167776 01/20/2009 a CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH
i 0 CHECK AMOUNT: $394.25
CARMEL, INDIANA 46032 PO BOX 105080
ATLANTA GA 30348 -5080 CHECK NUMBER: 167776
CHECK DATE: 1/20/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4231400 BG1297988 394.25 BG1297998
2fi73101.2IXJ901 �346101.000BB
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J=jF7YS T. Z:7JRLA. M 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
r�'lII III�IIIIIII�III�lllll l�h 88 STATEMENT NP15910485
DATE 01102/2009
CITY OF CARMEL -FIRE DUE DATE 01/16/2009
1 CIVIC SQ TOTAL BALANCE DUE $502.20
CARMEL IN 46032 -2584
PAYMENT TERMS Net 14 days MN
Your account terms and conditions include late fee, finance charge and statement fee provisions which have been waived.
These provisions will be applied going forward. For free online statements and payments, log onto www.fleetnet.net.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 12/31/2008
Date Description Gallons Amount Due
12/12/2008 PAYMENT: Lockbox Payment Thank You $1781.11 CR
01/02/2009 Fleet 1315390 Name: CITY OF CARMEL -FIRE 232.520 $419.25
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
12/01/2008 $1,855.01 $1,781.11 CR 232.520 $428.30 $502.20
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
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Pb BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1297998
FLEET 1315390
Provided By: Name: CITY OF CARMEL -FIRE
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP15910485
Page: 1 of 1
CITY OF CARMEL -FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 1211/2008 12/31/2008
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 114.709 $129.17 $21.25 $30.89 $0.00 $181.31
UNL+ 117.811 $157.64 $21.79 $33.51 $0.00 $212.94
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Total 1 232 521 $286 81 1r $43 04� �e $64 40 t $0 -00
Late Fee on Invoiced 15498386 0
Finance Charge
Report Total $428.30
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 1,548
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Transa "ctlonADeta113E #or Custamer NO 1315390 CITY,QF GARMEL FIRE; 12/ 1=213112008
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FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE
NaKn�•
67148:- CAR.4501 ��',,ar� L.
a:.,a.,m...r. =rti.:c:. i k d .:�t5.� a �.x�ceu'7. 1' .:�:ur;eu.a- <9.�.....F. ".Y.x.MH., Mee u- s!::.a.•7.._..:;n.:,
12103 12:40 885419 DRIVER 1 14500 tl 0.0 UNL+ 18.015 1.32060' 0.46845 $32.23
12106 1212 885414 DRIVER 1 14500 0.0 UNL 19.727 1.08730 0.45173 $30.36
12109 08:21 885419 DRIVER 1 14500 0.0 UNL 10.012 1.08770 0.45210 $15.41
12/13 11:21 885414 DRIVER 1 14500 0.0 UNL 16.660 1.14290 0.45562 $26.64
12117 08:28 885419 DRIVER 1 14500 0.0 UNL+ 11.574 1.42390 0.47541 $21.98
12/18 08:14 885419 DRIVER 1 14500 0.0 UNL+ 9.731 1.42330 0.47590 $18.48
12119 11:20 885419 DRIVER 1 14500 0.0 UNL 7.550 1.17090 0.45731 $12.30
1223 08:17 885419 DRIVER 1 14500 0.0 UNL 16.386 1.11500 0.45392 $25.71
12123 08:22 885419 DRIVER 1 14500 0.0 UNL 7.928 1.11500 0.45339 $12.44
12129 08:19 885419 DP.IVER 1 14500 0.0 UNL 12.634 1.02190 0.44722 $18.56
12131 19:40 885414 DRIVER 1 14500 0.0 UNL 17.348 1.17190 0.45762 $28.26
Miles: 147.565 $242.37
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67148, CARF4502s �i+:a_','�'�'''9,. k k� a x 'P n °''.w� a.,,t�r�w =si '"{J
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12112 17:12 885412 DRIVER 1 2647 0.0 UNL 6.464 1.33050 0.46956 $11.63
Miles: 6.464 $11.63
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12101 12:58 885419 DRIVER 1 37304 14.1 UNL+ 10.620 1.32110 0.46841 $19.00
12103 10:14 885419 DRIVER 1 37460 15.9 UNL+ 9.782 1.32080 0.46822 $17.50
12109 14:55 885419 DRIVER 1 37780 32.7 UNL+ 9.775 1.27370 0.46522 $17.00
12!15 0619 885419 DRIVER 1 38007 15.8 UNL+ 14.383 1.14370 0.45584 $23.00
12117 08:16 885419 DRIVER 1 38183 14.7 UNL+ 11.979 1.42420 0.47537 $22.75
12119 13:28 885419 DRIVER 1 38362 14.8 UNL+ 12.111 1.42350 0.47592 $23.00
12/29 14:18 885419 DRIVER 1 38702 34.5 UNL+ 9.841 1.35860 0.47071 $18.00
Miles: 1548 20.4 78.491 $140.25
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
885412 Crystal Flash #41 10598 N College Ave Indianapolis IN
885414 Crystal Flash #43 7935 -d S Emerson Indianapolis IN
885419 Crystal Flash #67 545 S Rangeline Rd Carmel IN
Prescribed by State Board of Accounts City Form No. 241 (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))
N01 5810485 E85 $394.25
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. WARRA NO.
ALLOWED 20
Crystal Flash
IN SUM OF
N
P.O. Box 684
Indianapolis, IN 46206
$394.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 N015810485 42- 314.00 $394.25 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
JAN 6 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund