184389 04/14/2010 a CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1
ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC
CARMEL, INDIANA 46032 P 0 BOX 740109 CHECK AMOUNT: $416.33
CINCINNATI OH 45274 -0109 CHECK NUMBER: 184389
CHECK DATE: 411412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 1005116148 416.33 10- 051 -16 -148
EXEMPT ACCOUNTS
Page I of I
ACCOUNT NUMBER 1005116148
Keep this for your re cords S
PHFVIO,USflALANCE. f?MTS /CREDI,rS /ALU.. +1= INANCECHAEiGE NEWRALANCE
$361.26 5415.30 $470.37 $.00 $416,33
ry avolD an0ITLONaI
YEAR TO DA] E ANNUAL AVEI; AGE. GAII.Y FINANCE CIiARGr_ ,PAYMENT
FINANCE PERCENTAGE MONIrII.YPERiODIC BALIANCf_';;L11i1EC1 tD OF AMOUNT DUE MUST
CHARGE RATE
INTEREST HATE FINANCE CHARGE nt RECEIVED by TEIE
UIIE DAIF Shf04iN bF:l,ow-
5.00 21.0 1.75 $.00 04 -26 -10
*PROD CODES:
01 Reg_ Unleaded F/S 07 Diesel
02 Reg. Unleaded S/S 08 Misc. Fuels(Keroscne,Oil,etc)
03 Mid Grade Unl F/S 09 Misc. Products(Washer Solv.,etc)
04 Mid Grade Unl S/S 10 Service/Labor,Parts
05 Prem Unleaded F/S 12 C Store Item
npany LLC 06 Prom Unleaded S/S
ufiCHASE5
LESS DEDUCTION OF APPLICABLE TAXES,,
GROSS NET
IVIISC: AMOUNT FEDERAL STATE 4 FEDERAL STATE STATE INVOICE AMOUNT'
AMOUNT GAS,TAX' ,GAS•TAX; DSLTAX: DSI TAX SLS fAX SLS TAX
$3bl.2b
S54.04CR
361 .26CR
41.55 2.91 2.34 36.30
44.10 2.82 2.51 38.76
8S.65 5.72 4.8 $75.06
55,01 3.82 3.1 48.U9
55.01 3.82 3.1 $48.09
37.01 2.45 34.56
37.0 2.4 $34.56
36. 1 2.3 33.94
29.9 1-99 1.7 26.23
66.40 2. 17 4.0 $b0.17
40.00 2.71 2.2 35.02
36.01 2.3t 2.0 31.60
M. al 2.S6 2.1 33.30
114.02 7.6 6.4 $99.92
33.40 2.27 1.8 29.24
40.0 2.5 2.21 35.1.7
38.87 2.541 2.2 34.12
112,28 7.37 6.3 $98.53
470.37 29.17 24.8 $416.33
MOTOR FUEL PURCHASES ISC4
TRANS TRANS DOCUMENT y L
LOCATION or DESCR N IPTIO DE TRA PRO PRO
DATE TIME t NUMBER A DD CODE
r
G GALS.. PRICE: AMClUNT
CURRENT CREDIT LIMIT IS: $1000.00
PREVIOUS BALANCE
03 -29 TOTAL TAX CREDITS
03 -22 0 PAYMENT THANK YOU
02 28 1340 5065035 1515 W LINCOLN KOKOMO IN 02 15.9 2.60 41.55-
03 -23 1029 5058036 1708 E 116TH ST CARMEL IN 02 15.4 2.85 44.10
TOTAL CARD 257 31.3 85.65
03 -13 1816 5046028 1700 MAIN STREET LAPEL IN 02 20.9 2.629 55.01
TOTAL CARD 261 20.9 55.01
03 -24 1346 5099032 HWY 460 AND MOUNTAIN PKWY SALYERSVILLE KY 02 13.4 2.76 37.01
TOTAL CARD 262 13.4 37.01
02-26 1701 5027001 US 45 S RR 2 SOLSBERRY IN 02 1.0 36-48C 36.48
03-12 1807 5069012 416 STEVENS WAY SEYMOUR IN 02 10.9 2.739 29.92
TOTAL CARD 268 11.9 66.40
03-14 1158 5047018 710 WESTFIELD ROAD NOBLESVILLE IN 02 14.8 2.699 40.00
03 -21 1114 5028005 710 WESTFIELD ROAD NOBLESVILLE IN 02 12.9 2.79 36.01
la4S 5090605 710 14 1 ESTFIELD RGAG irv$I `>1/ILLE IN" 02 1 -0 '2:71
TOTAL CARD 269 41.7 114.02
03 -06 1339 5072012 12512 E 116TH STREET FISHERS IN 02 12.4 2.69 33.40
03 -19 2213 5064016 12512 E 116TH STREET FISHERS IN 02 14.0 2.85 40.01
03 -23 2315 5049017 12512 E 116TH STREET FISHERS IN 02 13.9 2.789 38.87
TOTAL CARD 270 40.3 112.28
TOTAL ALL CARDS 159.5 470.37
Form OL06 6&?007
STATEMENT OF CREDIT CARD TERMS the account is referred to an attorney or collection F :XV3
MARATHON REGULAR AND the full amount owed, reasonable attorney's fee:
PREMIER CARDS ASHLAND REGULAR CARD allowed by applicable state law. Where permissible o8s6 L£S 008 :11V3
EFFECTIVE 11 -01 -06 charge for each dishonored check submitted in pat Ob89b HO'AV10NIA
equal the lesser of $25 or the maximum amount all NS3U'11VW ADD
If you have a REGULAR ACCOUNT with revolving credit the Minimum Payment Due must or billing address. MPC reserves the right 10 assess 1S NIVW H1f10S 6ES
be paid on or before the due date. Revolving credit is not available to government or com- of documents and for each ticket copy requested. ANVdWOO Il3I131OH13d NOHiV viliIi
mercial accounts, which must be paid in full on or before the due date. :01 UN3S HO 311HM
CANCELLING OR SUSPENDING CREDIT stuautl+ed
If you have a PREMIER ACCOUNT with revolving credit the Minimum Payment Due must u16111 0AO 10 u011euU1011Jl
be paid on or before the due date. Revolving credit is not available to government or com- MPC can cancel or suspend a credit card account a lun000e 'suoitsanb ioq
mercial accounts, which must be paid in full on or before the due date. To terminate cred- return the card on demand.
it availability under the account to avoid paying any applicable renewable fees, write: BILLING RIGHTS SUMMARY
Marathon Petroleum Company LLC, 539 S. Main St., Attn: Credit Card Center, Findlay, OH
45840 -3229 or call toll -free 1- 800 537 -9580 upon receipt of this statement of credit card In case of Errors or Questions About Your Bill:
If you think your bill is wrong, or if you need more it l�l u GI
FIN CHARGE CALCULATION bill, write us on a separate sheet at Marathon Petro
If Marathon Petroleum Company LLC (MPC) has not received payment in full of the "New Attn: Credit Card Center, Findlay, OH 45840 -322
Balance" by the due date shown on the front of this statement, we assess a FINANCE from you no later than 60 days after we sent you the
CHARGE applied to the Average Daily Balance, The Average Daily Balance and FINANCE appeared. You can telephone us, but doing so will t RlOMUM
CHARGE are calculated as follows: give us the following information:
1. The balance at the beginning of each day is added to new purchases applied to Your name and account number.
your account that day. (New purchases are not included in computing your The dollar amount of the suspected error.
Average Daily Balance in the states of ME, MN, MS, MT, ND, NE, NM, and RI.)
From the sum, we subtract payments or credits, insurance premiums, mail order Describe the error and explain, if you can, w
merchandise charges, unpaid charges for dishonored checks, previously assessed need more information, describe the item yo;
unpaid finance charges and late payment fees. You do not have to pay any amount in question while we are investigating, but you are still
2. We then add up all the daily balances for the billing period and divide the total by obligated to pay the parts of your bill that are not in question. After we receive your letter,
the number of days in the billing cycle. This gives us the "Average Daily Balance we cannot try to collect any amount you question, or report you as delinquent.
3. The FINANCE CHARGE is computed by applying the periodic rate allowable by Special Rule for Credit Card Purchases:
law in your state of residence to the "Average Daily Balance" on your account. If you have a problem with the quality of property or service that you purchased with a cred-
4. Computed FINANCE CHARGES of less than $.50 are adjusted to $50 except in it card, and you have tried in good faith to correct the problem with the merchant, you may
AK, AR, CA, CT, DE, FL, GA, HI, ID, KY, MD, Ml, MO, NC, ND, NE, NH, NM, NV, have the right not to pay the remaining New Balance on the property or services. There are
NY, OH, OR, RI, TN, TX, UT and WA. two limitations on this right: (a) You must have made the purchase in your home state or,
if not within your home state, within 100 miles of your current mailing address, and (b) The
Residents of North Dakota: The amount of the FINANCE CHARGE is computed by purchase price must have been more than $50. These limitations do not apply if we own
multiplying the periodic rate by the "Adjusted Balance" of the account. MPG gets the or operate the merchant, or it we mailed you the advertisement for the property or services.
Adjusted Balance by taking the balance owed at the end of the previous billing cycle
and subtracting amounts from Item 1, above, received during the current billing cycle. As required by law, you are hereby notified that a negative credit report reflecting on
your credit record may be submitted to a credit reporting agency if you fail to fulfill
NOTICE TO CARD HOLDER the terms of your credit obligations.
To avoid additional FINANCE CHARGES being applied to your account purchases on next For questions or account information write:
month's statement, pay the New Balance on this statement in full by the due date. You may
at any time pay your total unpaid balance to avoid additional FINANCE CHARGES. MARATHON PETROLEUM COMPANY LLC
DEFAUL CO LLE C TION CO STS D ISHONORED CHECKS REPRINT FEES 539 S. MAIN ST.
ATTN: CREDIT CARD CENTER,
If your account is not paid according to terms, MPC reserves the right to demand immedi- FINDLAY, OH 45840 -3229 OR
ate payment of the full amount outstanding an your account, subject to applicable law. If CALL: 1 -800- 537 -95801 FAX 419 -421 -4516
5G4R0 RLV. I liob
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Ma rathon Petroleum Company Purchase Order No.
'PO
Box 740109
Ci ncinnati, OH 45274 -0109 Terms
Date Due
Invoice Invoice Description Amount
Date !Number (or note attached invoice(s) or bill(s))
4/8/10 payme nt for gasoline 416.33
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 NO. WARRANT NO.
ALLOWED 20
Marathon Petroleum Company IN SUM OF
�PO Box 740109
Cincinnati, OH
45274 -0109
4
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO4 or DEPT. INVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 314 416.33 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
April 8, 2010
L
ignature
C le f o Po ice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund