167051 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $1,793.12
CARMEL, INDIANA 46032 Po Box 105080
�''fro_�o.•: ATLANTA GA 30348 -5080 CHECK NUMBER: 167051
CHECK DATE: 12/17/2008
DEPAR A CCOU NT P NUMB INVO NUM BER y A MOUNT DES CRIPTION
1110 4231400 BG1298138 1,793.12 GASOLINE
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ChC7YS7.- L7P1_AHM` 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
111 1 11 1 1111111 11R II I III II 1417 STATEMENT NP15498888
DATE 12/01/2008
CITY OF CARMEL POLICE DUE DATE 12/15/2008
1 CIVIC SQ TOTAL BALANCE DUE $1 ,793.12
CARMEL IN 46032 -2584
PAYMENT TERMS Net 14 days MN
Your account terms and conditions include late fee, finance charge, -and statement fee- proviQions_which have been waived.
These provisions will be applied going forward. For free online statements and payments, log onto www.fleetnet.net.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 11/3012008
Date Description Gallons Amount Due
11/28/2008 PAYMENT: Lockbox Payment Thank You $1188.33 CR
12/01/2008 Fleet 1315510 Name: CITY OF CARMEL POLICE 923.487 $1789.34
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
11/01/2008 $1,188.33 $1,188.33 CR 923.487 $1,793.12 $1,793.12
FOR PROPER PAYMENT POSTING. PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW_
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:*ind of 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 Petroelum 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))
12/1/08 1 monthlky payment 1,793.12
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
6stal Flash Petroleum IN SUM OF
P.O. BOX 105080
Atlanta, CA 30348 -5080
1,793.12
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /`I`ITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 1,793.12 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
December 10 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund