180348 12/14/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CARMEL, INDIANA 46032 PO sox 105080 CHECK AMOUNT: $199.22
ATLANTA GA 30348 -5080
CHECK NUMBER: 180348
CHECK DATE: 12/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 199.22 BG1298138
26731 1 2W91103702D1 o 27
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rA Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298138
Please reference account on all payments
IIII I III I IIIII IIIII III III III 27 STATEMENT NP22385105
DATE 12/04/2009
CITY OF CARMEL- POLICE DUE DATE 01/03/2010
1 CIVIC SQ TOTAL BALANCE DUE $325.91
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For online statements and simple, automated payment setup, contact customer service at cardservices @fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 11/30/2009
Date Description Gallons Amount Due
11/14/2009 PAYMENT: Lockbox Payment Thank You $189.08 CR
12/04/2009 Fleet 1315510 Name: CITY OF CARMEL- POLICE 71.995 $224.22
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
11101/2009 $289.99 $189.08 CR 71.995 $225.00 $325.91
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PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298138
FLEET 1315510
Provided By: Name: CITY OF CARMEL- POLICE
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP22385105
Page: 1 of 1
CITY OF CARMEL POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 11/1/2009 11/30/2009
SUIMMARY -OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 34.168 $72.57 $6.35 $11.60 $0.00 $90.52
UNL+ 37.827 $88.31 $7.01 $13.38 $0.00 $108.70
Total 71995 �,$16088� $13.36 $2498 $000
x $.199 22
L s.
Late Fee on Invoice #21339573 $25.00
Finance Charge $0.78
Report Total $225.00
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,308
Transactlor►$Detall I Customer NO 1315510 `CITY OF CARMEL POLICE 11/1/2009 11%30/2009
...,e
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
x
144 CAR 144 ar„ 1 �'y.
11/12 10:08 885419 DRIVER 10 3479 0.0 UNL 17.018 2.07720 0.52222 $44.23!/
11/30 10:21 885407 DRIVER 10 4382 0.0 UNL 17.150 2.17030 0.52867 $46.29
Miles: 34.168 $90.52
:167169 CAR29� E x
11/06 16:27 885419 DRIVER 10 11189 34.8 UNL+ 4.687 2.35760 0.54232 $13.59
11/13 10:15 885419 DRIVER 10 11343 32.7 UNL+ 4.712 2.26440 0.53507 $13.19
11/23 10:36 885419 DRIVER 10 11523 40.8 UNL+ 4.414 2.32220 0.53902 $12.62
Miles: 497 36.1 13.813 $39.40
567168 -CAR 119
A;i OWN 11/04 6 12:6 885419 D VER 10 27224 33.2 UNL 3.76 2.45020 0.54845 $11.30
a.
11/11 10:57 885419 DRIVER 10 27383 36.5 UNL+ 4.358 2.26710 0.53423 $12.20
11/23 09:20 885419 DRIVER 10 27518 34.8 UNL+ 3.882 2.32100 0.53819 $11.10
Miles: 419 34.8 12.007 $34.60
X567168 'CAR�$c moo. y.
11/02 11:29 885419 DRIVER 10 22791 29.7 UNL+ 4.451 2.45340 0.54889 $13.35
11/11 10:26 885419 DRIVER 10 22929 32.3 UNL+ 4.269 2.26520 0.53519 $11.95
11/23 10:37 885419 DRIVER 10 23051 37.1 UNL+ 3.287 2.32130 0.54018 $9.40
Miles: 392 33.0 12.007 $34.70
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885407 Crystal Flash #34 6416 E St Rd 334 Whitestown IN
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
I
kLLOWED 20 i
IN SUM OF
I
Board Members
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 i
December 10 20 09
Signature
Chief of Police
Title
VOUCHER NO. WARRANT NO.
C rystal Flash Petroleum
P.O. Box 105080
Atlanta, GA 30348 -5080
199.22
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT.
11 .1
Cost distribution ledger classification if
claim paid motor vehicle highway fund