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245006 05/05/15 CITY OF CARMEL, INDIANA VENDOR: 306840 CHECK AMOUNT: $********28 68* (9, ONE CIVIC SQUARE TRACTOR SUPPLY COCARMEL, INDIANA 46032 PO Box 669020 CHECK NUMBER: 245006 DEPT 30-1202854986 CHECK DATE: 05/05/15 DES MOINES IA 50368-9020 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238000 XX0860 28.68 6035301200050860 Account Statement Commercial Account CARMEL STREET DEPT.. 'Account Inquiries: SUPPLYCo 1-800-559-8232 Fax 1-801-779-7425 Account Number: 6035 3012.0005 0860.' Summary of Account Activity Payment Information Previous'.Balance $419.15 Current Due $28.68 Pa-ments ^` -$419.15T Past Due Amount _ + $0.00 Credits_ _ -$24.99 Minimum Payment Due $28.68 Purchases +$53.67u -- Debits _ +$0.00 Payment Due Date 05/15/1.5" FINANCE CHARGES _ _ _ +$0.00 Credit Line _ ,$600. Late Fees - T —✓�yi +$0.00 New Balance $28,68 Credit Available $571 _Closing Date 04/20/15 STRACTOR SUPPLY CREDIT end Notice of Billing Errors and PLAN g and Service-Inquiries to: Next CIOSIn Date 05/21/15 PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 3f" TRANSACTIONS. .. Trans Date Location/Description Reference# Amount ACCOUNT 6035 30120289 5874 C3 03/30 GOODS AND SERVICES NOBLESVILLE IN _ _ $ 53.67 O' 04/15 GOODS AND SERVICES WESTFIELD IN CREDIT -u $ 24.99- p^ _ _ e_ _ __. ____.___ �_ __ ___ C3 TOTAL 6035 301.2 0289 5874 $ �� 28.68 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS _ 04/18 PAYMENT-THANK YOU P9194003D09MV1 V2F $ 419.15- FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual Interest rate on your account. - Annual'Peraentage..` Darly Periodic = Balance Subiect to, Type of Balance Rate(APR). Rate Finance Charge , Finance,Charge at A PURCHASES REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00 NOTICE.$ E.REVERSE_SIDFpR_IMP_ORTANT_INFORMATION _ Page_taf 4 ,This Account is Issued by.Citlbank JN4 +_ Please detach and return lower portion with your payment to Insure ro er c[edit Retain u-er onion for your records_�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 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.911,4740121st 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'properaddress 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 improper 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 i which oraterror ion: 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 Page 1 of your.statement to make a The dollar amount of the suspected error. payment.We may process your payment electronically after we verify 96s�rli5e the error and e�plaiti 1T you can wTiy yo`u�e leve ffiere 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. C3 Er0 a T03936-9194-1574-0002-0---09/01/02-93-000-P--0-N--0-0-0--12/31/99-TS01-March"20,"2015-0-0 N--- -0- Tractor Supply Full-Pay JUL13 Paae2of4 _-- Remit payment and make checks payable to: TRACTOR TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL DEPT.30-1200050860 PO BOX 689020 SV"LY Co DES MOINES]A 50368-9020 BILL SHIP TO; - Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due:. TrafiS'Date:, , Invoice#. 3400 W 131ST ST CARMEL,IN 46032-0000 -$24.99 04/15/15 100053936 PO: Store: 574000431,WESTFIELD PRODUCT SKU.# QUANTITY UNIT PRICE TOTAL PRICE TBE ATV 25X12 135 9 749394028824 1.0000 EA $24.99- $24.99- SUBTOTAL $24.99- TAX $0.00 SHIPPING $0.00 TOTAL $24.99- BILL TO: SHIP TO: Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due .Trans Date. Invoice#{ 3400 W 131 ST ST 200464193. CARMEL,IN 46032-0000 $53.67 03/30/15 PO: Store: 574000624,NOBLESVILLE C3 PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE 02 1/2 IMPACT DRIVER 749394078027 1.0000 EA $3.69 $3.69 17" TBE ATV 25X12 135 9 749394028824 1.0000 EA $24.99 $24.99 E3 TBE ATV'25X12 135 9 749394028824 1.0000 EA $24.99 $24.99 C3 — - ni . SUBTOTAL $53.67 TAX $0.00 SHIPPING $0.00 TOTAL $53.67 Ell Page 3 of 4 q 1-800-559-8232 I it This page intentionally left blank. a " o- 0 a ru Page 4 of 4 1-800-559-8232 VOUCHER NO. WARRANT NO. Tractor Supply ALLOWED 20 IN SUM OF$ P. O. Box 9020 Des Moines, IA 50368-9020 $28.68 I ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department o35 301 00015 i PO#/Dept. INVOICE NO. AccTirrl-rn AMOUNT Board Members 2201 200464193 42-380.00 j $53.67 1 hereby cern that the attached invoice(s), or certify 2201 100053936 42-380.00 ($24.99) bill(s) is(are) true and correct and that the j materials or services itemized thereon for which charge is made were ordered and received except J Th s, -0, 2015 UUA" - A4-LI ��pri�ii�oner 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)) 03/30/15 200464193 $53.67 04/15/15 100053936 ($24.99) 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