174811 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
t ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $217.91
s �o CARMEL, INDIANA 46032 PO BOX 105080
oN ATLANTA GA 30348 -5080 CHECK NUMBER: 174811
CHECK DATE: 7122/2009
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 BG1298138 217.91 BG1298138
2073101 20090]02)5201 00123
1
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 111111111111111111111111 II 123 STATEMENT NP19811655
DATE 07/03/2009
CITY OF CARMEL- POLICE DUE DATE 08/0212009
1 civic SO TOTAL BALANCE DUE $242.64
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For online statements le; automated payment setup, contact customer service at cardservices@fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 6/30/2009
Date Description Gallons Amount Due
06/09/2009 PAYMENT: Lockbox Payment Thank You $102.38 CR
06/25/2009 PAYMENT: Lockbox Payment Thank You $265.69 CR
07/03/2009 Fleet 1315510 Name: CITY OF CARMEL- POLICE 75.076 $217.91
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
06/0112009 $392.80 $368.07 CR 75.076 $217.91 $242.64
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
2673101 2679070276201 W12.1
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 NP19811655
Page: 1 of 1
CITY OF CARMEL- POLICE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 6/1/2009 6/30/2009
SUMMARY -OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 14.853 $34.05 $2.76 $5.21 $0.00 $42.02
UNL+ 60.223 $143.23 $11.17 $21.49 $0.00 $175.89
Total ,75 076 $177 28� $13 93 «a$26 70 $0 00 $217 91`
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 2,663
k
Transaction Detail for Customer NO 1315510 CITY OF CARMEL POLICE, 6/1/2009 6/30
a /2009 r
...v W w, n
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
„167169 'CAR 129
06/01 10:28 885419 DRIVER 10 8725 40.8 UNL+ 4.637 2.23640 0.53333 $12.84
06/05 08.53 885419 DRIVER 10 8903 38.9 UNL+ 4.581 2.38590 0.54399 $13.42
06/12 13:45 885419 DRIVER 10 9017 28.3 UNL+ 4.034 2.43180 0.54695 $12.02
06/17 13:50 885419 DRIVER 10 9161 40.1 UNL+ 3.591 2.33640 0.54020 $10.34
06/24 11:47 885419 DRIVER 10 9301 33.4 UNL+ 4.194 2.35810 0.54281 $12.16
Miles: 765 36.3 21.037 $60.78
06/03 08:09 85419 DRIVER 10 24026 X 32.1 UNL+ 3.176 2.41500 0
¢67168 ',CAR 119
.54593 $9.40
06104 10101 885419 DRIVER 10 24137 39.1 UNL+ 2.838 2.41370 0.54503 $8.40
06/12 07:35 885419 DRIVER 10 24267 31.2 UNL+ 4.162 2.43390 0.54649 $12.40✓
06/17 09:51 885419 DRIVER 10 24393 35.9 UNL+ 3.508 2.33750 0.54124 $10.10
06125 12:02 885419 DRIVER 10 24512 35.6 UNL+ 3.345 2.36170 0.54032 $9.70
Miles: 588 34.8 17.029 $50.00
567168 -CAR 118 e 4
06/03 08:10 885419 DRIVER 10 20300 32.9 UNL+ 3.835 2.41460 0.54539 $11.35
06/05 14:04 885419 DRIVER 10 20458 36.4 UNL+ 4.336 2.54840 0.55348 $13.44
06/15 11:11 885419 DRIVER 10 20598 31.3 UNL+ 4.470 2.39820 0.54369 $13.14
06117 13:50 885419 DRIVER 10 20687 35.5 UNL+ 2.507 2.34140 0.53944 $7.22
06/23 10:34 885419 DRIVER 10 20796 32.2 UNL+ 3.390 2.35990 0.54109 $9.83
06/26 08:33 885419 DRIVER 10 20914 32.6 UNL+ 3.619 2.26310 0.53617 $10.13
Miles: 740 33.5 22.157 $65.11
567170 CAR 109
06/10 12:32 885412 DRIVER 10 85273 38.4 UNL 14.853 2.29250 0.53681 $42.02
Miles: 570 38.4 14.853 $42.02
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
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
Crystal Flash Petroleum PL Purchase Order No.
P.O. Box 105080 Terms
Atlanta, GA 30348 -5080 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/3/09 monthly payment 217.91
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 rystal Flash PEtroleum
IN SUM OF
P.0 Box 105080
Atlanta, GA 30348 -5080
217.91
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
1110 314 217.91 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
July 15 20 09
1 '4r�
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund