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208179 04/24/2012 CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1 0 ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC ,+a CARMEL, INDIANA 46032 P 0 Box 740106 CHECK AMOUNT: $254.26 CINCINNATI OH 45274 -0109 CHECK NUMBER: 208179 CHECK DATE: 412412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4231400 1005116148 254.26 GASOLINE EXEMPT ACCOUNTS dY Page l of 1 ACCOUNT NUMBER 1005116148 ae 4e F INANCE yiAHGE µ4 NEW BALANCE; MARATHON 9.93 $281.90 $.00 $254.26;,. JAL r ITAGE MONTHLY PERIODIC AVERAGE GAILY n AVOID ADDITIONAL I Marath E INTEREST RATE BALANCE SUB,F_CT TO F1VgN CHAR GE pgvMENT s 9F AMOUNT DUE US FINANCE NANCE CHARGE BE RECEIVED BV THE Petroleum DATE SHOWN BELOW. 1.75 $.00 04 726 12 YY Company LP For questions, account ded PIS 07 Diesel information or overniyht ded S/S 08 Misc. FUe!S(Kerosene, Oil, etc) WRITE OR SEND TO: lnl S/S payments 7n1 F/$ 09 P •<�3 Misc. roducts(Nasher Solv.,etc) MARATHON PETROLEUM COMPANY 10 Service/ Labor, Parts led F/S 539 SOUTH MAIN ST. 12 C Store Item CCC MAILDESK led FINDLAY, OH 45840 I U CALL: 1-800-537-9590 a DEDUCTION OF APPLICABCE ES FAX: (419)- 421 -4516 A aTATE FEDERAL' NET -STATE z F MOTOR FUEL PURCHASES I TRANS' TRANS DOCUMENT T LOCATION or DESCRIPTION OF TRANSACTION A RO RO DATE IME NUMBER OD D C GALS PRICE -AMOUNT CURRENT CREDIT LIMIT IS: $2000.00 PREVIOUS BALANCE 03 -29 TOTAL TAX CREDITS 03 -19 0 PAYMENT THANK YOU 03 -13 1211 5386017 34 HARBOURTOWN CT NOBLESVILLE IN 01 6.3 3.99 25.28 TOTAL CARD 261 6.3 25.28 03 -11 1737 5378036 2022 N MULBERY ELIZABETHTOWN KY 01 11.2 3.73 41.79 03 -14 1859 5378012 101 ENTERPRISE WAY SELLERSBURG IN 02 12.3 3.889 47.80 TOTAL CARD 265 23.5 89.59 03 -09 1339 5372035 1708 E 116TH ST CARMEL IN 02 15.4 3.75 58.07 03 -24 1713 5335023 12512 E 116TH STREET FISHERS IN 02 14.6 3.85 56.17 TOTAL CARD 270 30.0 114.24 03 -12 1543 5325005 3901 W 37TH AVE HOBART IN 02 13.4 3.93S 52.79 TOTAL CARD 275 13.4 52.79 TOTAL ALL CARDS 73.2 281.90 i i I I I Form OL06 W2007 n a f =4'k r a i ,y INFORMATION ABOUT YOUR ACCOUNT PAYMENT REQUIREMENTS: You agree to pay us for all purchase Account by you or any person authorized by you. Payments made by the with the account number written on the check or money order and with t payment stub mailed to Marathon Petroleum Company LP, P.O. Box 7 OH 45274 -0109 shall be considered conforming payments. Do not sen( mailed in accordance with these instructions and received by 5:00 pm E day will be credited to your account that day. HOW TO AVOID PAYING INTEREST ON PURCHASES: To avoid I payment of the New Balance must be received by the Payment Due Dal periodic statement. Your Payment Due Date is at least 25 days after the of( cycle. We will not charge you any Interest on your account if you pay yo by the due date each month. INTEREST CHARGE CALCULATION: If we have not received payment Balance by the Payment Due Date shown on your periodic statement, w( Interest Charge applied to the Average Daily Balance. We determine the on your Account by applying the periodic rate applicable to your state determined by your billing address to the Average Daily Balance of yo an explanation of the calculation method used to determine the Interest periodic statement, please call us toll free at our customer service number 1. To get the Average Daily Balance we take the beginning balance of ym day, add any new purchases (new purchases are not included in comput Daily Balance in the states of MA, ME. MN, MS, MT, NE, NM and RI), miums, mail order merchandise charges, unpaid returned payment 1 assessed unpaid Interest Charges and late payment fees, and then su ments or credits. This gives us the daily balance. Then, we add all the the billing cycle together and divide by the total number of days in the bi gives us the Average Daily Balance. l 2. a the interest Charge calculated is less than $1.00, we will impose a m Charge of no less than 51.00 (which is a FINANCE CHARGE); except it will impose a minimum Interest Charge of $0.75 (which is a FINANCE Cl- MI, MO, NY, and TN, where we will impose a minimum Interest Charge Is a FINANCE CHARGE); and in AL, AZ, CO, DC, IA, IL, IN, KS, LA, ME MT, NJ, OK, PA, SC, SD, VA, VT, WV, WI, and WY, where we will impc Interest Charge of S0.50 (which is a FINANCE CHARGE). DEFAULT, COLLECTION COSTS, REPRINT FEES: If your Account is not to terms, we reserve the right to demand immediate payment of the full amot. on your Account, subject to applicable law. If your Account is referred to an lection agency, you agree to pay, in addition to the full amount owed, reason; fees, court costs, or collector's fees, as allowed by applicable state law. V right to assess a reprint fee of up to $2 for administrative costs, each reprint and other documents, and for each ticket copy requested. WHAT TO D.O...IF YOU.FIND A MISTAKE..O.N YOUR.STATEMENT If you think there is an error on your statement, write to us at: Marathi Company LP, Attn: Credit Card Center, 539 South Main Street, Findlay, OH In your letter, give us the following information: Account information: Your name and account number. Dollar amount: The dollar amount of the suspected error. Description of problem: If you think there is an error on your bill, describe n is wrong and why you believe it is a mistake. Form 50480 REV. 9/10 �r aA I Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 M arathon Petroleum Company Purchase Order No. PO Box 740109 Cincinnati, nH 45974 -0109 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/9/12 gasoline 254.26 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 athon Petroleum Company IN SUM OF 209Box 740109 Cincinnati, OH 45274 -0109 254.26 ON ACCOUNT OF APPROPRIATION FOR po general fund Board Members K o PT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 314 254.26 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 Ap ril 9, 20 12 4 Signature Chief of police Title Cost distribution ledger classification if �t ,y' claim paid motor vehicle highway fund