170701 04/14/2004 CITY OF CARMEL, INDIANA VENDOR. 357956 Page 1 of 1
b ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC CHECK AMOUNT: $183.19
CARMEL, INDIANA 46032 P 0 BOX 740109
CINCINNATI OH 45274 -0109
CHECK NUMBER: 170701
CHECK DATE: 411412009
DEPARTMENT v ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,-1110 4231400. 1005116148 183.19 1005116148
I
i
EXEMPT ACCOUNTS
Page 1 of 1
ACCOUNT NUMBER 1005116148
Keep this for your rec S T TFME i4
PREVIOUS 641AfJCE_ PMT° /CREDITS t CHA GES 7AC1J FINANCE CHARGE NEW PALAWCE
$383.38 $411.78 $211.59 $.00 $183 9,
TO AVOID ADDITIONAL
YEAR 'i0 DATE ANNUAL AVERAGE DAILY FINANCE CHARGE ,PAYNENT
MONTHLY PERIODIC
FINANCE PERCENTAGE INTEREST RATE EjA ANCE SUBJE=CC TO oF aMDUIrr DUE nu,'r
CHARGE RATE FINANCE CHARGE BE RECEIVED By ME
DUE DATF SHOWN BELOW.
$.00 21.0 1.75
$.00
'PROD CODES:
01 Reg. Unleaded F/S 07 Diesel
02 Reg. Unleaded S/S 08 Misc. FUels(Kerosene,Oil,etc)
03 Mid Grade Uul 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 Prem Unleaded S/S
URCrIASES Ut :f IU
LESS DcD Oi :APPLICABLE T AXES
rr
MISC' it AMOUNT FEDERAL STATE FEpEflAL. y STATE STATE INVOICE AMOUNT
AMOUNT sh GAS7AX GAS TAX f1SL fAX' DSLTAX SLSTAX !kS'TAX zF
$383.38
$28.40CR
$383.38CR
38.3 3.57 2.V 32.73
38.34 3.57 2.0 $32.73
2S.68 2.6ci 1.3 21.70
27.00 2.60 1.4 22.97
27.0' 2.4 1.4 23.17
79.7 7.6 4.2 $67.84
52.Sl 4.81 47.70
41.00 3.90 2.1f 34.92
93.51 8.71 2.1 $82.62
211.59 19.9 8.4 $183.19
Y z 5n TOW FUEL PURCHASrs,
TRANS'. DOCUMENT; L
pATL 13 TIMtC% a MEMBERx OCATEON`or DESCRIPTION OFTRANSACTIOiV A pQ PRO s
r2y�` i r OD OD
a xi cx ki
ss
r
G Y
�aLS
y�. PR4C,6 AMOUNT
CURRENT CREDIT LIMIT IS: $1000.00
PREVIOUS BALANCE
03 -30 TOTAL TAX CREDITS
03-23 0 !PAYMENT THANK YOU
03 -09 1311 5093032 11708 EAST 116TH STREET CARMEL IN 02 19.5 1.96 38.34
-t TOTAL CARD 261 19.5 38.34
03 -14 1342 5022015 12512 E 116TH STREET FISHERS IN 02 1.4.4 1.78 c 25.68
03 -21 1527 5064018 12512 E 116TH STREET FISHERS IN 02 14.2 1.89 27.00
03 -29 1049 5020019 12512 E 1161 STREET FISHERS IN 02 13.3 2 03c 27.06
TOTAL CARD 262 41.9 79.74
03-20 2012 5036005 2349 NATIONAL ROAD WHEELING WV 02 26.3 1.99 52.51
03 -22 2104 5083035 1708 EAST 116TH STREET CARMEL IN 02 21.3 1.92 41.00
TOTAL CARD 270 47.6 93.51
TOTAL ALL CARDS 109.0 211.59
I
Form OL05 0812007
STATEMENT OF CREDIT CARD TERMS the account is referred to an attorney or collection agency, you agree to pay, in addition to
MARATHON REGULAR AND the full amount owed, reasonable attorney's fees, court costs, or collector' ;fees, as
PREMIER CARDS ASHLAND REGULAR CARD allowed by applicable state law. Where permissible by law, MPC will impose a processing
EFFECTIVE 11 -01 -06 charge for each dishonored check submitted in payment of your account. The charge will
equal the lesser of $25 or the maximum amount allowed by law in your state of residence
If you have a REGULAR ACCOUNT with revolving credit the Minimum Payment Due must or billing address. MPC reserves the right to assess a reprint fee of up to $2 for each reprint
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.
mercial accounts, which must be paid in full on or before the due date.
CANCELLING OR SUSPENDING CREDIT
It you have a PREMIER ACCOUNT with revolving credit the Minimum Payment Due must
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 at any time. The credit card holder must
mercial accounts, which must be paid in full on or before the due date. To terminate cred- return the card on demand. f
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:
terms.
If you think your bill is wrong, or if you need more information about a transaction on your
FINANCE CHARGE CALCULATION bill, write us on a separate sheet at Marathon Petroleum Company LLC, 539 S. Main St.,
If Marathon Petroleum Company LLC (fdIPC) has not received payment in full of the "New Attn: Credit Card Center, Findlay, OH 45840 -3229, as soon as possible. We must hear
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 first bill on which the error or problem
CHARGE applied to the Average Daily Balance. The Average Daily Balance and FINANCE appeared. You can telephone us, but doing so will not preserve your rights. In your letter,
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, why you believe there is an error. If you
merchandise charges, unpaid charges for dishonored checks, previously assessed need more information, describe the item you are not sure about.
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, MI, MO, INC, 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
DEFAU CO LLECTION COSTS. DISHONORED 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 -95801 FAX 419- 421 -4516
Form -F'V 11 ;06
.Prroscrjbe;�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.
PO Box 740109
Cincinnati, OH 45274 -0109 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/10/09 payment for gasoline 183.19
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.
_F
ALLOWED 20
Marath Pe Company
IN SUM OF
PO Box 74109
Cincinnati, OH 45274 -0109
183.19
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 314 183.19 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 10, 20 09
Signature
Chief o f Po lice
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund