163109 09/02/2008 A, CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CARMEL, INDIANA 46032 P O BOX 684 CHECK AMOUNT: $90.16
INQPL.S IN 46206
CHECK NUMBER: 163109
CHECK DATE: 9/2/2008
DEP ARTMENT T A PO NUMBER INVO NUMB A DESCRIPTION
1192 TT 4231400 BG1297958 90.16 GASOLINE
267- 1101.2W SCM102401 011tH
i 1
Local Office: Crystal Flash Petroleum PL
PO BOX 105080 of ea, (f1 el For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080 Ity
ORIGINNIM.- INVOICE
Dept, Of C services
Account BG1297958
Please reference account on all payments
111111 lit 1111 1701 STATEMENT NP13755210
DATE 08101/2008
CITY OF CARMEL -DOCS DUE DATE 08/1512008
1 CIVIC SQ TOTAL BALANCE DUE $90.16
CARMEL IN 46032 -2584
PAYMENT TERMS Net 14 days MN
it ?-=y :nclludc about your account.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 7/31/2008
Date Description Gallons Amount Due
08/01/2008 Fleet 1315350 Name: CITY OF CARMEL -DOGS 23.303 $90.16
Current Activity
Previous
Statement Prior Balance Payments and
Ad Gallons Charges Total Balance Due
Adjustments
Date J
07/01/2008 $0.00 $0.00 23.303 $90.16 $90.16
FOR PROPER PAYMENT POSTING. PLEASE SURMIT YOUR CHFCK WITH ONI Y THE RFMITTONCF COPY RFI OW
2G7a N11.z006nBOlnznol nl ant
cEaVS 7 A
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1297958
FLEET 1315350
Provided B Name: CITY OF CARMEL -DOCS
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP13755210
Page: 1 of 1
CITY OF CARMEL -DOCS
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 7!112008 7/31/2008
SUMMARY OF T RANSACTIONS THI REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 23.303 $76.06 $4.32 $9.78 $0.00 $90.16
otal €a 23:303 :G $76 06 $4:321 $9 $��3�'
3..= x.__ _.�,.,.r.. ,fi��rE-a. 4�� c'_?__,._...�.'..� -K..,:
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
ransact�on Detatl,for Cus #gmer N0 X 1315350 CITY,OF %CARMEL -DOM 711/2008 7 13112()08, y a
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
s u 'm a Y's a r% n i .Y' <r.' rY€ G
567153 ROCS 3 ;Q'; u.. a a
x..x.,... 3 a, c.3�'�,i+aa° �r a�� h, b r',v a,�" �s�i�r.r�.� H n"� 0 a �..az�__ �ai:� .�T'x a �1��'� gA� '�`,�.a'
07/23 15:15 885419 DRIVER 1 1179 0.0 UNL 10.213 3.27430 0.60529 $39.62
07124 22:09 885419 DRIVER 1 12271 0.0 UNL 5.032 3.27110 0.60571 $19.52
07126 13:41 890241 DRIVER 1 112474 0.0 UNL 8.058 3.24650 0.60353 $31.02
Miles: 23.303 $90.16
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 -p @p 545 S Rangeline Rd Carmel IN
890241 Gasamerica #217 -p @p 2002 E 53rd St Anderson 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
r
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total fi
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
QU IN SUM OF
C,l 363 zl8- 5
ON ACCOUNT OF APPROPRIATION FOR
n oCS
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
pEPT 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
o�9 200
Si t r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund