192875 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1
ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC CHECK AMOUNT: $173.05
CARMEL, INDIANA 46032 P 0 BOX 740109
CINCINNATI OH 45274 -0109 CHECK NUMBER: 192875
CHECK DATE: 12/1512010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 1005116148 173.05 1005116148
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'TRANS RANS
T DOCUMENTS a� y, ATIO O
Y LOCN or DESCRIPTION TRANSACTION PRO[
DATEtTIME?FNUMBER OD
AMOUNT
CURRENT CREDIT LIMIT IS: $2000.00
PREVIOUS BALANCE
11 -30 TOTAL TAX CREDITS
11 -30 0 PAYMENT THANK YOU
11 -10 956 5330004 1708 E 116TH ST CARMEL IN 02 12.5 2.93S 36.70
TOTAL CARD 259 12.5 36.70
10 -31 1531 5013002 12512 E 116TH STREET FISHERS IN 02 20.2 2.76 56.01
11 -06 820 5039035 12512 E 116TH STREET FISHERS IN 02 16.1 2.86S 46.08
11 -12 857 5382015 12512 E 116TH STREET FISHERS IN 02 19.8 2.93 58.06
TOTAL CARD 270 56.1 160.15
TOTAL ALL CARDS 68.6 196.85
Farm OL06 0007
9tSb•LZta-(6l0 :Xtld
INFORMATION ABOUT YOUR ACCOUNT You must contact us within 60 days after the error 01356 L£S 008 l :lltlD
notify us of any potential errors in writing. You may
PAYMENT REQUIREMENTS: You agree to pay us for all purchases made on your to investigate any potential errors and you may ha, OtM HO `AVIONIJ
Account by you or any person authorized by you. Payments made by check or money order )IS3al1VW DOD
with the account number written on the check or money order and with the accompanying While we investigate whether or not there has bee '1S NIVW H1f10S 6£S
payment stub mailed to Marathon Petroleum Company LP, P.O. Box 740109, Cincinnati, o We cannot try to collect the amount in questl3 ANVdWOO Wf33lO8.L3d N0141VLIVW
OH 45274 -0109 shall be considered conforming payments. Do not send cash. Payments :01 9N3S UO 31JUM
mailed in accordance with these instructions and received by 5:00 pm EST on a business amount.
day will be credited to y our account that day o The charge in question may remain on your sti l'.f6lwano Jo u OIU2WOed
olteuuofu!
H TO AVOID PAYING INTEREST ON PURCHASES: To avoid Interest Charges, You interest on that amount. lunctooe'suollsanbjoj
payment of the New Balance must be received by the Payment Due Date shown on your o While you do not have to pay the amount it
periodic statement_ Your Payment Due Date is at least 25 days after the close of each billing remainder of your balance. d A u v e e dwoZ
cycle. We will not charge you any Interest on your account if you pay your entire balance
by the due date each month. o We can apply any unpaid amount against yod
INTEREST CHARGE CALCULATION: If we have not received payment in full of the New YOUR RIGHTS IF Y OU ARE DI WITi
Balance by the Payment Due Date shown on your periodic statement, we may assess an p2 jo
Interest Charge applied to the Average Daily Balance. We determine the Interest Charge If you are dissatisfied with the goods or services th
on your Account by applying the periodic rate applicable to your state of residence as card, and you have tried in good faith to correct th,'
determined by your billing address to the Average Daily Balance of your Account. For have the right not to pay the remaining amount dul
an explanation of the calculation method used to determine the Interest Charge on your To use this right, all of the following must be true: NOHJLVIJ W
periodic statement, please call us toll free at our customer service number 1 -800- 537 -9580.
1. To get the Average Daily Balance we take the beginning balance of your Account each 1. The purchase must have been made in your Y
day, add any new purchases (new purchases are not included in computing the Average current mailing address, and the purchase price
Daily Balance in the states of MA, ME, MN, MS, MT, NE, NM and RI), insurance pre- Neither of these are necessary your that
s
miums, mail order merchandise charges, unpaid returned payment fees, previously mailed to you, or if we own the company that so
assessed unpaid Interest Charges and late payment fees, and then subtract any pay- 2. You must have used your credit card for the put
ments or credits. This gives us the daily balance. Then, we add all the daily balances for
the billing cycle together and divide by the total number of days in the billing cycle. This 3. You must not yet have fully paid for the purchas
gives us the Average Daily Balance.
If all of the criteria above are met and you are still dissatisfied with the purchase, contact us
!k. t_. cH.ar .:.atc. k A. i �o tact th— S1.00, w will Impose o minirnum Intorost in writing at: Marathon Petroleum Company LP, 539 South Main Stroot, Attm Crodit Card
Charge of no less than $1.00 (which is a FINANCE CHARGE); except in TX, where we Center, Findlay, OH 45840 -3229.
will impose a minimum Interest Charge of $0.75 (which is a FINANCE CHARGE); and in
MI, MO, NY, and TN, where we will impose a minimum Interest Charge of $0.70 (which While we investigate, the same rules apply to the disputed amount as discussed above.
is a FINANCE CHARGE); and in AL, AZ, CO, DC, IA, IL, IN, KS, LA, ME, MA, MN, MS, After we finish our investigation, we will tell you our decision. At that point, if we think you
MT, NJ, OK, PA, SC, SD, VA, VT, WV, WI, and WY, where we will impose a minimum owe an amount and you do not pay, we may report you as delinquent.
Interest Charge of $0.50 (which is a FINANCE CHARGE). To obtain a copy of the current terms of your Retail Installment Credit Agreement which
DEFAULT, COLLECTION COSTS, REPRINT FEES: If your Account is not paid according apply to your account, call us at 1- 800 -537 -9580 or write to us at Marathon Petroleum
to terms, we reserve the right to demand immediate payment of the full amount outstanding Company LP, 539 South Main Street, Attn: Credit Card Center, Findlay, OH 45840 -3229.
on your Account, subject to applicable law. If your Account is referred to an attorney or col- CREDIT BUREAU REPORTING: As required by law, you are hereby notified that a nega-
lection agency, you agree to pay, in addition to the full amount owed, reasonable attorney's tive credit report reflecting on your credit record may be submitted to a credit reporting
fees, court costs, or collector's fees, as allowed by applicable state law. We reserve the agency if you fail to fulfill the terms of your credit obligations.
right to assess a reprint fee of up to $2 for administrative costs, each reprint of statements
and other documents, and for each ticket copy requested. ANY COMMUNICATION CONCERNING DISPUTED DEBTS, INCLUDING, BUT NOT
WHAT T O DO IF YOU FIND A M ISTAK E ON Y STATEMENT LIMITED TO, AN INSTRUMENT TENDERED AS FULL SATISFACTION OF A DEBT,
INQUIRIES ABOUT THE STATUS OF YOUR ACCOUNT AND QUESTIONS ABOUT
If you think there is an error on your statement, write to us at: Marathon Petroleum THIS BILL, ARE TO BE SENT TO THE ADDRESS LISTED BELOW.
Company LP, Attn: Credit Card Center, 539 South Main Street, Findlay, OH 45840 -3229. MARATHON PETROLEUM COMPANY LP
In your letter, give us the following information: ATTN: CREDIT CARD CENTER
539 SOUTH MAIN STREET
Account information: Your name and account number. FINDLAY, OH 45840
1- 800 537 -9580
Dollar amount: The dollar amount of the suspected error.
Description of problem: If you think there is an error on your bill, describe what you believe
is wrong and why you believe it is a mistake.
Form 50480 REV. 9/10
EXEMPT ACCOUNTS
Page 1 of 1
ACCOUNT NUMBER 1005116148
Keep this for your record gTA ENT ULOal E 11-A0-
'p REVIOUS'BALANCE'� PMTS f CREDITS +Gh4ARGkS f:AQI'(. FINANCE CHAHGf NEW_BAfANCEt -'`s.
$202.75 $226.55 $196.85 $.00 $173.05':if:
TO AVOID ADDITIONAL
YEAR TO DATE ANNUAL AVERAGE DAILY FINANCE CHAkOE,PAYMENT
FINANCE PERCENTAGE MONTHLY PERIODIC BAIANCE SUBJECT To OF AMOUNT DUE MUST
CHARGE RATE IN fEREST RA'Z'E FINANCE CHARGE BE RECEIVED BY THE
DUE DATE SHOWN BELOW.
$.00 21.0 1.75 $.00 12- 2b.10!.
PROD CODES:
01 Reg. Unleaded F/S 07 Diesel
02 Reg. Unleaded S/S 08 Misc. Fuels(Kerosene,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
ipany LLC 06 Prem Unleaded S/S
IRCHASES s r LESS DEDUCTION OFAPPLICABLE TAXES r
GROSS s NET
MISC x AMOUNT FEDERAL STATE FEDERAL STATE STATE INVOICE AMOUNT•
\MOUNT i azs j GAS l'AX GAS TAX DSLTAX DSLTAX SLR TAX &LS TAX
$202.75
$23.80CR
$202.75CR
36.70 2.2 2.1 32.31
36.7 2.2 2.1
32.31
56.01 3.7c 3.1 49.13
46.06 2.9f 2.6 40.50
58.06 3.62 3.3
160.1 10.2 9.1 $140.74
196.85 12.56 11.2 $173.05
VOUCHER NO. WARRANT NO.
ALLOWED 20
Marathon Petroleum Company LP
IN SUM OF
P.O. Box 740109
Cincinnati„ OH 45274 -0109
$173.05
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 42- 314.00 $173.05 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
Thursday, December 09, 2010
b h, 4 -4
72
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/08/10 payment for gasoline $173.05
1 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