158857 04/30/2008 =�4� CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $93.58
o CARMEL, INDIANA 46032 P o BOX 684
INDPLS IN 46206 CHECK NUMBER: 158857
CHECK DATE: 4/30/2008
DEPARTMENT `]ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 52.24 GASOLINE
651 5023990 41.34 OTHER EXPENSES
S
Invoice
r, Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613410 (317) 879 -2855
Invoice Date: 04/22/08
Transactions from 04/01/08 to 04/15/08 ATTENTION FLEET MANAGERS:
See important information included in this mailing concerning our new
fleetcard program.
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# 5671682 Car 118
04/02/08 01:24 pm CF CARMEL Mid NL 14,868 4.338 3.349 14.53
Totals for Card# 5671682 4.338 14.53
Card# 5671683 Car 119
04/15/08 10:01 am CF CARMEL Mid NL 13,233 4.136 3.699 15.30
Totals for Card# 5671683 4.136 15.30
Card# 5671692 Car 128
04/07/08 08:05 am CF CARMEL Mid NL 1,954 4.796 3.469 16.64
Totals for Card# 5671692 4.796. 16.64
Card# 5671693 Car 129
04/07/08 08:03 am CF CARMEL Mid NL 3,740 2.597 3.469 9.01
Totals for Card# 5671693 2.597 9.01
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.16 No Products Total: 46.30
Indiana Excise Tax Gas 2.86 No Tax Total: 9,18
Federal Excise Tax Gas 2.90 No Invoice Total: 55.48
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 3.24
Indiana Sales Tax 3.24 Yes Net Invoice: 52.24
Leaking Underground Stogy age Tank 0.02 No
Tax Total 9.18 Total Due: 52.24
If Payment received by Friday, 05 /02 /2008Subtract from Total Due: $0.63
Date._ For: Peeiod Amount
Balance Fwd 0.00
Invoice 04/07/08 03/16/08 to 03/31/08 74.93
Prev Invoice Balance 74.93
Current Invoice 52.24
x
Balance Due 127.17
Page 1 of 1
Prescribed':;; 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))
4/22/08 paymet for gasoline 52.24
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
C�y 'stal Flash Petroleum Corp IN SUM OF
P.0 Box 684
Indianapolis, TN 46206
52.24 f�
ON ACCOUNT OF APPROPRIATION FOR
p olic e genera f un d
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 314 52.24 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
April 24 2008
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Invoice
1 Crystal Flash Petroleum Corp.
P.O. Box 684
Indianapolis, IN 46206 USA
(317) 879 -2849
Account Number: 613405 (317) 879 -2855
Invoice Date: 04/07/08
Transactions from 03/16/08 to 03/31/08
City of Carmel- Utilities
One Civic Square
Attn: Shelly Lingelbaugh
Carmel, Indiana 46032 Pump
Transaction Date Purchase Site Product Odometer Qty Price Amount
Card# 5671.774 1 05.ChevvEquinox #127
03/20/08 03:31 pm CF CARMEL 87 NL 22,606 13.272 3.279 43.52
Totals for Card# 5671774 13.272 43.52
Invoice Taxes Amount Due Exempt
Indiana Inspection Fee 0.13 No Products Total: 36.37
Indiana Excise Tax Gas 2.39 No Tax Total: 7.15
Federal Excise Tax Gas 2.43 No Invoice Total: 43.52
Indiana Excise Tax Distillate 0.00 No
Federal Excise Tax Distillate 0.00 No Tax Exempt Total: 2.18
Indiana Sales Tax 2.18 Yes Net Invoice: 41.34
Leaking Underground Storage Tank 0.01 No
T T 7,15 Total Due: 41.34
If Payment received by Thursday, 04/17/2008 Subtract from Total Due: $0.53
Date For Period Amount
Balance Fwd 0.00
Prev Invoice Balance 0.00 I
Current Invoice 41.34 i
Balance Due 41.34
j
Page 1 of I
VOUCHER 085302 WARRANT ALLOWED
69001 IN SUM OF
CRYSTALFLASH
PETROLEUM CORPORATION
O BOX 684
ENDIANAPOLIS, IN 46206
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
040708 01- 7500 -02 $41.34
x: Voucher Total $41.34
;Cost distribution ledger classification if
claim paid under 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 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 4/16/2008
INDIANAPOLIS, IN 46206
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2008 040708 $41.34
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