170706 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH PETROLEUM
CHECK AMOUNT: $161.87
CARMEL, INDIANA 46032 P o eox saa
INDPLS IN 46206 CHECK NUMBER: 170706
CHECK DATE: 4/16/2009
DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4231400 BG1298100 161.87 BG1298100
C'4
2673101.2000040252801."M
A
r C'RYS'T: LY=L'AHM. Local Office: Crystal Flash Petroleum PL
PO BOX 105080 For billing questions call: (800) 903 -9368
ATLANTA, GA 30348 -5080
Account BG1298100
Please reference account on all payments
X191
1111111 11111111111111111 IN 88 STATEMENT NP17468108
DATE 04/03/2009
CITY OF CARMEL- MAINTENANCE DUE DATE 05/03/2009
1 CIVIC SQ TOTAL BALANCE DUE $241.82
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For online- statements -and- simple; automated payment setup, contact customer service at
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 3/31/2009
Date Description Gallons Amount Due
03/20/2009 PAYMENT: Lockbox Payment Thank You $191.10 CR
04/03/2009 Fleet 1315492 Name: CITY OF CARMEL- MAINTENANCE 82.194 $161.87
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
03/0112009 $271.05 $191.10 CR 82.194 $161.87 $241.82
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
2673101.20 110252 &)1 O ,,E
r
Cl4YS AP- =1_A.
PO BOX 105080 FLEET MANAGEMENT REPORT
ATLANTA, GA 30348 -5080 Account BG1298100
FLEET 1315492
Provided By: Name: CITY OF CARMEL- MAINTENANCE
Crystal Flash Petroleum PL
(800) 903 -9368 MATCHING STATEMENT NP17468108
Page: 1 of 1
CITY OF CARMEL- MAINTENANCE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 3/1/2009 3/31/2009
SUMMARY OF-TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 82.194 $122.37 $15.27 $24.23 $0.00 $161.87
Total x 82194 $122 3T $15 27� $24 23 $tt 00 r $161 87'
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
EXCEPTION CODES:
11 Odometer entry is out of sequence.
Transacfion Detail for Customer NO 1315492 CITY OF`CARMEL MAINTENANCE;3 /1/2009 3/31/2009
rte..,..,
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE"
581400` GRASS 42 f.
03/06 11:41 885419 DRIVER 1 0 0.0 UNL 16.270 1.57220 0.48653 $33.50 11
03/10 12:52 885419 DRIVER 1 0 0.0 UNL 14.448 1.48950 0.48041 $28.45 11
03/13 16:38 885419 DRIVER 1 0 0.0 UNL 13.287 1.34870 0.47073 $24.17 11
03/20 12:07 885419 DRIVER 1 0 0.0 UNL 12.656 1.51630 0.48257 $25.30 11
03/23 08:57 885419 DRIVER 1 0 0.0 UNL 13.602 1.45050 0.47809 $26.24 11
03/31 16:38 885419 DRIVER 1 0 0.0 UNL 11.931 1.54470 0.48486 $24.21 11
Miles: 82.194 $161.87
SITE LEGEND
SITE SITE NAME ADDRESS CITY STATE
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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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 N /13 /09W ARRANT NO.
k 1 ie`
um orp ALLOWED 20
4 IN SUM OF
F mk-.I;m Box '10508o
Atlanta, GA 30348 -so8n
$161.87
ON Accou�T�NER N FOR
AL FUND
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1202 BGI oer 314 161.87 materials or services itemized thereon for
which charge is made were ordered and
received except
20
,S�6ne—
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund