164104 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CARMEL, INDIANA 46032 P 0 BOX 684 CHECK AMOUNT: $318.05
INDPLS IN 46206 CHECK NUMBER: 164104
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCR
1202 4231400 NP14245596 318.05 BG1298100
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Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298100
Please reference account on all payments
IIIIIlI! lill�ilI3IIIII�111II�II 23 STATEMENT# NP14245596
DATE 0910112008
CITY OF CARMEL- MAINTENANCE DUE DATE 09/1512008
1 CIVIC SQ TOTAL BALANCE DUE $318.05
CARMEL IN 46032 2584
PAYMENT TERMS Net 14 days MN
Please make sure to review your report. It may include important notifications about your account.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 8/31/2008
Date Description Gallons Amount Due
08/29/2008 CREDIT: Payment Without Remit Coupon $538.88 CR
09/01/2008 Fleet 1315492 Name: CITY OF CARMEL MAINTENANCE 85.093 $318.05
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
08101/2008 $538.88 $538.88 CR 85.093 $318.05 $318.05
FOR PROPER PAYMENT POSTING. PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY RFI nw_
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PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298100
FLEET 1315492
Provided By: Name: CITY OF CARMEL- MAINTENANCE
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP14245596
Page: 1 of 1
CITY OF CARMEL- MAINTENANCE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 8/1/2008 8/31/2008
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 85.093 $267.33 $15.76 $34.96 $0.00 $318.05
Total' 15.093 '$26733 $15.76 _$34.96 $0.00 $318;05
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
EXCEPTION CODES:
11 Odometer entry is out of sequence.
Transaction Detail for Customer NO 1315492 CITY OF CARMEL MAINTENANCE 8/112008: 8/3112008
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
581400 -GRASS 42 j
4,
a
11:52 885419
08/06 DRIVER1
0 0.0 UNL 18.331 3.10620 0.59340 $67.81 11
08/11 12:36 885419 DRIVER 1 0 0.0 UNL 16.714 3.19910 0.59955 $63.50 11
08/11 12:36 885419 DRIVER 1 0 0.0 UNL 16.714 3.19910 0.59955 $63.50
08/11 12:36 885419 DRIVER 1 0 0.0 UNL 16.714 3.19910 0.59955 $63.50 11
08/14 12:07 885419 DRIVER 1 0 0.0 UNL 9.806 3.21740 0.60158 $37.45 11
08/14 12:07 885419 DRIVER 1 0 0.0 UNL -9.806 3.21740 0.60158 $37.45
08/14 12:07 885419 DRIVER 1 0 0.0 UNL 9.806 3.21740 0.60158 $37.45 11
08/14 16:05 885419 DRIVER 1 0 0.0 UNL 8.656 3.21740 0.60162 $33.06 11
08/14 16:05 885419 DRIVER 1 0 0.0 UNL -8.656 3.21740 0.60162 $33.06
08/14 16:05 885419 DRIVER 1 0 0.0 UNL 8.656 3.21740 0.60162 $33.06 11
08/21 17:12 885419 DRIVER 1 0 0.0 UNL 15.323 3.06860 0.59055 $56.07 11
08/26 16:39 885419 DRIVER 1 0 0.0 UNL 16.263 3.10520 0.59348 $60.16 11
Miles: 85.093 $318.05
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 -p @p 545 S Rangeline Rd Carmel IN
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
�-r55 Gas
Total
1 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 NCI. NO.
r-wst;al Pinch
ALLOWED 20
(1 E30X 1 0608 IN SUM OF
Atlan GA 30348 -5080
$318.05
ON ACCOU�ffL§&t§P ABDN FOR
1202 Information Systems
Board Members
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1202 N P14245SPIR 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
20
Sig�t tyre
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund