176535 08/20/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CHECK AMOUNT: $191.05
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 176535
CHECK DATE: 8/20/2009
DEPARTMENT ACCOUNT P O NU I NVOIC E NUMBE AM OUNT DESCRIPT
1110 4231400 BG1298138 191.05 GASOLINE
2673101200WW121501 M144
l
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
II I II IIII III I I I III 144 STATEMENT NP20351907
DATE 08/03/2009
CITY OF CARMEL- POLICE DUE DATE 09/02/2009
1 CIVIC SQ TOTAL BALANCE DUE $240.98
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 7/31/2009
Date Description Gallons Amount Due
07/25/2009 PAYMENT: Lockbox Payment Thank You $217.91 CR
08/03/2009 Fleet 1315510 Name: CITY OF CARMEL- POLICE 70.829 $216.05
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
07/01/2009 $242.64 $217.91 CR 70.829 $216.25 $240.98
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
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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 NP20351907
Page: 1 of 2
CITY OF CARMEL- POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 7/1/2009 7/31/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 14.193 $30.28 $2.64 $4.82 $0.00 $37.74
U NL+ 56.636 $123.37 $10.48 $19.46 $0.00 $153.31
T t 1 70 829.. x $153 65 $13 ,�g$
Late Fee on Invoice #18532997 $25.00
Finance Charge $0.20
Report Total $216.25
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,523
EXCEPTION CODES:
11 Odometer entry is out of sequence.
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Transaction DetaiI fo�ro u s�tome 0 1315510 �CIT�Y�OF CARMEL POLICE 7/1/2009 7131/2_009 X
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FUEL NET a TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
167169 CAR 129_
07/02 10:13 885419 DRIVER 10 9435 29.5 UNL+ 4.550 2.32090 0.53854 $13.01
07/07 14:12 885419 DRIVER 10 9565 30.1 UNL+ 4.319 2.23660 0.53334 $11.96
07/27 06:51 885412 DRIVER 10 9697 32.9 UNL+ 4.016 2.17380 0.52779 $10.84
Miles: 396 30.8 12.885 $35.81
07/02 10:46 885419 DRIVER 10� 4530 0.0 UNL+ 4.942 2.32090 0.53980 $14.13 11
07/14 14:33 885419 DRIVER 10 4668 29.7 UNL+ 4.650 2.06670 0.52214 $12.04
07/31 06:44 885419 DRIVER 10 4832 34.1 UNL+ 4.809 2.07740 0.52146 $12.50
Miles: 302 31.9 14.401 $38.67
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07/02 07:30 885419 DRIVER 10 24637 28.1 UNL+ 4.442 2.32330 0.53799 $12.70
07/10 09:57 885419 DRIVER 10 24766 30.1 UNL+ 4.279 2.17340 0.52780 $11.55
07/17 07:59 885419 DRIVER 10 24918 39.6 UNL+ 3.836 2.02030 0.51928 $9.74✓
07/23 08:58 885419 DRIVER 10 25000 22.0 UNL+ 3.732 2.07660 0.52327 $9.70
07/31 06:55 885412 DRIVER 10 25197 0.0 UNL+ 3 .924 2.07700 0.52116 $10.20,
Miles: 488 30.0 20.213 $53.89
567168: CAR 118 ,ra 3 3
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07102 10:13 885419 DRIVER 10 21001 32.3 UNL+ 2.696 2.31830 0.53910 $7.71
07/07 14:12 885419 DRIVER 10 21136 47.0 UNL+ 2.871 2.23270 0.53264 $7.95
07/31 10:37 885412 DRIVER 10 21251 32.2 UNL+ 3.570 2.07840 0.52156 $9.28
Miles: 337 37.2 9.137 $24.94
567x170 SCAR 109
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07/05 04:01 885419 DRIVER 10 86329 0.0 UNL 14.193 2.13350 0.52597 $37.74
Miles: 14.193 $37.74
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FLEET MANAGEMENT REPORT r
�L Account BG1298138
Po Box 105080 FLEET 1315510
ATLANTA, GA 30348 -5080
Name: CITY OF CARMEL- POLICE
MATCHING STATEMENT NP20351907
Page: 2 of 2
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885412 Crystal Flash #41 10598 N College Ave Indianapolis IN
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
Prescrih ^d 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
Crystal Fl as h Petroleum PL Purchase Order No.
P.O. Box 105080 Terms
Atla GA 3034 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/3/09 payment for gasoline 240.98
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 PL IN SUM OF
P.O. Box 105080
Atlanta, GA 30348 -5080
240.98
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
1110 314 8 bill(s) is (are) true and correct and that the
9) 0 materials or services itemized thereon for
which charge is made were ordered and
received except
August 13 20 09
&�AA 'P h 4""' A
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund