169406 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 069001 Page 1 of 1
ONE CIVIC SQUARE CRYSTAL FLASH
CARMEL, INDIANA 46032 PO BOX 105080 CHECK AMOUNT: $381.76
+y' ATLANTA GA 30348 -5080
CHECK NUMBER: 169406
CHECK DATE: 3/412009
',pEPARTMENT ACCOUNT P O NU INVOICE NUM AMOUNT DESCRIPTION
1120 4231400 BG1297998 381.76 BG1297998
iv From: 03/04/2009 09:22 #743 P.002/003
03/04/2009 12:22:19 AM —0500 FLEETDETAILS PAGE 2 OF 3
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
STATEMENT tl NP16769324
DATE 03/02/2009
CITY OF CARMEL -FIRE DUE DATE 04/01/2006
1 CIVIC SQ
CARMELIN 46032 TOTAL BALANCE DUE $532.82
PAYMENT TERMS Net 30 MN
I For online statements and simple, automated payment setup, contact customer service at
car dservices @fleetcor.com.
DESCRIPTION OF CURRENT ACTIVITIES
Services and Fees as reported 2128/2009
Date Descriptlon Gallons Amount Due
02113/2009 CREDIT: LATE FEE $134.24 CR
02/17/2009 DEBIT: FINANCE CHARGE $39861 -00
0211712009 DEBIT: LATE FEE $39861.00
02/19/2009 CREDIT FINANCE CHARGE $39861.00 CR
02119/2009 CREDIT: FINANCE CHARGE $2.06 CR
02/1912009 CREDIT- LATE FEE $39861.00 CR
02119/2009 CREDIT: LATE FEE $25.00 CR
02/20/2009 PAYMENT: LockWx Payment Thank You $67943 CR
03/0212009 Fleet 9 1315390 Name: CITY OF CARMEL -FIRE 207.798 $429.31
Current Activity
Previous
Statement Prior Balance Payments and Gallons Charges Total Balance Due
Date Adjustments
0210112009 $814.44 $840.73 CR 207.798 $558.11 $532.82
FOR PROPER PAYMENT POSTING, PLEASE SUBMIT YOUR CHECK WITH ONLY THE REMITTANCE COPY BELOW.
From: 03/04/2009 09:22 #743 P.003/003
I 03/04/2009 12:22:19 AM -0500 FLEETDETAILS PAGE 3 OF 3
r
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PC 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 NP16769321
Page: 1 of 1
CIT OF CARMEL FIRE
1 CIVIC SQ
CARMEL IN 46032
FLEET MANAGEMENT REPORT FOR 21112909 2/28/2009
SUMMARY OF TRANSACTIONS THIS REPORTING PERIOD FOR ALL VEHICLES IN YOUR FLEET
PRODUCT QUANTITY BASE PRICE FEDERAL STATE OTHER TOTAL
UNL 67.813 $91.92 $12.59 $19.37 $0.00 $123.88
UNL* 139-985 $191.71 $26 04 $4013 $0.00
1 s r $257 8$
f�`S r
fr �tl i��.r tt r ��1( J;t_r 1 t.. J t�l t ��.�'e, 1 t i (4 0 /'�4� �r S t7 �.14�<� XR;
te.r::±,,.r:. ......y,....,t,.K. ]dv_,R•E4..i.C\'rO..en, e. e lrvi. H 1: P E, •e.)t.,..r�t..t��...1,.�x,..:t -ti
W. Fes on In-KO 1636469/ $47.55
Finance Charge $129.80
Report Total $559.11
This report Is for information only,
Please see remittance copy on the statemelrt ivr the total payment amount.
TOTAL MILES: 1,057
r!:.:. e,,,•:•, rtrt i r,:,.,:>,-::_:,:,.,...:,.. yy J y y y, gQjyyj�
FUEL NET TOTAL EXCEPT
DATE TIME SITE DRIVER ODOMETER MPG TYPE Q TY PRICE TAXES AMT CODE'*
'1t t'�...n,i.trtt r..lttits rt r;l ir: v.�rt,wr�7
�,Pr.�4 �V f�, a. 1, w t t f sr 4 t� t r: �t t,n i>r r i• y r i t t f r> r f a n. ir. e, ''r,D t;•
w,..,.,..v ,...,.n, .,.r- t.>...,.-a <a. =..eta. F, .�.£c>: ,.�L.. a. 1, :1.,�:,.!r.a..,..r.s.:.a fir✓.'..,. r.x..+,,r 4a..�v.:.�.ar�, tk^ SPh�n .,a �hx: ^.�r.r.::�r4
02123 07:48 885419 DRIVER 1 8 0.0 UNL 20.661 1.32910 0.46980 $37.17
Miles: 20.661 $37.17
�1��.��k� f i 2�� F 71'1 /t ¢C l fl f4 L tc ii(� /i Si+ S r >i. i. Jlt't r \t tt i fl i�t t t �l �rt)£rrt� j y tFSr t J,PCC
r_ ......�,_,.a.,. d..t. ..�.5.
02/04 12:56 885419 DRIVER 1 14500 0 0 UNL* 9.536 1.42090 0.47657 $18.11
02106 08:23 885419 DRIVER 1 1450D 0.0 UNL+ 9.162 1.42220 0.47631 $17.40
02/12 08:18 885419 DRIVER 1 14500 0.0 UNL 11.393 1.47990 0.48035 $2732
02113 08:36 885419 DRIVER 1 14500 0.0 UNI_ 6.191 1.47960 0.48089 $12.13
02216 0822 685419 DRIVER 1 14500 0.0 UNL+ 16 397 132950 046982 $29.50
02/20 08:17 885419 DRIVER 1 14500 0.0 UNL+ 6.603 1.32820 0.46980 $11.88
02/21 14:17 085414 DRIVER 1 145500 0.0 UNL 11.681 1.25500 0.46408 $20.08
02/23 08:19 885419 DRIVER 1 14500 0.0 UNL 17.887 1.32950 0.46982 $32.18
02/27 08:24 885419 DRIVER 1 14500 UNL+ 19.394 1.42310 0.47593 $36.83
Miles: 108.244 $200.43
`{.,4_„.,Yrf .f,i...,�. i,,:.. s)....., t� i .ti��_xt.�s. t. r, l' s✓ !I., i VFr? 4. ;'..yvfd a': .f.S'.ul�1.j.;
02/16 16:7.5 885419 DRIVER 1 3836 0.0 UNL+ 20.906 1.32930 0.46965 37.61
Y•.f Mlles: 20.906 $37.61
f48. Vfif4�
02/12 08:10 885419 DRIVER 1 41260 0.0 UNL+ 9.449 1.32920 047009 $17.00
02/16 12:55 885419 DRIVER 1 41494 18.1 UNL+ 12.951 1.33040 0.46933 $23.30
02123 06:38 885419 DRIVER 1 41964 35.2 UNL+ 13.340 1.32980 0.46960 $24.00
02/25 14:43 885419 DRIVFR 1 42145 15.4 UNL+ 11.716 1.42280 0.47662 $22.25
02127 06:50 885419 DRIVER 1 42317 16.3 UNL+ 10.531 1.42150 0.47656 $20.00
Mlles: 1057 21.3 57.987 $106.55
SITE LEGEND
SI TE SITE NAME ADDRESS CRY STATE
885414 Crystal Flash #43 7935 -d S Emerson Indianapolis IN
835419 Crystal Flash #67 545 5 Ranr3eline 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))
NP16769324 $381.76
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
VOU!: HER NL. WARRANT NO.
ALLOWED 20
Crystal Flash
IN SUM OF
P.O. Box 684
Indianapolis, IN 46206
$381.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 NP16769324 42 314.00 $381.76 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
MA P
A P
f
j Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund