214558 11/19/2012 CITY OF CARMEL, INDIANA VENDOR: 357956 Page 1 of 1
ONE CIVIC SQUARE MARATHON PETROLEUM CO LLC
P 0 BOX 740106 CHECK AMOUNT: $583.39
CARMEL, INDIANA 46032
CINCINNATI OH 45274-0109 CHECK NUMBER: 214558
ox
CHECK DATE: 11/19/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4231400 583 . 39 10-051-16-148
• F MOTORfUEL,PURCHASES ISC P.
-
LOCATI ON or DESCR1PTfON OF TRANSACTION TIME NUMBERDATE Rp RO .
. OD CODE
-:
G .
GALS. PRICE }1fdOUNT d
CURRENT CREDIT LIMIT IS: $2000.00
PREVIOUS BALANCE
10-29 TOTAL TAX CREDITS
10-15 0 PAYMENT - THANK YOU
10-20 1311 5332024 10655 N MICHIGAN ROAD ZIONSVILLE IN 02 21.8 3.49 76.34
10-22 1830 5301024 416 STEVENS WAY SEYMOUR IN 02 15.7 3.23 51.01
10-24 1306 5344034 300 S GREEN RIVER RD EVANSVILLE IN 02 16.5 3.32 55.04
10-27 1638 5328036 9 N US 31 WHITELAND IN 02 9.7 3.49 34.00
TOTAL CARD 258 63.7 216.39
09-28 812 5315003 2800 CASSOPOLIS ST ELKHART IN 02 6.2 3.80 23.53
TOTAL CARD 259 6.2 23.53
09-27 2253 5312034 2800 CASSOPOLIS ST ELKHART IN 02 4.9 3.80 18.82
TOTAL CARD 264 4.9 18.82
10-05 1521 5321018 3400 OLD STATE ROAD 37 N MARTINSVILLE IN 02 8.2 3.65 30.00
10-14 1630 5338005 4317 SOUTH EMERSON AVE INDIANAPOLIS IN 02 8.3 3.59 30.00
TOTAL CARD 274 16.5 60.00
09-30 1004 5314033 710 WESTFIELD ROAD NOBLESVILLE IN 02 21.6 3.79 82.02
_10=07 9.02_ '5302019 710-WESTFIELD ROAD NOBLESVILLE_
TOTAL CARD 277 44.6 169.06
10-04 646 5368032 12512 E 116TH STREET FISHERS IN 02 15.1 3.73 56.59
10-11 1649 5349015 12512 E 116TH STREET FISHERS IN 02 15.6 3.79 59.0
10-25 648 5369030 12512 E 116TH STREET FISHERS IN 02 15.5 3.34 51.78
TOTAL CARD 278 46.2 167.46
TOTAL ALL CARDS 182.1 655.26
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, a 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 pm EST on a business
day will be credited to your account that day. a 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 WITH 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 Lis 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
day,add any new purchases(new purchases are not included in computing the Average
current mailing address,and the purchase price must have been more than$50.(Note-
Neither of these are necessary if 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 I company that sold you the goods arse rvices.)
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
Z If the Interest Charge calculated is less than$1.00,we will impose a minimum Interest in writing at:Marathon Petroleum Company LP,539 South Main Street,Attn:Credit Card
Charge of no less than S1,00(which is a FINANCE CHARGE);except in TX,where we Center,Findlay,OH 45840-3229,
vvW 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 50.70(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,MS, After we finish our investigation.we will tell you our decision.At that point,if we think you
MT NJ.OK.PA,SC,SID,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
on 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
tees,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, wnte 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 9110
EXEMPT ACCOUNTS
Page I of I
ACCOUNT NUMBER 1005116148
Keep this for your records BEN
PREVIOUS BALANCE'-: -PMTS I CREDITS. +CHARGES I AM +FINANCE CHARGE NEW BALANCE:: -
$486.78 $558.65 $655.26 $.00 $583.39
YEAR TO DATE ANNUAL AVERAGE DAILY TO AVOID ADDITIONAL
MONTHLY PERIODIC FINANCE AMOUNT DUE FINANCE PERCENTAGE BALANCE suQ1ECT To OF AMOUNT DUE MUST
CHARGE RATE INTEREST RATE FINANCE CHARGE BE RECEIVED BY THE
DUE DATE SHOWN BELOW.
$.00 21.0 1.75 $.00 11-26-12- ->
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(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 - Prom Unleaded - S/S
IRCHASE5 , ". LESS DEDUCTION OF APPLICABLE.TAXES-
MISC AMOUNT;_a FEDERAL ;STATE FEDERAL: STATE STATE.' INVOICE A_ MOUNT:._
1M 0 64T GAS TAX GAS TAX DSLTAX. DSL TAX SLS TAX SLS TAX
$486.78
$71.87CR
$486.78CR
76.34 3.9 4.41 67.87
51.01 2.8 2.91 45.18
55.04 3.02 3.21 48.81
34.0 1.7f 1.91 30.23
216.3 11.6t 12.6 $192.09
23.53 1.13 1.31 21.01
23.53 1.13 1.3 $21.01
18.8 .910 1.11 16.80
18.8 .9 1.1 $16.80
30.00 1.5c 1.7 26.73
30.00 1.52 1.7 26.71
60.00 3.01 3.5 $53.44
82.0 3.9 4.8 73.22
87.Oci 4.21 5.1 ,77_.68_
169.06 8.11 10.0 $150.90
56.59 2.7E 3.3 50.49
59.09 2.8E 3.5 52.74
51.78 2.8 3.01 45.92
167.46 8.4E 9.8 $149.15
655.26 33.32 38.5 $583.39
VOUCHER NO. WARRANT NO.
ALLOWED 20
Marathon Petroleum Company LP
IN SUM OF $
P.O. Box 740109
Cincinnati„ OH 45274-0109
$583.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-314.00 $583.39
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, November 15, 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))
11/14/12 monthly payment $583.39
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