213305 10/09/2012 =.f CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1
,. ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC CHECK AMOUNT: $486.78
CARMEL, INDIANA 46032 P 0 BOX 740109
CINCINNATI OH 45274-0109 CHECK NUMBER: 213305
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 1005116148 486 . 78 1005116148
- - F
„-MOTOR FUEL PURCHASES -:_ AMC.'P.
!.:TRANSr TRANS DOCUMENT --
LOCATION or-DESCRIPTION OF TRANSACTION RO RO
DATE TIME NUAABER A_CODE D OD. ._.
GALS.. PRIGS -<AHIOUNT:
CURRENT CREDIT LIMIT IS: $2000.00
PREVIOUS BALANCE
09-27 TOTAL TAX CREDITS
09-17 0 PAYMENT - THANK YOU .
09-07 1628 5381002 26016 SR 19 ARCADIA IN 02 13.0 3.849 50.0
TOTAL CARD 258 13.0 50.01
09-25 1636 5311024 51451 STATE ROAD 19 ELKHART IN 02 15.4 3.869 59.45
TOTAL CARD 259 15.4 59.45
09-25 1610 5394016 2800 CASSOPOLIS ST ELKHART IN 02 11.5 3.84 44.40
TOTAL CARD 260 11.5 44.40
09-24 555 5337030 204 STITT STREET WABASH IN 02 12.3 3.76 46.35
09-26 816 5397034 2800 CASSOPOLIS ST ELKHART IN 02 8.6 3.849 33.26
TOTAL CARD 261 20.9 79.61
09-24 626 5343012 486 S 50 E ROCHESTER IN 02 10.3 3.82c 39.54
09-26 732 5397024 2800 CASSOPOLIS ST ELKHART IN 02 10.7 3.84 41.02
TOTAL CARD 264 21.0 80.56
U9=04"1505--5380022 -'Y0655-N-MICHIGAN-ROAD- ZIONSVIL-LE------ -3N-------02-12.5-3•:97.- 49..•7.7
09-05 614 5095027 10655 N MICHIGAN ROAD ZIONSVILLE IN 12
09-07 624 5067034 10655 N MICHIGAN ROAD ZIONSVILLE IN 12
TOTAL CARD 272 12.5 49.77
09-11 1812 5337006 3400 OLD STATE ROAD 37 N MARTINSVILLE IN 02 10.0 3.999 40.0
TOTAL CARD 274 10.0 40.02
09-22 1331 5328037 710 WESTFIELD ROAD NOBLESVILLE IN 02 21.6 3.749 81.02
TOTAL CARD 277 21.6 81.02
09-09 639 5356016 12512 E 116TH STREET FISHERS IN 02 14.4 3.85 55.66
TOTAL CARD 278 14.4 55.66
TOTAL ALL CARDS 140.3 540.50
Form OL06 08/2007
INFORMATION ABOUT YOUR ACCOUNT 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 not 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, o We cannot try to collect the amount in question, or report you as delinquent on that
OH 45274-0109 shall be considered conforming payments.Do not send cash.Payments amount.
mailed in accordance with these instructions and received by 5:00 pro EST on a business
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 DISSATISFIEDWITH YOUR CREDIT CARD-PURCHASES
Balance by the Payment Due Date 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 billing address to the Average Daily Balance of your Account. For have the right not 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 call us toll free at our customer service number 1-800-537-9580.
1.To get the Average Daily Balance we take the beginning balance of your Account each 1.The purchase must have been made in your home state or within 100 miles of your
current mailing address,and the purchase price must have been more than$50.(Note:
day,add any new purchases(new purchases are not included in computing the Average Neither of these are necessary it your purchase was based on an advertisement we
Daily Balance in the states of MA,ME, MN, MS, MT, NE, NM and RI),insurance pre- mailed to you,or if we own the company that sold you the goods or services.)
miums, mail order merchandise charges, unpaid returned payment fees, previously
assessed unpaid Interest Charges and late payment fees,and then subtract any pay- 2.You must have used your credit card for the purchase,
ments or credits.This gives us the daily balance.Then,we add all the daily balances for
the billing cycle together and divide by the total number of days in the billing cycle.This 3,You must not yet have fully paid for the purchase.
gives us the Average Daily Balance. If all of the criteria above are met and you are still dissatisfied with the purchase,contact us
2. If the Intere-st-�Charge-calculated-is-less-than-$I..00,-we-will-impose a minimum Interest in writing at: Marathon Petroleum Cfladiii-Ca-d
Charge of no less than S1.00(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
Ml,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,[A,IL,IN,KS,LA,ME,MA,MN,MS. After we finish our investigation,we will tell you our decision.At that point,if we think you
MT.NJ,OK PA,SC.SO,VA,VT,WV,WI,and WY,where we will impose a minimum owe an amount and you do not pay,we may report you as delinquent,
Interest Charge of S0.50(which is a FINANCE CHARGE). To obtain a copy of the current terms of your Retail Installment Credit Agreement which
DEFAULT.COLLECTION COSTS,REPRINT FEES: If your Account is not paid according apply 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 the full amount outstanding Company LP,539 South Main Street,Attn.Credit Card Center.Findlay,OH 45840-3229.
an your Account,subject to applicable law.If your Account is referred to an attorney or col- 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 attorney's tive 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 obligations.
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 Center,539 South Main Street,Findlay,OH 45840-3229, MARATHON PETROLEUM COMPANY LP
In your letter,give us the following information: ATTN:CREDIT CARD CENTER
539 SOUTH MAIN STREET
•Account information:Your name and account number. FINDLAY,OH 45840
1-800-537-9580
•Dollar amount:The dollar amount of the suspected error.
•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.9/10
EXEMPT ACCOUNTS
Page 1 of 1
ACCOUNT NUMBER 100511618
Keep this for your records DA TE 01-27-12
PREVIOUS BALANCE PMTS f CREDITS +,CFt4RGES 1 ADJ +FINANCE CHARGE NEIN BALANCE
$325.88 $383.92 $544.82 $•00 °- _$486.78 >,
TO AVOID ADDITIONAL
YEAR TO DATE ANNUAL AVERAGE(AILY FINANCE CHARGE,PAYMENT
FINANCE PERCENTAGE MONTHLY PERIODIC BALANCE SUB.FCT TO OF ANOUNT DUE MUST
CHARGE RATE INTEREST RATE FINANCE CHORGE BE RECEIVED BY THE
DUE DATE SHOWN BELOW.
$.00 21.0 1.75 5.0, 10-26-12::: ::..
PROD CODES:
01 - Reg. Unleaded - F/S 07 - Diesel
02 - Reg. Unleaded - S/S 08 - Misc. Fuels(Herosene,Oil,etc)
03 - Mid Grade Unl - 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
ipany LLC 06 - Prem Unleaded - S/S
IRCHASES LESS DEDUCTION OF APPLICABLE TAXES i
MISC-3 AMOUNT FEDERAL> STATE FEDERAL STATE STATE INVOICE AMOUNTS
1MOUNT 7 F GAS TAX'"GAS TAX DSL TAX, .OSL TAX SLS TAX-SLS TAX
$325.88
$58.04CR
$325.88CR
50.01 2.3f 2.91 44.67
50.01 2.3f 2.9 $44.67
59.45 2.82 3.5 53.11
59.45 2.8 3.5 $53.11
44.4 2.1 2.6 39.67
44.4 2.1 2.6 $39.67
46.3 2.2 2.7 41.36
33.2 1.5 1.9m, 29.72
79.6 3.8 4.7 $71.08
39.Sti I.8E 2.3 35.32
41.02 1.9 2.4 36.63
80.5 3.8A 4.7 $71.95
49.7 2.2 2.9 44.52
1.49 1.6 .13 1.49
2.48 2.7 .22 2.48
3.97 54.09 2.29 2.9 .35 $48.49
40.02 1.8z 2.3f 35.81
40.02 1.82 2.3 $35.81
81.02 3.9E 4.71 72.28
81.02 3.9E 4.7 $72.28
55.66 2.6 3.34 49.72
55.66 2.6 3.3 $49.72
3.97 544.82 25.67 32.0 .35 $486.78
VOUCHER NO. WARRANT NO.
ALLOWED 20
Marathon Petroleum Company LP
IN SUM OF $
P.O. Box 740109
Cincinnati„ OH 45274-0109
$486.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-314.00 $486.78
I hereby certify that the attached invoice(s), or
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, October 04, 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))
10/04/12 gasoline $486.78
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