y`'„ Y';=,' r:\ Y,• 4\•' r':'J': 4,• 4`: 4,. 4„ 44;J w4\'.:.\.. 4'•., 4': r:'.\:•: r:' l.:: r�J„ Y`:•:;J'\ Y': rJ•;; ::r:':Y'J.Y'::J•:rJ•J,Y'rJ:r::' r::' .:4.x..;..;4:4,;:':: \'::<,....Y
"�i- �w arw Jr-vG r? t� r 4 rAir�.�. .ryJ:N1 M, r� r_ r. s r 4 i r r� _jr, r ::L�, r >w t., r, r r;� mss•
r 6+'1 r= ";�t��L�`' a a, ni e. ,hC ,y �.i ,F t h ,i f (C ti i E •i4i r�e�z •��,�v° ,4v ':s.i f,�t'-h l C r e .,t s
e�'�'a1..<,,;;�.;r, o-��i`n z a ;�i'n:le�ar,2: ?�r.�eur.�:a+.`,. G1v �a~l:.�Yr'. �'�l .a.f �;,r,:�t,G.�t. ��:kr4�'fr���� r��<`� #fir &fiA€y��f3•u�traSV ���r; ��rYz���! �F� '�xr.4 =�rL�acY�:�r,�•�'�,S >tt�..�r:!: ti ,�'�<.r: z3�
09101 08:41 885419 DRIVER 1 99139 11.5 E85 20.245 2.0133D 0.18590 $44.52
09107 17:00 885419 DRIVER 1 99319 11.8 E85 15.275 2.01240 018590 $33-59
09109 13 :30 885419 DRIVER 1 99612 13.9 E85 21.155 2.01320 0.18590 546.52
09111 07:58 885419 DRIVER 1 99749 11.2 E85 12.237 201360 0.18590 $26.91
09113 15:16 885419 DRIVER 1 99925 11.6 F-85 15.216 2.01300 0.18590 $33.46
09/16 19:07 885419 DRIVER 1 100173 12.8 E85 19.340 2.01290 0.18590 $42.53
09118 16:44 885419 DRIVER 1 100399 11.4 E85 19 <795 2.01310 0.16590 $43.53
09121 15:58 885419 DRIVER 1 100584 11.6 E85 15.893 2.01280 0.18590 $34 -95
09124 09:26 885419 DRIVER 1 100824 11.5 E85 20.873 2.01310 0.18590 $45.90
Miles: 1917 11.9 160.029 $351.91
S ITE LE
SITE SITE NAME ADDRESS CITY STATE
885404 Crystal Flash #22 404 W Morgan Spencer IN
885412 Crystal Flash #41 10598 N College Ave Indianapolis IN
10/01/2010 7:39:27 PM -0400 FLEETDETAILS PAGE 4 OF 4
FLEET MANAGEMENT REPORT
Account BG1297998
CAP
d° A ffL !°it
Po sox 105080 FLEET 1315390
ATLANTA, GA 30348 -5080
Name: CITY OF CARMEL -FIRE
MATCHING STATEMENT NP26843871
Page; 2 of 2
SITE 9 SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 545 Rangeline Rd Ca —el IN
VOUCHER NO. WARRANT NO.
ALLOWED 20
Cryatal Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$692.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 BG1297998 42- 314.00 $692.47 i hereby certify that the attached invoice(s), or
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
OCTI 12016
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
BG1297998 $692.47
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