173784 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $447.84
o CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 173784
CHECK DATE: 6/24/2009
D EPARTMENT ACCOUNT PO NUM IN VOICE N AMOUNT DESCRIPTION
1120 4231400 BG1297998 447.84 GASOLINE
06i�12/2009 10:42:22 AM —0400 FLEETDETAILS PAGE 2 OF 3
L.
Local Office' Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA. GA 30348 -5080
Account BG1297998
Please reference account on all payments
STATEMENT NP18532995
DATE 66/0112009
CITY OF CARMEL -FIRE DUE DATE 07115/2009
1 CIVIC SQ
CARMEL IN 46032 TOTAL BALANCE DUE $797.01
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 5/31/2009
Date Description Gallons Amount Due
06/01/2009 Fleet 1315390 Name: CITY OF CARMEL -FIRE 234.973 5447.84
Current Activitv
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
05/01/2009 $349.17 $0.00 234.973 $447.84 $797.01
FOR PROPER PAYMENT POSTING, PLEASE SU BMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
86/42/2009 10:42:22 AM -0400 FLEETDBTAILS PAGE 3 OF 3
FLEET MANAGEMENT REPORT
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Account BG1297998
FLEET# 1315390
Name: CITY
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Crystal Flash Petroleum 'pL /NATCH|NSST/(7EKjENT# Np18532995
(800) 903-9368
Page: 1of1
CITY OFCARK0EL'F|RE
1 C|V|CSQ
CARK0EL\N 45032
FLEET MANAGEMENT REPORT FOR m1/u000-5/3i/2noy
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
pnooucr CIuAwr/ry BASE PRICE peosaxL orArs orxea rOrm'
This report /x for Information only.
Please see remittance copy un the statement for the total payment amount
TOTAL MILES: 794
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
mx,,. 20.816 $000m
05101 08-40 885419 DRIVER 1 14500 0.0 UNL+ 18.720 1.42200 0.47633 $35.55
0504 08:13 885419 DRIVER 1 14500 0.0 UNL+ 12.332 1.42310 0.47645 $23.42
05106 18:26 885419 DRIVER 1 14500 0.0 UNL+ 8.67B 1.42200 0.47615 $16.48
05/08 12:08 885419 DRIVER 1 14500 0,0 UNL� 22.022 1.42310 0.47625 $41.82
05/15 08:32 885419 DRIVER 1 14500 00 LINLt 21Z37 1 42300 0.47619 $41.og
0.5/18 17:13 885419 DRIVER 1 14500 0.0 UNL� 9.562 1.42230 0.47630 $18.16
05120 08:25 885419 DRIVER 1 14500 00 UNL, 18067 142300 047608 $3431
05/22 13:16 885419 DRIVER 1 14500 0.0 UNL- 14.470 11.42360 0.47611 $27.4a
05126 08,24 885419 DRIVER 1 14500 00 UNL+ 19347 142300 047617 $3674
omeo 08:19 88:419 DRIVER 14500 0.0 uw/- _16.138 1.51690 u.*mmo
mxva' 160.973 $307.31
05/15 11:21 885419 DRIVER 1 47105 00 UNL� 12.901 1.42390 047589 $24,50
05/20 11:10 885419 DRIVER 1 47481 32.5 LJNL� fl.585 1,42250 0.47603 $22.00
05122 15:34 8a,5419 ORIVER 1 47690 142 UNL+ 14744 1.42300 047628 $28-00
05/27 08:15 885419 DRIVER 1 47899 15.0 UNL+ 13.954 1,42330 0.47623 $26.50
Moss: nw 20.6 53.18* $101.00
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885419 Crystal Flash #67 546 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))
$447.84
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
VOUC,HER NO. SNARRAN NO.
Crystal Flash ALLOWED 20
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$447.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 42- 314.00 $447.84 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
JUN 2 2 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund