169063 02/17/2009 CITY OF CARMEL, INDIANA VENDOR. 357956 Page 1 of 1
0 ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC CHECK AMOUNT: $373.55
CARMEL, INDIANA 46032 Y O BOX 740109
CINCINNATI OR 45274 -0109 CHECK NUMBER: 169063
CHECK DATE: 211712009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 3.73.55 GASOLINE
a:
Zi p f rz r �F s� k
EL PU c F g x Z r F MOTOR FURCHASESr
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<2TRANS tRANS DOCUMENTi f {s t rt
OCATION o
DATE TIMES NUNiE4ER Lr DESCRIPTION OF TRANSACTION x� rA RO RO
k ,z.:3`,>} G OD GALS t `PRICE,: AMOUNTYx, OD
CURRENT CREDIT LIMIT IS: $1000.00
PREVIOUS BALANCE
01 -30 TOTAL TAX CREDITS
PLEASE PAY PAST DUE AMOUNT PROMPTLY $140.37
01 -10 1735 5047019 45880 NATIONAL ROAD ST. CLAIRSVILLE OH 02 20.0 1.99 40.00
TOTAL CARD 270 20.0 40.00
01 -13 1855 5035002 S R 218 AND U S 31 BUNKER HILL IN J2
01 -13 812 5030028 S R 218 AND U S 31 BUNKER HILL IN 02 17.2 1.85 31.91
01 -13 1854 5035603 S R 218 AND U S 31 BUNKER HILL IN 02 11.3 1.85 21.00
01 -14 1426 5052035 99 S MIAMI STREET MEXICO IN 41 14.3 1.99 28.50
01 -15 2010 5002033 1983 S US 31 TIPTON IN 02 16.8 1.95 33.00
01 -16 1252 5048025 S R 218 AND U S 31 BUNKER HILL IN 02 8.3 1.99 16.50
01 -16 1252 5048027 S R 218 AND U S 31 BUNKER HILL IN 02 13.5 1.99 27.00
01 -20 1335 5065023 S R 218 AND U S 31 BUNKER HILL IN 02 12.7 1.93 24.S6
01 -20 11.56 5081007 5058 S 800 W SWAYZEE IN 02 16.8 1.92 32.50
01 -22 855 5068019 99 S MIAMI STREET MEXICO IN ail 11.0 1.99 22.00
01 -22 856 5068020 99 S MIAMI STREET MEXICO IN 41 17.5 1.99 35.00
01 -26 2127 5083008 206 S HUNTINGTON SYRACUSE IN 02 14.5 1.82 26.50'
01 -27 1749 5035023 1244 E GANO ST KOKOMO IN 02 16.0 1.74C 28.00
01 -28 1347 5012028 S R 218 AND U S 31 BUNKER HILL IN 02 14.2 1.75 25.00
01 -29 1732 504601.8 1244 E GANO ST KOKOMO IN 02 16.6 1.65c 27.5
TOTAL CARD 271 200.7 378.97
TOTAL ALL CARDS 220.7 418.97
Form OL06 06/2007
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's 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
If 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.
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 (MPC) 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. Alter we receive yuui 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, 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
DEFAULT, COLLECTION 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 -9580 FAX 419 421 -4516
Form 50480 REV. 11,106
EXEMPT ACCOUNTS
Page 1 of 1
ACCOUNT NUMBER 1005116148
Keep this for your record S TATFMENI-C DATE_0.1 30
IOUSflAIAWCE PMTS(CREDIrS +�CttAflGES7AG1', +FINANCECHARGE NEVfBP,LAtJCF��
$140.37 $61.46 $435.01 $.00 5513'.:9
TO AVOID ADDITIONAL.
YEAR TO DATE ANNUAL AVERAGE DAILY FINANCE CHARGE ,PAYMENT
FINANCE PERCENTAGE MONTHLY PERIODIC RALAiJCE SUBJECT 1'O of AMOUNT DUE MUST
CHARGE RATE NTEREST RATE FINANCE CHARGE BE RECEIVE By THE
DUE DATE SHOWN BELOW.
$.00 21.0 1.75 $.00 02:-24,..09
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(Nasher 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
URCHASES yv s ate k LESS.OEDUCTION OF TAXES
rGROSS� NET 4
MISC- AMOUNT_' FEDERAL` STATE EEDERALU STATE s STATE` INVOICE AMOUN t
AMOUNT h GAS TAX GAS TAX DoLTAXi DSLTAX SL &TAX aLS TAX
tS i
$140.37
$61.46CR
40.00 3.66 36.34
40.00 3.6 $36.34
14.99 16.0 1.05 14.99
31.91 3.1E 1.6k 27.08
21.0 2.0 1.11 17.82
28.5 2.62 1.5 24.35
33.0 3.0 1.7 28.17
16.5 1.5 .8k 14.10
27.0 2.4 1.4 23.08
24.5 2.32 1.3 20.94
32.5 3.0 1.7" 27.70
22.0 2.01 1.14 18.81
35.0 3.2 1.8 29.93
26.5 2.6 1.3 22.46
28.0 2.92 1.4 23.62
25.0 2.6 1.3 21.10
27.51 3.04 1.4 23.06
14.99 395.0 36.7 20.0' 1.05 $337.21
14.9 435.01 40.3E 20.0 1.05 $373.55
Prescribed by State Board oY 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))
2/11/09 monthl a ent 373.55
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 IN SUM OF
P.O. Box 740109
Cincinnati, OH 45274 -0109
373.55
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 314 373.55 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
February 11 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund