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168839 02/16/2009 a CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1 `F. ONE CIVIC SQUARE CRYSTAL FLASH CHECK AMOUNT: $106.69 CARMEL, INDIANA 46032 PO BOX 105080 ATLANTA GA 30348 -5080 CHECK NUMBER: 168839 rron CHECK DATE: 2/16/2009 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 BG1298219 102:50 BG1298219 651 5023990 BG1298219 4.19 BG1298219 PO BOX 105080 FLEET MANAGEMENT REPORT ATLANTA, GA 30348 -5080 Account BG1298219 FLEET 1315591 Provided By: Name: CITY OF CARMEL UTILITIES Crystal Flash Petroleum PL (800) 903 -9368 MATCHING STATEMENT NP16368673 Page: 1 of 1 CITY OF CARMEL ITILITIES 1 CIVIC SID CARMEL IN 46032 FLEET MANAGEMENT REPORT FOR 1/112009 —1/31/2009 SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL NON -FUEL $106.69 $0.48 $0.00 $0.00 $106.69 LV P .a:.!4x'; s'TA Total 1$0 48 �4 $0 00 t $0 00 a y $1t#6 &9 t:.Ka+An:3r ..n.,a §r?..` '`��,a^.e"a.aa Late fee on 1 —oice0 15910499 $2 Finance Charge $0.63 Report Total $132.32 This report is for information only. Please see remittance copy on the statement for the total payment amount., TOTAL MILES: 0 .M 11112009� Transaction Detail Customer,y0 1315591? GI Y OF „CAL ITILITIES;�.� X11331200 RME ..:.r�.:a;4� :e.�s- .z.....: ;m:a; zn�m7 _Wf .rz�a�;u FUEL NET TOTAL EXCEPT DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE 56 2� 003 HEVYY #11$ 8 1 ''"A i &zr <LE �d a 5. M I 9 4 i; y` y 4 e ;s` i. 1 Non -Fuel Transactions 12/19 09:51 885419 DRIVER 1 2374 $61.00 Kerosene 01120 15:49 885419 DRIVER 1 1111 $41.50 Kerosene Sub Total: $102.50 ��-.zSe.W` �sn_,.�.�� zas^gab'a ;•�aaa.n mmn�- ;�;g"�� s.�,rss; �r f :a`" r� awq�`:� '�r%p�.,a& i� ca"�� 5 `w,rw'�'� z.E:iv ,ws� Non -Fuel Transactions 01/21 10:35 892243 DRIVER 1 38350 $4.19 Miscellaneous Driver Purchase Sub Total: $4.19 SITE LEGEND SITE SITE NAME ADDRESS CITY STATE 885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN 892243 Crystal Flash #26 11544 Allisonville Rd Fishers IN =A7Y )=L 1,. Local Office: Crystal Flash Petroleum PL PO BOX 105080 For billing questions call: (800) 903 -9368 ATLANTA, GA 30348 -5080 Account BG1298219 Please reference account on all payments 91 STATEMENT NP16368673 DATE 02/02/2009 CITY OF CARMEL ITILITIES DUE DATE 02116/2009 1 CIVIC so TOTAL BALANCE DUE $158.72 CARMEL- IN 46032 -2584 PAYMENT TERMS Net 14 days MN For online statements and simple, automated payment setup, contact customer service at cardservices @f4eetcor.com. DESCRIPTION OF CURRENT ACTIVITIES Services and Fees as reported 1/31/2009 Date Description Amount Due 01/23/2009 PAYMENT: Lockbox Payment Thank You $18.80 CR 02102/2009 Fleet 1315591 Name: CITY OF CARMEL UTILITIES $131.69 Current Activity Previous Statement Prior Balance Payments and Gallons Charges Total Balance Due Date Adjustments 0110112009 $45.20 $18.80 CR 0.000 $132.32 $158.72 FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW. REMITTANCE COPY RETURN THIS STUB WITH PAYMENT Account BG1298219 Ce4Y 7A P- =LA -S14- CITY OF CARMEL ITILITIES 1 civic SO STATEMENT DATE 02/02/2009 CARMEL IN 46032 DUE DATE 02/16/2009 TOTAL BALANCE DUE $158.72 REMIT TO: PAYMENT AMOUNT ff II Crystal Flash Petroleum PL PO BOX 105080 ATLANTA GA 30348 -5080 00000000000001298219500000158725 Feb 12 20103 9:01 Crystal Flash #67 317 -646 -7656 p.l r Alz wig OPT Mass an F Td 831UM 13WNUO 90:01 6002 2T q6-3 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 069001 CRYSTAL FLASH PETROLEUM CORP Purchase Order No. PO BOX 684 Terms INDIANAPOLIS, IN 46206 Due Date 2/11/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/11/2009 16368673 $102.50 hereby certify that the attached invoice(s), or bill(s) is (are) true and ,orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 a.. hki C"-' vim- Date Officer VOUCHER 091104 WARRANT ALLOWED 069001 IN SUM OF CRYSTAL FLASH PETROLEUM CORP PO BOX 684 INDIANAPOLIS, IN 46206 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR a Board members PO INV ACCT AMOUNT Audit Trail Code 16368673 01- 6200 -06 $102.50 Voucher Total $102.50 Cost distribution ledger classification if claim paid under vehicle highway fund 2131�,0[I.902gN;t18fi1 f1g191 PO BOX 105080 FLEET MANAGEMENT REPORT ATLANTA. GA 30348 -5080 Account BG1298219 FLEET 1315591 Provided By: Name: CITY OF CARMEL UTILITIES Crystal Flash Petroleum PL (800) 903 -9368 MATCHING STATEMENT NP16368673 Page: 1 of 1 CITY OF CARMEL- ITILITIES 1 CIVIC SQ CARMEL IN 46032 FLEET MANAGEMENT REPORT FOR 1/1!2009 1/31/2009 SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL NON -FUEL $106.69 $0.48 $0.00 $0.00 $106.69 Total 5 j 0 000 O R $1 06 69-,: $0 48 R$0'00 Fee an nv6cek 15910480 $2- TOO O O Finance Charge ,$0:63 Report Total $132.32 This report is for information only. Please see remittance copy on the statement for the total payment amount., TOTAL MILES: 0 °Transa on betall for "Customer NO' 1315591 .,CITY OFICARIVIEL ITILITIES, 1�L112009' 1131�I2009 p 3 Av«a.,„m� FUEL NET TOTAL EXCEPT DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE 567176 2003 CHEVY FS#115� Non -Fuel Transactions �5 12119 09:51 885419 DRIVER 1 2374 $61.00 Kerosene 01/20 15:49 885419 DRIVER 1 1111 $41.50 Kerosene Sub Total: $102.50 567176 2004 Cl1EVY SILVER�ADO #121 .,ty fi 5 _rte 15 n il a�an ..k, w b Non -Fuel Transactions 01121 10:35 892243 DRIVER 1 38350 $4.19 Miscellaneous Driver Purchase Sub Total: $4.19 SITE LEGEND SITE SITE NAME ADDRESS CITY STATE 885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN 892243 Crystal Flash #26 11544 Allisonville Rd Fishers IN ?613101."- 'f1IFi02011fA1fl[11 flfMFll Cj9?YS.4L7I=L...4.sH" Local Office: Crystal Flash Petroleum PL PO BOX 105080 For billing questions call: (800) 903 -9368 ATLANTA, GA 30348 -5080 Account BG1298219 Please reference account on all payments IIIIIIIIII �IIII�IIiI�I� llf�lll sr STATEMENT NP16368673 DATE 02/02/2009 CITY OF CARMEL ITILITIES DUE DATE 02116/2009 1 civic SQ TOTAL BALANCE DUE $158.72 CARMEL IN 46032 -2584 PAYMENT TERMS Net 14 days MN For onl .I statements Arid simple, automated payment setup, contact customer service at cardservices@fi2etcor.com. DESCRIPTION OF CURRENT ACTIVITIES Services and Fees as reported 1/31/2009 Date Description Amount Due 01/23/2009 PAYMENT: Lockbox Payment Thank You $18.80 CR 02/02/2009 Fleet 1315591 Name: CITY OF CARMEL- UTILITIES $131.69 Current Activity Previous Statement Payments and Date Prior Balance Adjustments Gallons Charges Total Balance due 0110112009 $45.20 $18.80 CR 0.000 $132.32 $158.72 FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW. MW n Bp dN vut, Total Tax, ��I1,r,. T� `i �'#l' �r�' FLT '41 QD v1 76 w� 7 �9 �i iv t� T•d 9E9Z -TLS -LIE ,�advo e16:60 6Q D I 4a2 n. a r��._ arm 4 za,'��! Prescribed by State t3oard 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 69001 CRYSTAL FLASH Purchase Order No. PETROLEUM CORPORATION Terms PO BOX 684 Due Date 2/11/2009 INDIANAPOLIS, IN 46206 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/11/2009 16368673 $4.19 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer VOUCHER 095062 WARRANT ALLOWED 69001 IN SUM OF CRYSTAL FLASH PETROLEUM CORPORATION PO BOX 684 INDIANAPOLIS, IN 46206 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR f Board members PO INV ACCT AMOUNT Audit Trail Code 16368673 01- 7202 -05 $4.19 Voucher Total $4.19 Cost distribution ledger classification if claim paid under vehicle highway fund