170705 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM CHECK AMOUNT: $513.71
s4�? CARMEL, INDIANA 46032 P o BOX 664
INDPLS IN 46206 CHECK NUMBER: 170705
CHECK DATE: 4/16/2009
.DEP ARTMENT ACCO P NUMBER INVOICE NUMBE AM D ESCRIPTION
j1120 4231400 BG1297998 513.71 BG1297998-
I
04/J3/2009 2:28:35 PM —0500 FLEETDETAILS PAGE 2 OF 3
Local Office- Crystal Flash Petroleum PL
PO BOX 105080 For billing quostlons call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1297998
Please reference account on all payments
STATEMENT4 NP17458107
DATE 04103/2009
CITY OF CARMEL -FIRE DUE DATE 05/03/2009
1 CIVIC SQ
CARMEL IN 46032 TOTAL BALANCE DUE $513,71
PAYMENTTERMS 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 3131/2009
Date Description Gallons Amount Due
03/0612009 CREDIT: MANAGER APPROVED COURTESY $47.55 CR
03/06/2009 CREDIT: MANAGER APPROVED COURTESY $129.80 GR
03/09/2009 PAYMENT: Lockbox Payment Thank You $381.76 CR
0410312009 Fleet 1315390 Name: CITY OF CARMEL -FIRE 280.276 $540.00
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date AdJusiments
0310112009 $532.82 $559.11 CR 280.276 $540.00 $513.71
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04/b3/2009 2:28:35 PM -0500 FLEETDETAILS PAGE 3 OF 3
j
FLEET MANAGEMENT REPORT
PO BOX 105080
ATLANTA, GA 30348 -5080 ACCOUIIt BG1297998
FLEET 1315390
Provided Bye Name: CITY OF CARMEL FIRE
Crystal Flash Petroleum PL MATCHING STATEMENT NP17468107
(800) 903 -9368
Page: 1 of 1
CITY OF CARMEL -FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEETWANAGEMENT REPORT FOR 3!112009 3/31/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 91,105 $136,86 $16.94 $26.95 $0.00 $180.75
UNLt 189,171 $269.23 $35,13 $54.89 SO 00 $359.25
,cd ,.;t, r rS r •r r r r X71, r }�a r i ,�Sr r of r s q
U pQ Yi{ #QQC `2 N1,4 4 10. 1 Mgg.`
�xt4.. r. .r:�n,,.:�,,,:�:kr.,:Jk•Sts� idea �k�r1. 4n... Y &P....e.;.t...r <rY_.a,:..,.c.4..., b4., �6. rs�'-.•., ._,r...r,(SY.�S,�...v,ar f ,..,<�r�hs,L._.,..n.,.sR.
This report is for information only
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,025
1, $`IS" ��F ��FIRI I� i t J t7- !.V{7�. {�Y4 4� �>r �i'� �r��r �x4 5� ,I� i��1gJ
a., f�_..arsrw. t kr.a a. i 3 v {,..,W...n 1., laasz! i t, •Q z�i,n 4...c.. ,'1.�� f ��,�,W h �F /u.4
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
03102 07:35 885419 DRIVER 1 8907 12.8 UNL+ 22 948 1 42320 0.47613 $43.58
03110 07:47 885419 DRIVER 1 9079 10,0 UNL* 17.240 1.42340 0.47625 $32.74
Miles: 465 11.4 40.18$ 576.32
.ti•; r� r,•iS•' 1 �7 it =,mil f ``n;c �c.l.� it. r t.7.. i ..5 ;S f.,. i� ,:,fl��, is ff 1�' ���t':
03101 11iZ7 885419 DRIVER 1 14500 0.0 UNL 12.114 1.38600 0.47331 $22:52
03/02 08:16 885419 DRIVER 1 14500 0.0 UNL 20.629 1.38490 0.47382 $38.35
03106 08:22 885419 DRIVER 1 14500 0.0 UNL 18.101 1.57260 0.48639 $37.27
03/09 08:18 885419 DRIVER 1 14500 0.0 UNL+ 14.054 1.42310 0.47623 $25.69
03111 13:10 885419 DRIVER 1 14500 0.0 UNL, 10.052 142260 047638 $19.09
03113 08:19 885419 DRIVER 1 14500 0.0 UNL+ 17.482 1.42320 0.47600 $33.20
03116 08:21 885419 DRIVER 1 14500 0.0 UNL+ 18.046 142300 047620 $34.27
03120 08:33 885419 DRIVER 1 14500 0.0 UNL 18.999 1.51590 0.48275 $37.98
03123 08:23 885419 DRIVER 1 14500 00 UNLt 21.479 1.42330 0.47600 $40.79
03127 12:00 885419 DRIVER 1 14500 0.0 UNL 21.262 1.60990 0.48925 $44.63
03130 08:21 885419 DRIVER 1 14500 0.0 UNL+ 18.293 1 42350 0.47594 $34.74
Mlles: 190.511 $369.53
;s• -[e5" p: p N. .i,r t ..r.,,�tsf. r2. r 1.. <r;c;, kr rl ,;:'.tt''Sr.,f,.-- .,+;f�.1.1[, 61"
$d$111�dlr s�K� n2srrt.-- r t r s
n, r�.; L4.,f C-).f r�... aru: h: a!•, u!:'. a.. F.. t: 2Nr.:. ai., rr. tu57, ntz,'..., a .�,:a.,.�i,,.�..a.tS:a::fk,:.:, a .i•,....,v:.
03102 12:49 885419 DRIVER 1 42480 14.5 UNL* 11.269 1.42340 0.47618 $21.40
03105 13:43 885419 DRIVER 1 42662 14.1 UNL* 12.901 1.42390 0.47589 $24.50
03/09 06:33 885419 DRIVER 1 42877 16.0 UNL* 13.428 1.42240 0.47644 $25.50
03124 14:20 885419 DRIVER 1 43919 0.0 UNL+ 11.979 1.42330 0.47608 $22.75
Miles: 560 14.9 49.577 $94.15
SITE LEGEND
SITE SITE NAME ADDRESS C ITY S TATE
885419 Crystal Flash #67 545 S Rangellne Rd Carmel IN
Prescribed by State Board of Accounts City Form No. 201 (Rgv. 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))
BG1297998 $513.71
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. W ARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$513.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 BG1297998 42- 314.00 $513.71 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
APR 18 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund