189639 09/13/2010 CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1
ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC
CARMEL, INDIANA 46032 P 0 sox 740106 CHECK AMOUNT: $484.67
CINCINNATI OH 45274 -0109 CHECK NUMBER: 189639
CHECK DATE: 911 312 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 1005116148 484.67 10- 051 -16 -148
EXEMPT ACCOUNT&
Page I of I
ACCOUNT NUMBER 1005116148
Keep this fo r your rec �T 1 ENENT CLUSIN QA[E 08 -30 I
PREVIOUS EAIANCE F MT CF{El11TS CHARGE° l ADJ r FINANCL CHARGE T^ NEW 04
$617.20 $698.23 $565.70 $.00 $484.67:
70 AVOID A7D1TlONQL
YEARTOUAIE AN14UAL AVERAGE FINANCE. CNai�cF__,havMENi
FINANCE PERCENTAGE ldONrHLYPE-HiTEC BALANCESUBJECTTO OF AMUNT DUE MUST
INTEREST HATE
CHARGE RATE FINANCE CHARGE BE eecr-t oeD BY THE
DUE DALE SBOY,N bELOH.
$.00 21.0 1.75 00 .09- 26 -10:
'PROD CODES:
01 Reg. Unleaded F/S 07 Diesel
02 Reg. Unleaded S/S 08 Misc. FueIS(Kerosene,Dil,etc)
03 Mid Grade Unl F/S 09 Misc. Products(Hasher Solv.,ete)
04 Mid Grade Unl S/S 10 Service /Labor,Parts
05 Prem Unleaded F/S 12 C Store Item
Ipany LLC 06 Prem Unleaded S/S
RCHASES LESS DEDUCTION OF APPLICABLE TAXES
a
MISC AMOUNT FEDERAL STATE FEDERAL STATE STATE INVOICE AMOUNT
u9I0UN7 GAS 'f AX GAS TAX DSL TAX'. OSLTAX SLG TAX SLS TAX
$617.20
$71.03CR
$617.20CR
$10.000R
23.91 1.7 1.3_ 20.90
25.0W 1..% 1.4" 21.93
44.0(" 2.9 2.4 38.53
45.0 3.1t 2.5 39.29
35.0 2.4� 1.9 30.56
44.0 3.0 2.4 38.43
19.8 1.3 1.11 17.34
23t).85 16.5 13.3 $206.98
28.00 1.82 1.5 24.58
28.00 1.8 1.5 $24.58
41.0 2,71 2.3 3ti.96
35.0 2.3e 1.9 30.64
35.5 2.5 1 2.0 31.04
37.(J(/ 2.6 2.0j 32.27
1418.5E 10.2 6.3 4i_ ".91
53.5 3.7 3.0 4f,.79
57.7 4.01 3.2 50.49
111.3 7.7 6.2 $97.28
41.00- 2.7 2.3 35.92
41.00 2.7 2.3 $35.92
56-5.70 39.OE 31.9 $494.67
I
i
a' F MOTOR FUEL PURCHASES: ISC. P
TRANS TRANS DOGUMENT L
LOGATION 4r DESCRIPTION OF TfiANSAC f16N
DATE TIME NUM8ER s h HO K RD
P
A OD OD
a G GALS. A .PWiCE AMOUNT.
CURRENT CREDIT LIMIT IS. $2000.00
PREVIOUS BALANCE
08 -30 TOTAL TAX CREDITS
08 -23 0 PAYMENT THANK YOU
08 -26 4012 DEALER ISSUED CREDIT
08 -24 1608 5095018 S R 218 AND U S 31 BUNKER HILL IN 03 9.3 2.57 23.95
08 -24 1249 5010012 99 S MIAMI STREET MEXICO IN 02 9.3 2.69 25.05
08 -24 1249 5010013 99 S MIAMI STREET MEXICO IN 02 16.3 2.69 44.00
08 -25 1617 5004001 S R 218 AND U S 31 BUNKER HILL IN 03 17.4 2.57 45.00
08-26 1703 5012005 S R 218 AND U S 31 BUNKER HILL IN 03 13.5 2.59. 35.00
08 -27 1252 5022016 99 S MIAMI STREET MEXICO IN 02 16.9 2.59 44.00
08 -27 1253 5022017 99 S MIAMI STREET MEXICO IN 02 7.6 2.59c 19.85
TOTAL CARD 259 90.3 236.85
08 -09 1938 5065007 1708 E 116TH ST CARMEL IN 02 10.0 2.799 28.00
TOTAL CARD 261 10.0 28.00
08 -05 1901 5031036 8311 CRAWFORDSVILLE ROAD INDIANAPOLIS IN 04 14.8 2.76 41.00
08 -08 1821 5012012 710 WESTFIELD ROAD NOBLESVILLE IN 02 13.0 2.69 35.00
08 -12 1931 5069019 710 WESTFIELD ROAD NOBLESVILLE IN 02 13.7 2.59 35.55
08 -15 1823 5009013 710 WESTFIELD ROAD NOBLESVILLE IN 02 14.5 2.55 37.00
TOTAL-CARD 26°
08-17 2128 5038007 12512 E 116TH STREET FISHERS IN 02 20.4 2.62 53.54
08 -29 1432 5030034 12512 E 116TH STREET FISHERS IN 02 21.9 2.63S 57.76
TOTAL CARD 270 42.3 111.30
08 -08 1210 5026036 3131 E 96TH STREET INDIANAPOLIS IN 02 15.0 2.73c 41.00
TOTAL CARD 271 15.0 41.00
TOTAL ALL CARDS 213.6 565.70
Form OL06 0812007
STATEMENT OF CREDIT CARD TERMS the account is referred to an attorney or collection a,'
the full amount awed, reasonable attorn fees gf� tZb (6lp) XV3
MARATHON REGULAR AND v'�
PREMIER CARDS/ ASHLAND REGULAR CARD allowed by applicable state law. Where permissible 0856 LE5 008 1 aRtlD
EFFECTIVE 11 -01 -06 charge for each dishonored check submitted in pal
equal the lesser of $25 or the maximum amount alll OV95b NO 'AV1ONId
If you have a REGULAR ACCOUNT with revolving credit the Minimum Payment Due must or billing address. MPC reserves the right to assess, NS3O llk/fN JDD
he aid on or before the due date. Revolving credit is not available to government or com- 13 13d 014J -V 6ES
p 9 9 of documents and for each ticket copy requested. ANddfNOO Ydf13lON13d NOHJ Vt1 VtN
mercial accounts, which must be paid in full on or before the due date. :Oi 0N3S )AD 3118m
CANC ELLING OR S USPENDING CREDIT
If you have a PREMIER ACCOUNT with revolving credit the Minimum Payment Due must SluauiAed
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 u4bluaano ao uollC'wJOiUI
mercial accounts, which must be paid in full on or before the due date. To terminate cred- return the card on demand. lun000e'suollsanb JoR
it availability under the account to avoid paying any applicable renewable fees, write:
Marathon Petroleum Company LLC, 539 S. Main St., Attn: Credit Card Center, Findlay, OH BILLING RIGHTS SUMMARY 3-n Auedtuo3
45840 -3229 or call toil -free 1- 800- 537 -9580 upon receipt of this statement of credit card In c of Errors or Questions About Your Bill;
terms. L,unS1048d
If you think your bill is wrong, or if you need more i T
FINA CHARGE C ALCULATION bill, write us on a separate sheet at Marathon Petre U044!'Je
If Marathon Petroleum Company LLC (MPC) has not received payment in full of the "New Attn: Credit Card Center, Findlay, OH 45840 -32: G
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 ti
CHARGE applied to the Average Daily Balance. The Average Daily Balance and FINANCE appeared. You can telephone us, but doing so will'
CHARGE are calculated as follows:
give us the following information: NOHl'fabW
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. 1
merchandise charges, unpaid charges for dishonored checks, previously assessed need more information, describe the item y,
unpaid finance charges and late payment fees. You do not have to pay any amount in question w1i.,
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 riot in question. After we receive your fetter,
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 Cred Card Pu rchases:
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-
o. Computed FINANCE CHARGES of less than $.50 are adjusted to 5.50 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, MI, 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. MPC gets the or operate the merchant, or if 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
DE FAULT CO COSTS. DI 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 on your account, subject to applicable law. If CALL: 1 -800- 537 -9580 FAX 419- 421 -4516
F.[m 604K REV. tIj05
P'escri6ed 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
Marathon Petroleum Company Purchase Order No.
PO Box 740109
Terms
Cincinnati, OH 45274 -0109
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/9/10 monthly payment 484.67
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
PO Box 740109 IN SUM OF
Cincinnati, OH 45274 -0109
484.67
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po INVOICE NO ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 484.67 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
Sept 9, 2010
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund