159844 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH
f, CARMEL, INDIANA 46032 P 0 80X664 CHECK AMOUNT: $343.01
INDPLS IN 46206 CHECK NUMBER: 159844
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 248.66 GASOLINE
1192 4231400 42.35 GASOLINE
1110 4231400 .213050 52.00 GASOLINE
f
Invoice
r Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849 rtir�1�1 0`
pity of
Account Number: 613390 (317) 879 -2855
t
Invoice Date: 05/19/08 t y
Transactions from 05/01/08 to 05/15/08 R I)fi COMM
City of Carmel- DOCS
One Civic square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
_L;ard# 56i_1.534_ R0CS -1_
05/08/08 08:28 pm CF CARMEL 87 NL 11,288 11.693 3.849 45.01
Totals for Card# 5671534 11.693 45.01
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.12 No Products Total: 37.98
Indiana Excise Tax Gas 2.10 No Tax Total: 7.03
Federal Excise Tax Gas 2.14 No Invoice Total: 45.01
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 2.66
Indiana Sales Tax 2.66 Yes Net Invoice: 42.35
Leaking Underground Storage Tank 0.01 No
Tax Total 7.03 Total Due: 42.35
If Payment received by Thursday, 05 /29 /2008Subtract from Total Due: $0.47
Date For Period Amount
Balance Fwd 0.00
Prev Invoice Balance 0.00
Current Invoice 42.35
Balance Due 42.35
Page 1 of 1
Prescribed by State Board of ACCOUnis 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total a 3,5
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 NO. WARRANT NO.
n ALLOWED 20
IN SUM OF
6 g
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�qa 3 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
200 9
ignat r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Invoice Page 1 of 1
Crystal Flash Petroleum LLC
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
(317) 879 -2855 (fax)
Account Number: 613410 Amount Due: 52.00
Invoice Number: 213050
Invoice Date: 04/22/08 10:32AM Due Date. 05/22/08
Shipping Address:
City of Carmel- Police Dept. City of Carmel- Police Dept.
One Civic Square One Civic Square
Attn: Shelly Lingelbaugh Attn: Shelly Lingelbaugh
Carmel, IN 46032 Carmel, IN 46032
Please return top portion with your payment.
Carrier: Counter Sales Delivery Date: 04/22/2008 Salesperson: Ann McGrew
Terms: 4cent per gallon 10 days/ 'Purchase Order Number: none BOIL Number: 213050
HM DOT- Name, Class, ID, Group
Product Product Description Quantity Loaded Quantity Billed Unit Price Extended Price
Shipment Date: 04/22/2008 Document No.: 213050
Manual Charge Manual Charge 1.0000 0.00 0.00000 $52.00
Products Total: $52.00
Tax Total: $0.00
In consideration of Crystal Flash Petroleum Corporation furnishing the items set forth on this Invoice Total: $52.00
invoice, it is agreed that in the event full payment is not made within terms, Crystal Flash Discount Total: $0.00
Petroleum Corporation shall have the right to charge interest at the highest rate permitted by law. Net Invoice Total: $52.00
In the event that Crystal Flash Petroleum Corporation is required to employ an attorney for
collection of the sum set forth in this invoice, the Purchaser has agreed and does agree to pay Total Due: $52.00
reasonable attorney fees and costs of collection. 317 -879 -2849
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613410 (317) 879 -2855
Invoice Date: 05/06/08
Transactions from 04/16/08 to 04/30/08 Attention Owners and Fleet Managers:
Your new Mannatec fleet fueling cards will be arriving soon. Please
contact Ann McGrew at 317 879 -2868 ext. 1061 with any questions or
concerns you may have. Thank you.
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# 5671668 Car 104
04/16/08 08:21 am CF CARMEL 87 NL 42,016 2.942 3.395 10.00
Totals for Card# 5671668 2.942 10.00
Card# 5671677 Car 113
04/26/08 12:48 am CF CARMEL 87 NL 91,043 12.224 3.619 44.24
Totals for Card# 5671677 12.224 44.24
Card# 5671682 Car 118
04/16/08 12:30 pm CF CARMEL Mid NL 14,806 4.292 3.599 15.45
04/25/08 11 :06 am CF CARMEL Mid NL 14,941 4.886 3.819 18.66
Totals for Card# 5671682 9.178 34.11
Card# 5671683 Car 119
04/22/08 11:02 am CF CARMEL Mid NL 18,350 3.990 3.859 15.4
04/25/08 11:05 am CF CARMEL Mid NL 18,449 3.220 3.819 12.30
Totals for Card# 5671683 7.210 27.70
Card# 5671692 Car 128
04/24/08 11:44 am CF CARMEL Mid NL 2,097 4.768 3.859 18.40
Totals for Card# 5671692 4.768 18.40�
Card# 5671693 Car 129
04/16/08 12:29 pm CF CARMEL Mid NL 3,877 4.823 3.599 17.36"'
v 4/22JO0 v3: r4 pn'i. CF CARiviEL Mid NL 3,987 3.975 3.859 15.34
Page 1 of 2
Invoice
Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613410 (317) 879 -2855
Invoice Date: 05/06/08
Transactions from 04/16/08 to 04/30/08 Attention Owners and Fleet Managers:
Your new Mannatec fleet fueling cards will be arriving soon. Please
contact Ann McGrew at 317 -879 -2868 ext. 1061 with any questions or
concerns you may have. Thank you.
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# 5671693 Car 129
04/29/08 03:43 pm CF CARMEL Mid NL 4,116 4.539 3 17.97
Totals for Card# 5671693 13.337 50.67
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.50 No Products Total: 155.65
Indiana Excise Tax Gas 8.94 No Tax Total: 29.47
Federal Excise Tax Gas 9.09 No Invoice Total: 185.12
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 10.90
Indiana Sales Tax 10.90 Yes Net Invoice: 174.22
Leaking Underground Storage Tank 0.05 No
T T otal 29.47 Total Due: 174.22
If Payment received by Friday, 05/16/2008 Subtract from Total Due: $1.99
Date For Period Amount
Balance Fwd 0.00
Invoice 04/22/08 04/01/08 to 04/15/08 52.24
Prev Invoice Balance 52.24
Current Invoice 174.22
Balance Due 226.46
Page 2 of 2
r`
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
Indianaplis, IN 46206 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/6/08 monthly payment 174-22
4/22/08 payment for gasoline 52.00
Total 226.22
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 NO. WARRANT NO.
ALLOWED 20
Crystal Flash Petroleum Corp. IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
EM= 226.22
ON ACCOUNT OF APPROPRIATION FOR
police ge fun
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 314 174.22 bill(s) is (are) true and correct and that the
1110 213050 314 52.00 materials or services itemized thereon for
which charge is made were ordered and
received except
May 21 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
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: 05/19/08
Transactions from 05/01/08 to 05/15/08
City of Carmel- Police Dept.
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transac Date Purchase Site Product Odomete Qty Pric Amount
Gard# 5671 682 d� ,_�st
.,,,..�F sit
05/09/08 10 :05 ar r-%�: .A -f v.MIEL I'4iC' 15,05? 4:401 4.049 17.82
Totals fo Card 5671682 4.4 17.82
Card# 5671683 Car 119
05/05/08 02:11 pm CF CARMEL 87 NL 18,558 3.836 3.649 14.00
05/15/08 01:49 pm CF CARMEL Mid NL 18,675 4.183 4.159 17.40
Totals for Card# 5671683 8.019 31.40
Card# 5671692 Car 128
05/05/08 01:49 pm CF CARMEL Mid NL 22,211 4.497 3.849 17.31
Totals for Card# 5671692 4.497 17.31
Card# 5671693 Car 129
05/09/08 10:05 am CF CARMEL Mid NL 4,204 3.111 4.049 12.60
Totals for Card# 5671693 3.111 1.2.60
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.20 No Products Total: 66.95
Indiana Excise Tax Gas 3.61 No Tax Total: 12.18
Federal Excise Tax Gas 3.67 No
Indiana Excise Tax Distillate 0.00 No Invoice Total: 79.13
Federal Excise Tax Distillate 0.00 No Ta;: Exei pt Total: 4.69
Indiana Sales Tax 4.69 Yes Net Invo;ce; 74.'14
Leaking Underground Storage Tank 0.02 No
T Tot 12,18 Total Due: 74.44
If Payment received by Thursday, 05 /29 /2008Subtract from Total Due: $0.80
Date For Period Amount
Balance Fwd 0.00
Invoice 05/06/08 04/16/08 to 04/30/08 174.22
Prev Invoice Balance 174.22
Current Invoice 74.44
Balance Due 248.66
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
Indianapolis, IN 46206 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/19/08 payment for gasoline 74.44
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
Crystal Flash Petroleum Corp. IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
74.44
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
314 74.44 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
Mav 20 08
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund