245304 5 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 306840
ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $""w""182.08"
CARMEL, INDIANA 46032 PO Box 689020 CHECK NUMBER: 245304
DEPT DES MOINES A 30-12028550368-9020 4988 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 STREET 182.08 6035-3012-0334-1654
Account Statement
Commerclal Account
TO !® WATER OPERATIONS
Account Inquiries;
Off1-800-559-8232 Fax 1-801-779-7425
1pown%yCo.
Number: 6035 3012 03341654
Summary of Account Activity Payment Information
Previous Balance _ $0.00 Current Due $182.08
Payments -$0.00 Past Due Amount +; $0:00
Credits x$0.00 Minimum Payment Due $182.08
Purchases . _ +$182.08
_Debits +$0.00 Payment Due Date 05/24/15
FINANCE CHARGES +-$0.00 _ Credit Line $10,000
Late Fees +$0.00
New Balance $182.08 _Credit Available $9,817
Closing Date _ 04/29/15
Send Notice of Billing Errors and Customer Service Inquiries to: Next ClosingDate 05/29/15
TRACTOR SUPPLY CREDIT PLAN
PO Box 790449,st.Louis,MO 63179-0449 Days in Billing Period 30
TRANSACTIONS.
Trans Date Location/Description Reference# Amount
04/15 GOODS AND SERVICES WESTFIELD IN $ —1-8147
�+ 04/28 GOODS AND SERVICES WESTFIELD IN $ 163.94
Ln
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual Interest rate on your account.
O - -
An_ nual Percentage - Daily Periodlc 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
NOTICE:`SEE REVERSE SIDE FOR IMPORTANT INFORMATION, Page 1.of 4 This Account is Issued by Citibank,N.A.
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.911,4740121st 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 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.
payment.We may process your payment electronically after we verify Describe the error and explain,if you can,why you believe there is
_youu�id?ntity.-You-will-be charged-$14:95 to use-this-sewiee:.The------an-er-r-or. if-you-need-more inforfrtation-describe the itemyou are- —
payment cutoff time for Phone Payments is midnight Eastern time. unsure about.
L✓
Ln
t
C3
L✓
T03936-9194-1574-0002--O---04/01/12-10-000-P-0-N--0-0-0--12/31/99-TS01-March 30,2015-0-0 N-- -0-
Tractor Supply Full Pay JOL13
a
� Remit payment and make checks payable to: INVOICE D ETA I L
TRACTOR SUPPLY CREDIT PLAN
1664
SVPPLYCo DOEBOX 6890
SMOINES 21A3503 89020
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount DUe: .Trans Date: Invoice#:
3450 W 131 ST ST 200389553
CARMEL,IN 46074-8267 $18.14 04/15/15
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
ELBOW MALE TPT HB 3/4 3/8 23537018508 1.0000 EA $1.79 $1.79
ELBOW MALE TPT HB 3/4 3/8 235370185081.0000 EA $1.79 $1.79
ELBOW MALE TPT HB 3/4 3/8 23537018508 _ 1.0000 EA $1.79 $1.79
FIMCO 3PC PUMP FITTING 733029102379 1.0000 EA $5.49 $5.49
FIMCO VC PUMP FITTING 733029102379 1.0000 EA $5.49 $5.49
ELBOW MALE TPT HB 3/4 3/8 23537018508 1.0000 EA $1.79 $1.79
SUBTOTAL $18.14
TAX $0.00
SHIPPING $0.00
TOTAL $18.14
BILL TO: SHIP TO:
Acct:,6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans-Date: Invoice#:
L 3450 W 131ST ST
Er CARMEL,IN 46074-8267 $163.94 04/28/15 200392365
Ln
r PO: Store: 574000431,WESTFIELD
C3
rU
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CES JEAN CNVS 36X30 UTY T. 786669450478 _ 1.0000 EA $25.99 $25.99
CES JEAN CNVS 36X30 UTY T 786669450478 1.0000 EA $25.99 $25.99
CHRT MENS RLXD JEAN 38X30 35481854613 _ 1.0000 EA $29.99 $29.99
CHRT MENS TRAD JEAN 38X30 35481854866 1.0000 EA $29.99 $29.99
CES JEAN CNVS 36X30 UTY B 786669093927 1.0000 EA $25.99 $25.99
CES JEAN CNVS 36X30 UTY G 786669209311 1.0000 EA $25.99 $25.99
SUBTOTAL $163.94
TAX $0.00
SHIPPING $0.00
TOTAL $163.94
i
This page intentionally left blank.
cr
Ln
0
ru
VOUCHER # 151806 WARRANT# ALLOWED
306840
IN SUM OF $
TRACTOR SUPPLY CO
P.O. Box 689020
Des Moines, IA 50368-9020
Carmel Water Utility ;
ON ACCOUNT OF APPROPRIATION FOR
I
i
Board members
I
PO# INV# ACCT# AMOUNT Audit Trail Code
I
200389553 01-6200-04 $18.14
9`a3(o5 Cel'3 Lj
j I
,I I
i
i
'I
i
Voucher Total ��7Z .,
Cost distribution ledger classification if
claim paid under vehicle highway fund
I
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
306840
TRACTOR SUPPLY CO Purchase Order No.
P.O. Box 689020 Terms
Des Moines, IA 50368-9020 Due Date 5/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/7/2015 200389553 $18.14
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
Date Officer