205383 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1
Q� ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC CHECK AMOUNT: $137.46
CARMEL, INDIANA 46032 P 0 BOX 740109
CINCINNATI OH 45274 -0109 CHECK NUMBER: 205383
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 1005116148 137.46 10- 051 -16 -148
3 x m K
s yn£ �z r T� c r i F y S AAUTOH FUEL PURCHASES MISC 'F
TRANS TRANS DOCUMENT LOCATION 6r .DESCRIPTION OF TRANSACTION c pR
O RO
DATE c T1ME NUMBER x f A ODE X OD
tX k x x vj l Ca :GALS PRICE r AMnUNT
CURRENT CREDIT LIMIT IS: $2000.00
PREVIOUS BALANCE
12-30 TOTAL TAX CREDITS
12 19 0 PAYMENT THANK YOU
12 -12 845 5371026 1010 S PERU STREET CICERO IN 02 7.7 3.389 26.01
TOTAL CARD 261 7.7 26.01
12 02 1359 5362033 12512 E 116TH STREET FISHERS IN 02 12.9 3.33 43.24
TOTAL CARD 270 12.9 43.24
12 -22 1621 5318027 1708 E 116TH ST CARMEL IN 02 13.5 3.39 46.00
TOTAL CARD 271 13.5 46.00
11 -28 1307 5308020 8025 FRIENDSVILLE ROAD FRIENDSVILLE MD 02 11.0 3.38 37.19
TOTAL CARD 278 11.0 37.19
TOTAL ALL CARDS 45.1 1'52:44
Form 01.06 A4/2007
INFORMATION ABOUT YOUR ACCOJN17 You must contact us within 60 days after the error appeared on your statement. You must
notify us of any potential errors in writing. You may call us, but if you do we are riot required
PAYMENT REQUIREMENTS: You agree to pay us for all purchases made on your to investigate any potential errors and you may have to pay the amount in question.
Account by you or any person authorized by you. Payments made by check or money order
with the account number written on the check or money order and with the accompanying While we investigate whether or not there has been an error:
payment stub mailed to Marathon Petroleum Company LP, P.O. Box 740109, Cincinnati,
OH 45274 -0109 shall be considered conforming payments Do not send cash Payments o We cannot try to collect the amount in question, or report you as delinquent on that mailed in accordance with these instructions and received by 5.00 pm EST on a ousiness amount.
day will be credited to your account that day. o The charge in question may remain on your statement, and we may continue to charge
HOW TO AVOID PAYING INTEREST ON PURCHASES: To avoid Interest Charges, you interest on that amount.
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 in question, you are responsible for the
periodic statement. Your Payment Due Date is at least 25 days after the close of each billing remainder of your balance.
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 your credit limit.
INTEREST CHARGE CALCULATION: If we have not received payment in full of the New YOUR RIGHTS IF YOU ARE DISSATISFIED WIT YO UR CREDIT C ARD P URCHASES
Balance by the Payment Due Dato shown on your periodic statement. we may assess an
Interest Charge applied to the Average Daily Balance We determine the Interest Charge, If you are dissatisfied with the goods or services that you have purchased with your credit
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 the problem with the merchant, you may
determined by your b1 ling address to the Average Daily Balance of your Account For have the right riot to pay the remaining amount due on the purchase.
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:
periodic statement please Cat: u, In' -r .i' our cuslumer service number 1-800-53/ 9560
1 To get Ine Average Daily Ba' ince �.e take the beginning balance of your ACCOLl"t oath 1. The purchase must have been made in your home state or within 100 miles of your
day, add any new purchases (')ow purchases are riot Included in Computing the Average current mailing address. and the purchase price must have been more than S50. (Note:
Dally Balance in the states of MA. ME, MN. MS MT, NE, NM and RI), Insurance pre- Nrither of these are necessary It your purchase was based on an advertisement we
mrums, mail order merchandise charges unpaid returned payment fees previously mailed to you, Or if we own the company that sold you the goods or services.)
aceasad :..nparrl In?erest Cha:c}es an !:.ae payment fees and then subtract ,:nv pay v „n :r -g! have ..Lclo vo::r credd card for the n,-!!chase.
meats or credits. This gives us the dally balance- 1 hen r;c a,r r I,i� v ro a ces for
the billing cycle together and divide by the total number of d.% r_, �I cyce f his 3 You must n yet have furry paid for the purchase.
gives us the Average Daily Balance.
If all of the criteria above are met and you are still dissatisfied with the purchase, contact us
2. If the Interest Charge calculated is less than $1 00 v,r %roll mpnse a minimum Interest in writing at Marathon Petroleum Company LP, 539 South Main Street, Attn: Credit Card
Charge of no iess loan $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 S0.70 (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 MI, After v,P t:nlsh our mves!Igatlon 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 v.e vllr irnposr a m niniwn uwr an amount and you do not pay, we may report you as delinquent.
Interest Charge of S0 50 h;c T p I wrrenl forms of your Retail Installment Credit Agreement which
DEFAULT, COLLECTION COSTS, REPRINT FEES: It yol,r A, is paid accordu 1 pply 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 time full arro nm! oufstarrd nq 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 refer red to nn .mttorney of cut- 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 attorneys t ive 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 obligation,
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 TO DO IF YOU FIND A MISTAKE ON YOUR 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 Gerber 539 South Main Streel. Findlay. OH 45840 -3229. MARATHON PETROLEUM COMPANY LP
In your letter, give us the f01I0:;l1)y a,'cn ^.arr:r. ATTN: CREDIT CARD CENTER
539 SOUTH MAIN STREET
Account information. Your name and account number FINDLAY, Of 1 45840
Dollar amount: The dollar amount of the suspected error 1- 800 537 -9580
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 g, ll)
EXEMPT ACCOUNTS
Page 1 of 1
ACCOUNT NUMBER 1005116148
Keep this for your records �I T,ELiENT_EL4 aIN IlAIE_12_4 -1
_a PRFVIOLIS 84lAWCE.. PHTS CREOIT CHARGES (ADJ FINANCE CHARGL NENJ,[:AtAtJG6
$338.31 $353.29 $152.44 $.00 :.$137:.46:
10 AVOID ADD111014AL
YEAR TODAFE ANNUAL AVERAGE DAILY FINANCE CHARGE,PAYMENI
FINANCE PERCENTAGE MONTHLY PERIODIC F VAIJCE SUBJECT TO OF AMourlI DUE
CHARGE RATE MUSE
INTEREST RATE FINANCE CHARGE bE RECEIVED 81' THE
DUE DATE SHOWN BELOW.
$.00 21.0 1.75 $.00
'PROD CODES:
01 Reg. Unleaded F/S 07 Diesel
02 Reg. Unleaded S/S 08 Misr.. Puels(Kerosene,Oil,etc)
03 Mid Grade Unl F/S 09 Misc. Products(Washer Solv.,etc)
04 Mid Grade Un1 S/S 10 Service /Labor,Parts
05 Preln Unleaded F/S 12 C Store Item
-Jpany LAC 06 Prem Unleaded S/S
)RCHASES LESS bEDUCTION_ TAXES
GR05S NF T
MISC x AMOUNT: FEDERAL ;STATE FEDERAL .STATE STATE INVOICE AMOUNT
4MOUN'f GAS TAX GAS TAX DSL TAX DSL TAX SLS TAX SLS TAX
$338.31
$14.98CR
$338.31CR
26.01 l.ell 1.51 23.08
26.01 1.41 1.5 $23.08
43.2 2.3 2.5' 38.36
43.21f 2.3' 2.5 $38.36
46.0 2.47 2.6 40.84
46.0 2.4 2.6 $40.84
37.1 2.01 35.18
37.1 2.0 $35.18
152.4 8.2f 6.7 $137.46
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Marathon Petroleum Company LP
IN SUM OF
P.O. Box 740109
Cincinnati„ OH 45274 -0109
$137.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 42- 314.00 $137.46
I hereby certify that the attached invoice(s), or
I I
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, January 12, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/10/12 gasoline $137.46
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