HomeMy WebLinkAbout234417 07/01/14 CITY OF CARMEL, INDIANA VENDOR: 306840
�.
ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $*******382.92*
CARMEL, INDIANA 46032 PO BOX 689020 CHECK NUMBER: 234417
y,�TON DEPT 30-1202854988 CHECK DATE: 07/01/14
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 STREET 13.05 REPAIR PARTS
2201 4238900 STREET 369.87 OTHER MAINT SUPPLIES
18160 U.S.31 NORTH
WESTFIELD,IN 46074
317-867-3505
Ticket: ****
Date:2/27/14 Time:2:26 PM
Store: 431 Register: 2
Cashier: 00235146
Business Customer: CARMEL STREET DEPT
3400 W 131ST ST
WESTFIELD,IN 46074-8267
317-733-2001
Item ,Qiy Price Amount
PAINT T&I SPR JD YW
1030996 4 3.99 15.96 E
Subtotal 15.96
Tax 0.00
Total 15.96
TSC Business Account 15.96
************6120
Auth#:027085
Buyer:MIKE HENRICKS
Change 0.00
1 agree to pay the above amount according to my
card issuer agreement.
Tax Exempt Information
Name: CARMEL STREET DEPT
Address:3400 W 131 ST ST
City/St:WESTFIELD,IN
Zip Code:46074-8267
Phone: 317-733-2001
Tax Exempt Reason: Government Agencies
Expiration Date:
Tax Exempt Holder:
Under penalty of perjury,signee declares the
items he/she has purchased the applicable products
exempt from sales and use tax,has been done so.
Zoo/100'd SSTT# T£ MSZ 806TL98LIS TV;£T 6TOZ/TO/L0
with the understanding that under state law he/she
is attesting to having a valid exemption for the
purchased items.Additionally,the customer
attests that all information he/she has provided
is accurate. Any willfully false representation
of exemption or customer information is subject to
penalty under state law.
This transaction consists of one or more items
exempt from state sales or use tax. Before
completing this transaction you attested that the
information provided,including name,address,and
sales tax exemption number(if necessary),is
accurate. In addition you have declared that you
legally have a right to purchase the above items
exempt from sales and use tax for the reason
indicated as defined by this State's laws and
regulations.
,r*w**,tw,ew****wt**www*www�r,�wwww**ww*w**w*ww*w
Go to TractorSupplySurvey.com or Call
1-877-789-1443 within 7 days to
complete a survey and be entered in
a monthly drawing for a chance to
win a$2500 shopping spree.
(Awarded as Gift Cards) Ends 12/31/2014
,t*w**w*wit***w***,ttr,t,►***�w**w*�.,t,tw+t***www
For complete details or to participate
without purchase or survey,go to
TractorSupply.com/customersurvey
Enter Store#: 0431
Enter Reference#:02307265
SOLD ITEM COUNT=4
Please call 877-872-7721 for Customer Service.
Sign up now for ads,news,and more at
TractorSupply.com
Customer Copy
Zoo/goo'd 921Ttt T£tPOSZ 906TL99LT£ TV:9T 4Tog/TO/10
Account Statement
Commercial Account.
TOR CARMEL STREET DEPT
Account Inquiries:
SV"LYC� 1-800-559-8232 Fax 1-801-779-7425 Account Number: 6035 3012 0005 0860
Summary of Account Activity Payment Information
_Previous Balance _ $411.83 Current Due $382.92
P.gyments -$395.87 Past Due Amount + $0.00
Credits -$0.00 Minimum Payment Due = $382.92 ,
Purchases +$366.96
Debits +$0.00 Payment Due Date 07/1.5/14
FINANCE CHARGES +$0.00 Credit Line $600
Late Fees +$0.00 —
New Balance $382,92 Credit Available— $217 —
Closing Date _ _ 06/20/14
�Send-Notice of Billing Errors and Customer Service Inquiries to: NeXt CIOSIn Date 07/21/14
RACTOR SUPPLY CREDIT PLAN gO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 30
TRANSACTIONS
Trans Date Location/Description - Reference# Amount
ACCOUNT 6035_3012 0289 5932
O 06/13 GOODS AND SERVICES N09LESVILLE IN $ 3.05
::13.05 p- TOTAL 6035 3012 0289 5932 $
E3 ACCOUNT 6035 3012 0289 5965 _
L�
05/23 GOODS AND SERVICES WESTFIELD IN $ 119.96
06/19 GOODS AND SERVICES WESTFIELD IN $ 59.98
TOTAL 6035 3012 0289 5965 $ 179.94
ACCOUNT 6035 3012 0338 6758
06/04 GOODS AND SERVICES NOBLESVILLE IN $ T 159.99
TOTAL 6035 3012 0338 6758 $ 159.99
ACCOUNT 6035 3012 0338 6766
06/09 GOODS AND SERVICES WESTFIELD IN $ 13.98
TOTAL 6035 3012 0338 6766— $ 13.98
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
05/22 PAYMENT-THANK YOU _ P919400GZ09VT17AH $ 342.99-
06/19 PAYMENT-THANK YOU P919400HS09VF68M7 $ 52.88
NOTICE'SEE REVERSE SIDE-FOR IMPORTANT INFORMATION Page 1 of s - .---This Account Is Issued by Citibank,N:A( -
---------------------------------------------------
4, Please detach and return lower portion with our a rrient to insure roper credit. Retain u er. ortiontor_ our records. y_
Y--t'- ----------P------- ------ PP—P-------Y----------------------- ----
Other Account and Payment•Information. This means that we will credit your account as of the calendar day,
When Your Payment Will Be Credited.If we receive your payment in based on Eastern time,that we receive your payment request.
proper form at our processing facility by 5 p.m.local time there,it will Express Mail.Send payment by courier or express mail to:Customer
be credited as of that day.A payment received there in proper form Service Center,Dept CCS.911,4740.121st Street,Urbandale,IA 50323.
after that time will be credited as of the next day.Allow 5 to 7 days for Payment must be received in proper form at the proper address by
payments by-regular mail to reach us.There may be a delay of up-to 5 5 p.m.Central time to be credited as of that day.All payments received
days in crediting a payment we receive that is not in proper form or is in proper form at the proper address after that time will be credited
not sent to the correct address.The correct address for regular mail is as of the next day.
the address on the front of the payment coupon.The correct address If you send an eligible check with this payment coupon,you authorize
for courier or express mail is the Express Mail Address shown_in the us to complete your payment by electronic debit.If we do,the checking
Express Mail section. account will be debited In the amount on the check.We may do this-as
Proper Form.For a payment sent by mail or courier to be in proper form, soon as the day we receive the check.Also,the check will be destroyed.
you must: Report a Lost or Stolen Card Immediately.You may call Customer
• Enclose a valid check or money order.No cash,gift cards,. Service 24 hours a day,7 days a-week.
or foreign currency please. Notify Us in Case of Errors or Questions About Your Bill.If you think
• Include your name and the last four digits of your account number. your bill is wrong,or if you need more information about a transaction
Copy Fee.We charge$5 for each copy of a billing statement that dates on your bill,write us(on a separate sheet)at the Billing Errors address
back 3 months or more.We add the fee to the regular revolve'credit plan on this statement as soon as possible.We must hear from you in writing
balance.We waive the fee if your request for the copy relates to a billing no later than 60 days after we send you the first bill on which the error
error or disputed purchase. or problem appeared.In your letter,give us the following information:
Payment Other Than By Mail. Your name and account number.
Phone:Call the phone number on Pagel of your statement to make a The dollar amount of the suspected-error.
you
payment.We may process your payment electronically after we verify Describe the error and explain,if you can,why believe there is
your identity.You will be charged$14.95 to-use-this service.The-- - an error.if you need more information,describe the item you are
payment cutoff time for Phone Payments is midnight Eastern time. unsure about.
0
Er"
0
C3
T03936-9194-1574-0002--0--.09101102-93-000-P--0--0-0-0--12/31/99-TS01-.May 21,2014-0- N--- F-0
Tractor Supply Full Pay JUL13
-- - ---
Page 2-of-8-- - -- — - -- — - _ -
Account: **** **** **** 0860
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the"annual interest rate on your account.
Ann uahPercentage :Daily Periodic Balance.Subject to
Type of Balance Rate(APR) Rate Finance Charge Finance Charge .
PURCHASES
REGULAR REVOLVING"CREDIT PLAN 0.00% 0.00000% $0.00 $0.00'
0
03
o-
0
0
rte
Page 3 of 8 1=800-559-8232
Account: **** **** **** 0860
0
Ir0
0
ru
Page 4 of 8 1-800-559-8232
Remit payment and make checks payable to: INVOICE DETAIL
TRACTOR SUPPLY CREDIT PLAN
5�rn
� DEPT.30-1200050860
CO PO BOX
DES MOINES2IA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5932 JASON FORCE Amount Due: Trans Dater Invoice#:
3400 W 131ST ST 200322090
CARMEL,IN 46032-0000 $27.97 05/07/14
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
LAWN GARDEN 410X350 4 749394028787 1.0000 EA_ _$8.99 $8.99
LAWN GARDEN 410X350 4 749394028787 1.0000 EA_ $8.99 _ $8.99
SLIME 320Z TIRE SEALANT T 716281000706 T T- 1.0000 EA $9.99 �T $9.99
SUBTOTAL $27,97
TAX $0.00
SHIPPING $0.00
TOTAL $27.97
BILL TO: SHIP TO:
Acet`6035 3012 0289 5932 JASON FORCE - Amount Due: I Trans Date; __- InvOlce#:
3400 W 131ST ST 200381113
CARMEL,IN 46032-0000 $13.05 06/13/14
O PO: Store: 574000624,NOBLESVILLE
tp
Q' PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
C3 SC HITCHPIN 5/8X3 BENT 87196711125 1.0000 EA $_2.49 $2.49_
E3
W SC HITCHPIN 5/8X3 BENT 87196711125 1.0000 EA $2.49 $2.49
SC HITCHPIN 5/8X3 BENT 87196711125 1.0000 EA_ $2.49 $2.49
LOCKPIN SW 3/8 X 2 1/2 749394036386 _ 1.0000 EA $2.79 $2.79
LOCKPIN SW 3/8 X 2 1/2 749394036386 1.0000 EA $2.79 $2.79
SUBTOTAL $13.05
TAX $0.00 I
SHIPPING $0.00
TOTAL $13:05
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due: Trans Date: Invoice#:
3400 W 131ST ST 200325988
CARMEL,IN 46032-0000 $119.96 05/23/14
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU 38005909011 4.0000 EA $29.99 $119.96
SUBTOTAL $119.96
TAX $0.00
SHIPPING $0.00
TOTAL $119.96
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due: Trans Dater I11VOIce#:
3400 W 131ST ST 200332854
CARMEL,IN 46032-0000 $59.98 06/19/14
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU 38005909011 1.0000 EA _ $29.99 $29.99
BLUE BAYOU 38005909011 1.0000 EA $29.99 $29.99
SUBTOTAL $59.98
TAX $0.00
SHIPPING $0.00
TOTAL $59.98
` Page 5 of 8 1-800-559-8232
i
This page intentionally left blank.
0
0
n-
0
0
LU
Page 6 of 8 1-800-559-8232
TRA�C�OR® Remit payment and make checks payable to: INVOICE D ETA I L
TRACTOR SUPPLY CREDIT PLAN
DEPT,30-1200050860
Su �GO OEBOX S 2
MOINES
DIA 50368-9020
BILL TO: SHIP TO:
Acct 6035 3012 0338 6758 JASON WALDEN Amount Due: Trans Date: Invoice#:
3400 W 131ST ST 200378462
CARMEL,IN 46074-8267 $159.99 06/04/14
PO: Store:,574000624,NOBLESVILLE
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BOOT LTHR 10EE COMP TOE B 731871099168 1.0000 EA _ $159.99 $159.99
SUBTOTAL $159.99
TAX $0.00
SHIPPING $0.00
TOTAL $159.99
BILL TO: SHIP TO:
Acct: 6035 3012 0338 6766 JOSH DAVIS Amount Due:,- Trans Date: Invoice#:
3400 W 131 ST ST 200330361
CARMEL,:IN 46074-_8267 $13.98 06/09114. .
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
D FS14 GLOVE WPRF LG GY WG1 662909120205_ 1.0000 EA $6.99 $6.99
IT, FS14 GLOVE WPRF LG GY WG1 662909120205 1.0000 EA $6.99 $6.99
0
C3 SUBTOTAL $13.98
.r
TAX $0.00
SHIPPING $0.00
TOTAL $13.98
Page 7 of 8 1-800-559-8232
This page intentionally left blank.
0
m
cr
0
0
r
Page 8 of 8 1-800-559-8232
VOUCHER NO. WARRANT NO.
Tractor Supply ALLOWED 20
IN SUM OF$
P. O. Box 9020
Des Moines, IA 50368-9020
$353.91
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
C�aS�o6 (a
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 200325988 42-389.00 $119.96 1 hereby certify that the attached invoice(s), or
2201 200378462 42-389.00 $159.99 bill(s) is (are) true and correct and that the
2201 200330361 42-389.00 $13.98
2201 200332854 1 42-389.00 $59.98
materials or services itemized thereon for
which charge is made were ordered and
received except
Yon& ne 0, 014
Sl � i f�r�l4�ler '
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
05/23/14 200325988 $119.96
06/04/14 200378462 $159.99
06/09/14 200330361 $13.98
06/19/14 200332854 $59.98
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