155153 01/08/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH
CARMEL, INDIANA 46032 P 0 Box 6134 CHECK AMOUNT: $225.37
wDPLS IN 46206 CHECK NUMBER: 155153
ti
CHECK DATE: 11812008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES
1115 4231400 613380 55.19 613380
1205 4231400 613395 157.28 613395
1110 4231400 613410 12.90 613410
4%
r
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613395 (317) 879 -2855
Invoice Date: 12/26/07
Transactions from 12/01/07 to 12/15/07
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
12/04/07 12 :01 pm CF CARMEL 87 NL 121,000 17.310 2.889 50.01
12107107 12:09 pm CF CARMEL 87 NL 99,858 16.630 2.819 46.88
12/11/07 08:21 am 633 W MAIN 87 NL 96,552 5.610 2.679 15.03
12/12/07 12:12 pm CF CARMEL 87 NL 96,523 18.080 2.959 53.50
Totals for Card# 5814007 57.630 165.42
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.58 No Products Total: 135.72
Indiana Excise Tax Gas 10.37 No Tax Total: 29.70
Federal Excise Tax Gas 10.55 No Invoice Total: 165.42
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 8.14
Indiana Sales Tax 8.14 Yes Net Invoice: 157.28
Leaking Underground Storage Tank 0.06 No
Tax Total 29.70 Total Due: 157.28
if Payment received by Saturday, 01 /05 /2008Subtract from Total Due: $2.08
Date For Period Amount
Balance Fwd 0.00
Prev Invoice Balance 0.00
Current Invoice 157.28
Balance Due 157.28 I
i
Page 1 of 1
Prescnbed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995
f. 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
C rystal Flash Petroleum Corp Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/26107 613395 Ga s for Administration
157 -28�
Total —41-57 28
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 9IJ 0710 WARRANT NO.
O eum Orp ALLOWED 20
X b84 IN SUM OF
Indianapolis, IN 462_pR
$1 57.28
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
P a INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
57.28 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign ture�
Title T
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice
Crystal Flash Petroleum Corp.
r
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number. 613410 (317) 879 -2855
Invoice Date: 12/26/07
Transactions from 12/01/07 to 12/15/07
City of Carmel- Police Dept.
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671683 Car 119
12%12/07 02:12 pm CF CARMEL Mid NIL 18,003 4.083 3.159 12.90
Totals for Card# 5671683 4.083 12.90
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.04 No Products Total: 10.73
Indiana Excise Tax Gas 0.73 No Tax Total: 2.17
Federal Excise Tax Gas 0.75 No invoice Total: 12,90
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 0.64
Indiana Sales Tax 0.64 Yes Net Invoice: 12.26
Leaking Underground Storage Tank 0.00 No
Tax Total 2.17 Total Due: 12.26
If Payment received by Saturday, 01 /05 /2008Subtract from Total Due: $0.16
Date For Period Amount
Balance Fwd 0.00
Prev Invoice Balance 0.00 l
Current Invoice 12.26
I
Balance Due 12.26
i
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 Petroluem 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))
12126107 paympn fnr gasoline 12.90
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
N atal Flash Petx'1) IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
12-90
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 314 1 2 90 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 ns
Signature
Acting Chief of Police
T
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
q
qk
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613380 (317) 879 -2855
Invoice Date: 12/26/07
Transactions from 12/01/07 to 12/15/07
City of Carmel- Communications
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671498 Communications -3
12/01107 06:24 pm OF CARREL Mid NL 4,594 22.316 2.599 58.00
Totals for Card# 5671498 22.316 58.00
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.22 No Products Total: 46.84
Indiana Excise Tax Gas 4.02 No Tax Total: 11.16
Federal Excise Tax Gas 4.08 No Invoice Total: 58.00
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 2.81
Indiana Sales Tax 2.81 Yes Net Invoice: 55.19
Leaking Underground Storage Tank 0.02 No
Tax Total 11.16 Total Due: 55.19
If Payment received by Saturday, 01 /05 /2008Subtract from Total Due: $0.89
Date For Period Amount I
Balance Fwd 0.00
Prev Invoice Balance 0.00
Current Invoice 55.19
Balance Due 55.19
Page 1 of 1
VOUCHER NO. !:NARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
P.O. Box 684
Indianapolis, Indiana 46206
$55.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# De t.# INVOICE NO. I ACCT /TITLE AMOUNT Board Members
42- 314.00 $55.19 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
Wednesday, January 02, 2008
4,�
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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))
12/26/07 I I I $55.19
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