160813 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
0 ONE CIVIC SQUARE CRYSTAL FLASH
4 1 CARMEL, INDIANA 46032 P O BOX 684 CHECK AMOUNT: $7,052.56
INDPLS IN 46206 CHECK NUMBER: 160813
CHECK DATE: 612512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCR
1110 4231400 132.32 GASOLINE
1120 4231400 809.23 GASOLINE
X651 5023990 060508 111.01 OTHER EXPENSES
i
a
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613410 (317) 879 -2855
Invoice Date: 06/05/08
Transactions from 05/16/08 to 05/31/08
City of Carmel- Police Dept.
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
_Gard #_5671 -682 Car 118
05/20/08 08:29 am CF CARMEL Mid NL 15,204 4.613 4.079 18.82
05/27/08 03:10 pm CF CARMEL Mid NL 15,316 3.849 4.159 16.01,/
05/29/08 08:44 am CF CARMEL Mid NL 15,471 4.044 4.159 16.82
Totals for Card# 5671682 12.506 51.65
Card# 5671683 Car 119
05/20/08 08:29 am CF CARMEL Mid NL 18,784 3.677 4,079 15.00
05/28/08 09:06 am CF CARMEL Mid NL 18,896 3.726 4.159 15.50✓
05/29/08 08:44 am CF CARMEL Mid NL 19,049 3.510 4.159 14.60
Totals for Card# 5671683 10.913 45.10
Card# 5671692 Car 128
05/28/08 08:34 am CF CARMEL Mid NL 2,265 2.188 4.159 9.10
Totals for Card# 5671692 2.188 9.10
Card# 5671693 Car 129
05/27/08 03:10 pm CF CARMEL Mid NL 4,330 4.421 4.159 18.39
05/29/08 08:44 am CF CARMEL Mid NL 4,495 3.955 4.159 16.45
Totals for Card# 5671693 8.376 34.84
Invoice Taxes Amount Due Exempt
Indiana inspection Fee ^u.34 1+0 Products Total: 119.61
Indiana Excise Tax Gas 6.12 No Tax Total: 21.08
Federal Excise Tax Gas 6.22 No
Indiana Excise Tax Distillate 0.00 No Invoice Total: 140.69
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 8,37
Indiana Sales Tax 8.37 Yes Net Invoice. 132.32
Leaking Underground Storage Tank 0.03 No
Tax Total 21.08 Total Due: 132.32
If Payment received by Sunday, 06/15/2008 Subtract from Total Due: $1.36
Date For Reriod
Amount
Balance Fwd 0.00
Prev Invoice Balance 0.00
Current Invoice 132 -32
Balance Due 132.32
Page 1 of 1
Prescr by Stale 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 Corp. Purchase Order No.
P.O. Box 684 Terms
Indianapolis, IN 46206 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/5/08 monthly payment 132.32
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.
d
ALLOWED 20
Crystal Flash Petroleum Corp. IN SUM OF
P.O. Box 684
Indianaplis, IN 46206
132.32
ON ACCOUNT OF APPROPRIATION FOR
police geneal fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 132.32 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
June 16 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
t Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613375 (317) 879 -2855
Invoice Date: 06/05/08
Transactions from 05/16/08 to 05/31/08
City of Carmel -Fire
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# -5671 482 Car- 4501
05/16/08 08:22 am CF CARMEL Mid NL 14,500 19.914 3.399 67.69
05/20/08 08:55 am CF CARMEL Mid NL 14,500 17.547 3.299 57.89
05/22/08 08:27 am CF CARMEL Mid NL 14,500 17.444 3.499 61.04
05/23/08 02:12 pm CF CARMEL Mid NL 14,500 7.210 3.399 24.51
05/27/08 08:54 am CF CARMEL Mid NL 14,500 17.002 3.399 57.79
05/29/08 08:19 am CF CARMEL Mid NL 14,500 12.374 3.399 42.06
05/30/08 02:02 pm CF CARMEL Mid NL 14,500 8.134 3.399 27.65
Totals for Card# 5671482 99.625 338.63
Card# 5671484 car 4503
05/17/08 07:57 pm CF CARMEL Mid NL 25,699 14.015 3.399 47.64
05/22/08 09:51 am CF CARMEL Mid NL 25,916 12.697 3.499 44.43
05/25/08 04:28 pm CF CARMEL Mid NL 26,167 14.115 3.399 47.98
05129/08 11:51 am CF CARMEL Mid NL 26,434 14.654 3.399 49.81
05,31/08 01:18 pm CF CARMEL Mid NL 26,520 15.066 3.399 51.21
Totals for Card# 5671484 70.547 241.07
Card# 5671492 Car 4508
05/16/08 07:43 am CF CARMEL Mid NL 55,608 11.944 3.399 40.60
05/19/08 07:55 am CF CARMEL Mid NL 55,833 12.853 3.399 43.69
05/21/08 09:14 am CF CARMEL Mid NL 56,098 14.549 3.299 48.00
05!22108 09:42 am CF CARMEL_ Mid NL 56,279 9.857 3.499 34.49
05/23/08 01:42 pm CF CARMEL Mid NL 56,430 9.408 3.399 31.98
05/27/08 08:38 am CF CARMEL Mid NL 56,603 9.567 3.399 32.52
Page 1 of 2
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613375 (317) 879 -2855
Invoice Date: 06/05/08
Transactions from 05/16/08 to 05/31/08
City of Carmel -Fire
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card 5671492 -_Car 4548.
05/30/08 06:54 am CF CARMEL Mid NL 56,853 14.204 3.399 48.28
Totals for Card# 5671492 82.382 279.56
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 2.53 No Products Total: 714.77
Indiana Excise Tax Gas 45.46 No Tax Total: 144.49
Federal Excise Tax Gas 46.22 No Invoice Total: 859.26
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 50.03
Indiana Sales Tax 50.03 Yes Net Invoice: 809.23
Leaking Underground Storage Tank 0.25 No
Tax Total 144.49 Total Due: 809.23
If Payment received by Sunday, 06/15/2008 Subtract from Total Due: $10.10
Date For Period Amount
Balance Fwd 0.00
Invoice 10/05/07 09/01/07 to 09/30/07 1,337.96
Invoice 11/06/07 10/16/07 to 10/31/07 786.21
Invoice 05/19/08 05/01/08 to 05/15/08 687.92
Payment 11/12/07 09/01/07 to 09/30107 1,285.54
Discount 10/31/07 10/16/07 to 10/31107 -16.25
Discount 12 07 10/16/07 to 101 1/07 -10 -62
Discount 12/20/07 09/01/07 to 09/30/07 -16.25
Prev Invoice Balance 1,483.43
Current Invoice 809.23
Balance Due 2,292.66
Page 2 of 2
VOUCHER NO, WARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$80 9.2 3
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 42- 314.00 $809.23 1 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
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))
Fuel $809.23
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
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613405 (317) 879 -2855
Invoice Date: 06/05/08
Transactions from 05/16/08 to 05/31/08
City of Carmel- Utilities
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671720 1998, Ford; F250 #32G
05/30/08 09:11 am CF CARMEL 87 NL 13,021 29.509 3.999 118.01
Totals for Card# 5671720 29.509 118.01
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.30 No Products Total: 99.98
Indiana Excise Tax Gas 5.31 No Tax Total: 18.03
Federal Excise Tax Gas 5.40 No Invoice Total: 118.01
Indiana Excise Tax. Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 7,00
Indiana Sales Tax 7.00 Yes Net Invoice: 111.01
Leaking Underground Storage Tank 0,03 No
Tax Total 18.03 Total Due: 111.01
If Payment received by Sunday, 06/15/2008 Subtract from Total Due: $1.18
Date For Period Amount
Balance Fwd 0.00
Invoice 04/22/08 04/01/08 to 04/15/08 255.52
Prev Invoice Balance 255.52
Current Invoice 111.01
Balance Due 366.53
Page 1 of 1
Prescribed by State Board of Accounts City Form Flo. 204 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER:
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind.of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
69001
CRYSTAL FLASH Purchase Order No.
PETROLEUM CORPORATION Terms
PO BOX 684 Due Date 6/16/2008
INDIANAPOLIS, IN 46206
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2008 060508 $111.01
hereby certify that the attached invoice(s), or bill(s) is (are) true and
,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 085709 WARRANT ALLOWED
69001 IN SUM OF
CRYSTAL FLASH
PETROLEUM CORPORATION
P_O BOX 684
INDIANAPOLIS, IN 46206
A
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
060508 01- 7500 -08 $111.01
141
Voucher Total $111.01
Cost distribution ledger classification if
claim paid under vehicle highway fund