155618 01/21/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH
CARMEL, INDIANA 46032 P o Box 684 CHECK AMOUNT: $1,194.21
INDPLS IN 46206 CHECK NUMBER: 155618
CHECK DATE: 112112009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 13.30 GASOLINE
1120 4231400 1,037.27 GASOLINE
1205 4231400 143.64 GASOLINE
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613375
(317) 879 -2855
Invoice Date: 12/26/07
Transactions from 12/01/07 to 12/15/07
City of Carmel -Fire
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671482 Car 4501
12103/07 01:44 pm CF CARMEL 87 NL 14,500 13.305 2.889 38.44
12/06/07 10:52 am CF CARMEL Mid NL 24,185 20.007 2.599 52.00
12/07/07 12:25 pm CF CARMEL Mid NL 14,500 8,345 2.599 21.69
12110107 08:25 am CF CARMEL Mid NL 14,500 16.614 2.599 43.18
12/13/07 08:33 am CF CARMEL Mid NL 14,500 8.776 2.599 22.81
12/14/07 08:22 am CF CARMEL Mid NL 14,500 16.002 2.599 41.59
Totals for Card# 5671482 83.049 219.71
Card# 5671484 car 4503
12/03/07 11:20 am CF CARMEL 87 NL 17,623 14.039 2.889 40.56
12/09/07 02:48 pm CF CARMEL Mid NL 17,833 12.570 2.599 32.67
12/13/07 05:29 pm CF CARMEL Mid NL 18,022 12.154 2.599 31.59
12/15/07 12:18 pm CF CARMEL 87 NL 48,926 23.844 3.059 72.94
Totals for Card# 5671484 62.607 177.76
Card# 5671492 Car 41508
12/04/07 08:24 am CF CARMEL 87 NL 42,851 13.478 2.889 38.94
12/06/07 03:42 pm CF CARMEL Mid NL 43,030 8.830 2,599 22.95
12107107 08:17 am CF CARMEL Mid NL 43,159 7.702 2.599 20.02
12/10/07 04:12 pm CF CARMEL Mid NL 43,425 13.297 2.599 34.56
12/12/07 08 :30 am CF CARMEL Mid NL 43,621 10.750 2.599 27.94
12/14/07 03:53 pm CF CARMEL Mid NL 43,792 9.742 2.599 25.32
Totals for Card# 5671492 63.799 169.73
Page 1 of 2
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613376 (317) 879 -2855
Invoice Date: 12/26/07
Transactions from 12101107 to 12/15/07
City of Carmel -Fire
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671501 Utility 41
12/03/07 09:13 am CF CARMEL 87 NL 42,93 18.670 2.949 55.06
Totals for Card# 5671501 18.670 5S.06
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 2.28 No Products Total: 506.55
Indiana Excise Tax Gas 41.06 No Tax Total: 115.71
Federal Excise Tax Gas 41.75 No Invoice Total: 6Z2.Z6
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax E Tota 30.39
Indiana Sales Tax 30.39 Yes Net Invoice: 591.87
Leaking Underground Storage Tank 0.23 No
Tax Total 115.71 Total Due: 591.87
If Payment received by Saturday, 01 /05 /2008Subtract from Total Due: $9.13
Date For Period A3nount
Balance Fwd 0.00 4
Invoice 10/05/07 09101/07 to 09/30/07 1,337.96
Invoice 11/06/07 10/16/07 to 10/31/07 786.21
Invoice 11/21/07 11/01/07 to 11115/07 435.45
Payment 11/12/07 09/01/07 to 09/30/07 1,285.54
Discount 10/31/07 10/16/07 to 10/31/07 -16.25
Discount 12/20/07 09/01/07 to 09/30/07 -16.25
Discount 12/20/07 10/16/07 to 10/31/07 -10.62
Prev Invoice Balance 1,230.96
Current Invoice 591.87
Balance Due 1,822.83
Page 2 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: 01/08/08
Transactions from 12/16/07 to 12/31/07 This is a CORRECTED invoice for activity 12116/2007 12131/2007.
Due to electronic polling issues, three days of activity were not listed on
your invoice dated 11512008. Please disregard the invoice dated
1/5/2008.
City of Carmel -Fire Sorry for the inconvenience.
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671482 Car 4501
12117107 02:08 pm CF CARMEL Mid NL 14,500 13.374 2.599 34.76
12/19/07 05:01 pm CF CARMEL Mid NL 14,500 16.013 2.599 41.62
12/21/07 08:24 am CF CARMEL Mid NL 14,500 19.080 2.599 49.59
12/26/07 12:11 pm CF CARMEL Mid NL 14,500 14.063 2.599 36.55
12/28/07 08:15 am CF CARMEL Mid NL 14,500 11.050 2.599 28.72
12/31/07 09:59 am CF CARMEL Mid NL 14,500 13.462 2.599 34.99
Totals for Card# 5671482 87.042 226.23
Card# 5671484 car 4503
12/18/07 07:13 pm CF CARMEL Mid NL 18,254 13.924 2.599 36.19
12/22/07 07:45 pm CF CARMEL Mid NL 18,370 9.399 2.599 24,43
12/26/07 11:57 am CF CARMEL Mid NL 18,560 11.004 2.599 28.60
12/31/07 03:06 pm CF CARMEL Mid NL 18,700 10.084 2.599 26.21
Totals for Card# 5671484 44.411 115.43
Card# 5671486 Car 4505
12/21/07 06:24 am CF N COLLEGE 87 NL 1 2.906 2.959 8.60
Totals for Card# 5671486 2.906 8.60
Card# 5671492 Car 4508
12/17/07 04:38 pm CF CARMEL Mid NL 43,993 11.354 2.599 29.51
12/20/07 08:04 am CF CARMEL Mid NL 44,212 11.943 2.599 31.04
12121107 04:55 pm CF CARMEL Mid NL 44,333 7.472 2.599 19.42
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: 01/08/08
Transactions from 12/16/07 to 12/31/07 This is a CORRECTED invoice for activity 12/16/2007 12/31/2007.
Due to electronic polling issues, three days of activity were not listed on
your invoice dated 1/5/2008. Please disregard the invoice dated
1/5/2008.
City of Carmel -Fire Sorry for the inconvenience.
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671492 Car 4508
12/24/07 08:46 pm CF CARMEL Mid NL 44,584 14.567 2.599 37.86
Totals for Card# 5671492 45.336 117.83
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 1.80 No Products Total: 378.19
Indiana Excise Tax Gas 32.35 No Tax Total: 89.90
Federal Excise Tax Gas 32.88 No Invoice Total: 468.09
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt To t a l: 22.69
Indiana Sales Tax 22.69 Yes Net Invoice: 445.40
Leaking Underground Storage Tank 0.18 No
Tax Total 89.9 Total Due: 445.40
If Payment received by Friday, 01 /18 /2008Subtract from Total Due: $7.19
I Date For Period Amount
Balance Fwd 0.00
Invoice 10/05/07 09/01/07 to 09/30/07 1,337.96 i
Invoice 11/06/07 10/16/07 to 10/31/07 786.21
Invoice 12/26/07 12/01/07 to 12/15/07 591.87
Payment 11/12/07 09/01/07 to 09/30/07 1,285.54
Discount 10/31/07 10/16/07 to 10/31/07 -16.25 j
Discount 12/20/07 09/01/07 to 09/30/07 -16.25
Discount 12/20/07 10/16/07 to 10/31/07 -10.62
Prev Invoice Balance 1,387.38
i
Current Invoice 445.40
Balance Due 1,832.78
Page 2 of 2
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))
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
is (are) true and correct and that the
materials or services itemized thereon for
S which charge is made were ordered and
received except
ii
Signatul;
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613395 (317) 879 -2855
Invoice Date: 01/05/08
Transactions from 12/16/07 to 12/31/07
City of Carmel- Maintenance
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5814007 Grass 42
12/17/07 12:24 pm CF CARMEL 87 NL 5,663 16.619 3.059 50.84
12/24/07 11:19 am CF CARMEL 87 NL 49,000 18.678 2.899 54.15
12/28/07 04:16 pm CF CARMEL 87 NL 5,432 14.888 3.099 46.14
Totals for Card# 5814007 50.185 151.13
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.50 No Products Total: 124.87
Indiana Excise Tax Gas 9.03 No Tax Total: 26.26
Federal Excise Tax Gas 9.18 No Invoice Total: 151.13
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No T Exe mpt T 7.49
Indiana Sales Tax 7.49 Yes Net Invoice: 143.64
Leaking Underground Storage Tank 0.05 No
Tax Total 26,26 Total Due: 143.64
If Payment received by Tuesday, 01 /15 /2008Subtract from Total Due: $2.01
Date For Period Amount
I
Balance Fwd 0.00
Invoice 12/26/07 12/01/07 to 12/15/07 157.28 I
Prev Invoice Balance 157.28
Current Invoice 143.64
I
Balance Due 300.92
Page 1 of 1
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
Crystal Flash Petroleum Corp. Purchase order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/05/08 613395 S fOiP -ministrathan $143.64
Total MCI 64
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER W /IB[Q$_WARRANT NO.
e ro eum orp ALLOWED 20
OX 684 IN SUM OF
Indiana olis,IN 4.6206
$143.64
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
D PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
314 $143.64 materials or services itemized thereon for
which charge is made were ordered and
received except
20
I 'fore
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613410
(317) 879 -2855
Invoice Date: 01/08/08
Transactions from 12/16/07 to 12/31/07 This is a CORRECTED invoice for activity 12/16/2007- 12/31/2007.
Due to electronic polling issues, three days of activity were not listed on
your invoice dated 1/5/2008. Please disregard the invoice dated
1/5/2008.
City of Carmel- Police Dept. Sorry for the inconvenience.
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671693 Car 129
12/21/07 10:36 am CF CARMEL Mid NL 3,475 4.445 3.149 14.00
Totals for Card# 5671693 4.445 14.00
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.04 No Products Total: 11.64
Indiana Excise Tax Gas 0.80 No Tax Total: 2.36
Federal Excise Tax Gas 0.81 No Invoice Total: 14.00
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt To t a l: 0.70
Indiana Sales Tax 0.70 Yes Net Invoice: 13.30
Leaking Underground Storage Tank 0.00 No
Tax Total 2.36 Total Due: 13.30
If Payment received by Friday, 01 /18 /2008Subtract from Total Due: $0.18
Date For Period Amount i
Balance Fwd 0.00
Invoice 12/26/07 12/01/07 to 12/15/07 12.26
i
Prev Invoice Balance 12.26
Current Invoice 13.30
I
Balance Due 25.56
Page 1 of 1
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 Corp. Purchase Order No.
P.O. Box 684 Terms
Indianapoils, IN 46206 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/ 8/08 12aymen t for gasoline 13.30
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
Cry�'tal Flash Petroleum Corp.
IN SUM OF
P.O. Box 684
Indianapolis,
i3 -3n
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
4 Board Members
D E PT_ INVOICE NO. ACCT #(TITLE AMOUNT I hereby certify that the attached invoice(s), or
iiin 114 13,3Q 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
jnnij 14 20
Signature
CHief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund