169756 03/17/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
s ONE CIVIC SQUARE CRYSTAL FLASH
CARMEL, INDIANA 46032 PO BOX 105080 CHECK AMOUNT: $55.35
ATLANTA GA 30348 -5080
CHECK NUMBER: 169756
CHECK DATE: 3/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 BG1298219 55.35 BG1298219
2673 1,11, nr..a130: m m
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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
1
III I III II 1111111 III III II 110 STATEMENT NP16769329
DATE 03/02/2009
CITY OF CARMEL ITILITIES DUE DATE 04/01/2009
1 CIVIC SQ TOTAL BALANCE DUE $133.57
CARMEL IN 46032 -2584
PAYMENT TERMS Net 30 MN
For online statements and simple, automated payment setup, contact customer• service at cardservices @fieetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 2/28/2009
Date Description Amount Due
02/20/2009 PAYMENT: Lockbox Payment Thank You $106.69 CR
03/02/2009 Fleet 1315591 Name: CITY OF CARMEL- UTILITIES $80.35
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
02/01/2009 $158.72 $106.69 CR 0.000 $81.54 $133.57
FOR PROPER PAYMENE POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
2673101 .2009030117901 00110
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1
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 NP16769329
Page: 1 of 1
CITY OF CARMEL ITILITIES
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 2/1/2009 2/28/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
NON -FUEL $55.35 $0.24 $0.00 $0.00 $55.35
Total 0 000 $55 35 $024 $0 00 $0 00� $5 35 5
SP...:;.
Late Fee on Invoice# 16368673
Finance Charge $1.19
Report Total $81.54
This report is for information only.
Please see remittance copy on the statement for the total payment amount.
TOTAL MILES: 0
Transaction Detail foror CustomerNO 1315591 CITY OFCARMEL ITILITIES 2/1/2009 2/28/2009
F....._
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE QTY PRICE TAXES AMT CODE"
567176 2004 JD 31056 BACKHOE 3
Non -Fuel Transactions
02/04 13:52 885419 DRIVER 1 0 $55.35
Kerosene
Sub Total: $55.35
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 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 3/9/2009
INDIANAPOLIS, IN 46206
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/9/2009 16769329 $55.35
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 095197 WARRANT ALLOWED
y
69001 IN SUM OF
CRYSTAL FLASH
PETROLEUM CORPORATION
PO BOXY 1()5gD
1 206
Carme Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
I
PO INV ACCT AMOUNT Audit Trail Code
16769329 01- 7200 -02 $55.35
I�
Voucher Total $55.35
Cost distribution ledger classification if
claim paid under vehicle highway fund