165864 11/12/2008 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: $157.97
CINCINNATI OH 45274 -0109 CHECK NUMBER: 165864
CHECK DATE: 11/1212008
DEPARTMENT AC COUNT PO NUM INVOIC NUMBER AM DESCRIPTION
1110 4231400 157.97 1005116148
MARATHON
Marathon
Petroleum
Company uc
For questions, account
information or overnight
payments:_
a
WHITE OR SEND TO:
MARATHON PETROLEUM COMPAN
539 SOUTH MAIN ST.
CCC MAILDESK
FINDLAY, OH 45840
CALL: 1. 800. 537.9580 i.
FAX: (419)- 421 -4516„
F LIQOTOR FUEL PURCHASES:: MISC., F
TRANS TRANS :DOCUMENT L
LOCATION or DESCRIPTION OF TRANSACTION PRO RO
DATE TIME NUMBER A O
G D OD
GALS. PRICE; AMOUNT
CURRENT CREDIT LIMIT IS: $1000.00
PREVIOUS BALANCE
10 -31 TOTAL TAX CREDITS
10 -20 0 PAYMENT THANK YOU
10-03 1455 5019032 1708 EAST 116TH STREET CARMEL IN 04 16.3 3.49S 57.01
10 -21 1003 5003018 1708 EAST 116TH STREET CARMEL IN 04 15.5 2.73S 42.36
10 -29 1243 5050004 2485 POST ROAD INDIANAPOLIS IN 04 15.7 2.35S 37.08
TOTAL CARD 261 47.5 136.45
10 -09 2103 5089031 12512 E 116TH STREET FISHERS IN 02 13.7 3.13S 43.00
TOTAL CARD 262 13.7 43.00
TOTAL ALL CARDS 61.2 179.45
Form OL06 08/2007
EXEMPT ACCOUNTS
x
Page 1 c! 1
ACCOUNT NUMBER 1005116148 rim
Keep this for your re cords SIA EMENT C-LOSI DATE 10
u
PREVIOUS BALANCE. PMT$ f CREDITS I CHARGES GADJ FINANCE CI IARGE NEW .BALANG£ t
$284.49 $305.97 $179.45 $.00 I $157-9T: X
YEAR TO DATE ANNUAL AVERAGE DAILY TO AVOID ADDIIONAL
MONTHLY PERIODIC FINANCE CHARGE PAY ENT
FINANCE PERCENTAGE BALANCE SUBJECT I "O of AMOUNT DUE MUST,:.
CHARGE RATE INTEREST RATE FINANCE CHARGE BE RECEIVED BY THE
DUE DATE SHOWN BELOW
$.00 21.0 1.75 $.00 11-2S
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.,et
04 Mid Grade Unl S/S 10 Service /Labor,Parts`
�t
05 Prem Unleaded F/S 12 C Store Item
rtpany LLC 06 Prem Unleaded S/S ✓p:.
URCHASES LESS `DEDUCTION QF APPLICABLE (AXES
GROSS
NET r an attorney or collection agency, you agree to pay, in addition to 1.
MISC. AMOUNT FEDERAL STATE FEDERAL STATE STATE INVOICE AMOUNT reasonable attorney's fees, court costs, or collector's fees, as
AMOUNT GAS :T
A X 'GAS TAX `.DSLTAX!: DSLTAX SLS:TAX S L S T AX me law. Where permissible by law, MPC will impose a processing
red check submitted in payment of your account. The charge will
r the maximum amount allowed by law in your state of residence
$284.49 eserves the right to assess a reprint fee of up to $2 for each reprint
$21 .48CR
5284.49CR ch ticket copy requested.
PENDING CREDIT
S7.01 2.9e 3.3c 50.69
42.36 2.8 2.4( 37.12 and a credit card account at any time. The credit card holder must
37.08 2.8 2. 0 32.16 'id.
136.45 8.6 7.7 $119.97 iAARY
>tions About Your Bill:
43.00 2.51 2.4c 38.00
43.00 2.51 2.4 $38.00 ong, or if you need more information about a transaction on your
e sheet at Marathon Petroleum Company LLC, 539 S. Main St.,
x, Findlay, OH 45840 -3229, as soon as possible. We must hear
179.4h 11.2C 10.2 $157.97 i days after we sent you the first bill on which the error or problem
hone us, but doing so will not preserve your rights. In your letter,
rmation:
Iccount number.
It of the suspected error.
r and explain, if you can, why you believe there is an error. If you
ration, describe the item you are not sure about.
ny amount in question while we are investigating, but you are still
a of your bill that are not in question. After we receive your letter,
ny amount you question, or report you as delinquent.
Card Purchases:
'i the quality of property or service that you purchased with a cred-
d in good faith to correct the problem with the merchant, you may
he remaining New Balance on the property or services. There are
ht: (a) You must have made the purchase in your home state or,
ate, within 100 miles of your current mailing address; and (b) The
e been more than $50. These limitations do not apply if we own
or if we mailed you the advertisement for the property or services.
are hereby notified that a negative credit report reflecting on
be submitted to a credit reporting agency if you fail to fulfill
obligations.
nt information write:
ON PETROLEUM COMPANY LLC
\IN ST.
IEDIT CARD CENTER,
OH 45840 -3229 OR
100- 537 -9580 FAX 419- 421 -4516
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 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.
P.O. box 740109 Terms
Cincinnati, OH 45274 -0109 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/7/08 monthly payment 157.97
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
M arathon Petroleum Company IN SUM OF
P.O. Box 740109
Cincinnati, OH 45274 -0109
157.97
ON ACCOUNT OF APPROPRIATION FOR
police "general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 314 157.97 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
November 7 2008
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund