180043 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
f ONE CIVIC SQUARE CRYSTAL FLASH
CHECK AMOUNT: $855.17
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080
�o CHECK NUMBER: 180043
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 BG1297998 855.17 BG1297998
From: 12/04/2009 15:10 #190 P.002/004
12, 04/2009 1:52:13 PM —0500 FLEETDETAILS PAGE 2 OF 3
Local Office' Crystal Flash Petroleum PL
PO BOX 105080 For bllling questions call, (800) 903 -9368
ATLANTA, GA 30348 -5080
r
Account BG1297998
Please reference account on all payments
STATEMENT NP22385103
DATE 12/D412009
CITY OF CARMEL FIRE DUE DATE 01/03/2010
1 CIVIC SQ
CARMEL IN 46032 TOTAL BALANCE DUE $$90.18
PAYMENT TERMS Net 30 MN
For online statements and simple, automated payment setup, contact customer service at
cards er v ices@ fl eetcor.com-
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 11130/2009
Date Description Gallons Amount Due
11/14/2009 PAYMENT: Lockbox Payment Thank You $339.08 CR
12/04/2009 Fleet 1315390 Name: CITY OF CARMEL -FIRE 347.828 $880.17
Current Activity i
Previous
statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
1110112009 $349.09 $339.08 CR 347.828 $880.17 $890.18
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITM ONLY THE REMITTANCE COPY BELOW.
REMITTANCE COPY- RETURN THIS STUB WITH PAYMENT Account BG1297998
From: 12/04/2009 15:10 #190 P.003/004
12!04/2009 1:52:13 PM 0500 FLEETDETAILS PAGE 3 OF 3
«]'1
105080
PO BOX FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1297998
FLEET 1315390
Provided By: Name: CITY OF CARMEL FIRE
Crystal Flash Petroleum PL MATCHING STATEMENT NP22385103
(800)903.9368
Page: 1 of 1
CITY OF CARMEL -FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 11/1/2009 11/30/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PR ODUC T QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 32.511 $68.64 $6.04 $11.01 $0.00 $85.69
UNL+ 315.317 $608.21 $58.62 $102.65 $0.00 $769.48
:a- ar >r a�z. a; ;;.Tr• 4 =:•aso!ze' r y
iT.Q1�h r'i' r 1 wr ylti yi *.iv` f $4�'c 1 r� r -Y rr ♦,r i j S ti� i# F�/ r t f S G r i f'iti, ,}�t.� t r p °�4�+ta S�
Late Fee on Involce #21339571 $25.00
Report Total $880.17
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 2,571
tt�i '3y�R11�C�F#!')
...o, ,.x.. ..,r ,n 5• yr,. _r. .A., _......w.. ,5�.. fc.P ;t?: _�.....)�?..?�S.
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE"'
t ,7,- �'���4�Ift ufr..���..,�>�!.°�.I.S. f ly`: t:,: rFr /a`. n�✓ t it., �a`✓' h�. 5ft`,• x5. �r�a '�•v:�t f ,i�.` S C, C {.�r�- swsi��;�?,+
11/04 08:17 885419 DRIVER 1 18996 10.4 UNL+ 21.804 1.89050 0.50890 $52.31
11/13 17:30 885419 DRIVER 1 19489 24.2 UNL+ 20.333 1.94660 0.51262 $50.00
11/19 13:32 885419 DRIVER 1 19731 11.6 UNL+ 20.915 1.94650 0.51264 $51.43
Miles: 962 15.4 63.052 $153.74
I a.rk�F'� f5 t F T w 5zh §r4 FS �Y r,} 4r` 46 ,j. t5tn 1(I:�i "hJ ��.ft
•.,;4 .i. ,.a. it~� t.... ,n%. �zY n ?.r...,!.v n,. 1,.... t.: 4 r•r, „n 1. <;3ae i'1 at,•,1 r t...,, r,.r,.. Y v_ r ..r•.. r r :.[,...:.r t, 1,+ .t,. G.. a ...t r ,e.,,,.
11/04 08:30 885419 DRIVER 1 14500 0.0 UNL+ 19.270 1.89000 0.50875 $46.23
11106 14:50 885419 DRIVER 1 14500 0.0 UNL+ 17.690 1.89030 0.50874 $42.44
11/09 08:22 885419 DRIVER 1 14500 0.0 UNL+ 19.324 1.88990 0.50890 $46.36
11113 10:24 885419 DRIVER 1 14,500 0.0 UNL 12.666 2.07720 0.52196 $32.92
11/16 08 :27 885419 DRIVER 1 14500 0.0 UNL+ 21.781 1.94620 0.51272 $53.56
11/19 08:29 885419 DRIVER 1 14500 0.0 UNL+ 13.005 1.94690 0.51277 $31.98
11120 08:26 885419 DRIVER 1 14500 0.0 UNL+ 14.412 1.94700 0.51259 $35.44
11/23 08:26 885419 DRIVER 1 14500 0.0 UNL+ 18.080 1.94640 0- 51307 $44.46
11/25 08:23 885419 DRIVER 1 14500 0.0 UNL+ 12.850 1.94710 0.51286 $31.60
11/30 08:28 885419 DRIVER 1 14500 0.0 UNL 19.845 2.13300 0.52606 $5277
Miles: 168.923 $417.76
rn' ?I'..,.. La ',/.t ✓..a:1.'�1`?:2f?,.1..,. v. ...J1�,..c£.eje v.. r{...,✓ ,.i�1.,l.J..,[.)- .i.u,......k. :,�2... ,.r.[. A...i .L�. [:,?,r_f1•.i:.r' ..r.4 a,i w,.i ✓4,ifd
11106 08:07 885419 DRIVER 1 78983 0.0 UNL+ 20.304 1.89030 0.50888 $48.71
11109 16:48 885419 DRIVER 1 79176 12.6 UNL+ 15.327 1.94620 0.51291 $37.69
11/13 16:43 885419 DRIVER 1 79417 12.0 UNL+ 20.154 1.94600 0.51285 $49.56
11/16 09:13 885419 DRIVER 1 7%82 12.1 UNL+ 21.931 1.94660 0.51269 $53.93
11120 15:55 885419 DRIVER 1 80055 26.0 UNL+ 14.331 1.94680 0.51267 $35.24
11/25 08:05 885419 DRIVER 1 80592 22.6 UNL+ 23.806 1.94570 0.51284 $58.54
Miles: 1609 17.1 115.853 $283.67
SITE LEGEND
S ITE SITE NA ME ADDRESS CITY STATE
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
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))
NP22385103 $885.17
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 N
ALLOWED 20
Crysta!•Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
�'c
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 NP22385103 42- 314.00 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
DEC 7 2009
F h h i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund