246014 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 306840
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® ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $********84.86*
CARMEL, INDIANA 46032 PO BOX 689020 CHECK NUMBER: 246014
9M�TON DEPT 30-1202854988 CHECK DATE: 06/03/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 STREET 84.86 6035-3012-0005-0860
Account Statement
Commercial Account
CARMEL STREET DEPT
Account Inquiries:
SU"LYCo 1-800-559-8232 Fax 1-801-779-7425 Account Number:_6035 3012 0005.0860
Summary of Account Activity Payment Information
.Previous Balance _ _ $28.68 Current Due $8_4.86
Payments -$28.68_ Past Due Amount + $0.00 _
Credits -$2.29 Minimum Payment Due $84.86
Purchases +$87.15 -
Debits +$0.00 Payment Due Date 06/15/15
_FINANCE CHARGES +$0.00 _Credit Line _ $600
Late Fees �+$0.00 - -- —
New Balance $84.86 Credit Available $515
Closing Date _ 05/21/15
Send Notice of Billing Errors and Customer service Inquiries to: Next Closing Date 06/19/15
TRACTOR SUPPLY,CREDIT PLAN
PQ Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 31
TRANSACTIONS
Trans Date Location/Description Reference# Amount :
ACCOUNT 6035 3012 0289 6013 _
O 05/06 GOODS AND SERVICES WESTFIELD IN $ 77.16
03 05/07 GOODS AND SERVICES WESTFIELD IN CREDIT _ $ 2.29-
0^ —_
O TOTAL 6035 3012 0289 6013 S 74.87
C3 ACCOUNT 6035 3012 0338 6865
05/04 _GOODS AND SERVICES WESTFIELD IN _ _ $ 9.99
TOTAL 6035 3012 0338 6865 $ 9.99
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS _
05/10 PAYMENT-THANK YOU P9194004309FHZ6HS $ 28.68-
FINANCE
8.68-
FIN_A_N_CE CHARGE SUMMARY Your Annual Percentage Rate(APR)Is the annual Interest rate on your account.
Annual Percentage - Daily Perlodic Balance Sub*t to.,.-
Type of Balance Rate(APR) Rate Flriance Charge Flnance Charge .
PURCHASES �
REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00
NOTICE:_SEE_REVERSE-SIDEFORJMPORTANT-INFnRMATIQN _ Page 1 of 4 _ _ —.---This Account hq issued by_Cltibank N.A. - __
Please detach and return lower portion with your payment_to Insure.proper credit Retain upper portlon tor-your records
Other Account and Payment Information. This means that we will credityour 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.
.-The-dollar amount of-the-suspected er-ror_--_.----
- =—=----Phone:C-alFthe-phone number on Page-1-ofyourstatementto makea---=- -
payment.We may process your payment electronically after we verify' 6escFibe the error and ezplaln,If you can,why you 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.
C3 i
n—
C3
C3
T03936.9194-1574-0002--0---09/01/02-93-000-P--0-N--0-0-0--12/31/99-TS01-April 20,2015-0-0 N--- -0-
Tractor Supply Full Pay JUL13
Remit payment and make checks payable to:
THA�CTOR TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
ST.30-1200050860
PO BOX 68900
UPPLY..0 DES MOINES 2A 50368-9020
BILL TO: . SHIP TO:
a. .
Acct: 60356012 02816013 Amount Due Trans Date: Invoice
MATT HIGGINBOTHAM
3400 W 131ST ST 200394541
CARMEL,IN 46032-0000 $77.16 05/06/15
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY. UNIT PRICE. TOTAL PRICE
QUICK COUPLER 2IN PART F 23537920054 1.0000 EA $6.99 $6.99
GARDEN HOSE QUICK COUPLER 23537908038 - 1.0000 EA $7,99 $7.99
REDUCER BUSHING 11/4 X 3/ 23537081502 _ 2.0000 EA $2.69 $5.38 .
NIPPLEPLATED 3/41N 23537950211 1.0000 EA $2.99 -Q-.9-9 :
ELBOW THREAD BARB 2 2 23537025001 1,0000 EA $3,99
-
TEE FEMALE.TPT 1 1/4 23537062501_ 1,0000 EA $6.99 $6.99 .
NIPPLE MALE TPT 1 1/4 23537094502 4 ^Y 1.0000 EA __ $2.49 $2.49:
ADAPTER MALE-TPT HB 3/4 3 23537038001. 1.0000 EA $1.39 $1.39
QUICK COUPLER 3/4 PART A 23537907000 1.0000 EA $4.99 $4.99
-2 INCH TANK FITTING23537383507 1.0000 EA $9.99 $9.99
2 INCH TANK FITTING _ 23537383507 _1.0000 EA $9.99 _ $9.99
STREET-ELBOW 2'X2 ~-~23537088501 �+ - �- ,1.0000 EA---- - $6.99 $6.99 .
GW LONG NECK BRASS SHUTOF 749394086640 1.0000 EA $6,99 $6:99
SUBTOTAL $77,16
C3 TAX -$0.00 --
SHIPPING
$0.00SHIPPING $0.00-
rr
C3a TOTAL $77.16
'
na -
BILLTO: SHIP TO:
Acct.6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due Trans Date •` Invoice#:
- 3400 W 131ST ST 200394965
CARMEL,IN 46032-0000 -$2.29 05/07/15
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
TEE FEMALE TPT 1 1/4 23537062501 1,0000 EA $6.99- $6,99-
ADAPTER MALE TPT HB 3/4 3 23537038001 _ 1.0000 EA $1.39- !K39-
REDUCER BUSHING 11.11/44 X 3/ 23537081502 2.0000 EA $2,69- $5,38-
REDUCER BUSHING 1X3/4 23537081007 1.0000 EA $4.39 $4:39"
NIPPLE MALE TPT 1 23537094007 1.0000 EA $1,79 $1..79 .
TEE.FEMALE TPT 1 _ 23537062006)�y .1.0000 EA $5.99 $5.99 .
NIPPLE MALE TPT 1 1/4 23537094502 �u 1.0000 EA $2.49- $2.49-
ADAPTER MALE TPT.HB 13/4 23537041001 1.0000 EA $1.79
SUBTOTAL
TAX $0.00
SHIPPING $0.00
- - -- -- - - TOTAL - --$2-29- --
BILL TO: ". SHIP TO:
Acct: 6035 3012 0338:6865 STEPHEN ZELLER Amount Due. " Trans Date Invoice#: .
3400 W 131 ST ST
CARMEL,IN 46074-8267 $9.99. 05/04/15
PO: Store: 574000431,.WESTFI ELD"
PRODUCT SKU#_ QUANTITY -UNIT PRICE "TOTAL PRICE
FLOAT VALVE PLASTIC84369008259 1.0000 EA $9.99 $9.99
SUBTOTAL
TAX $0.00
SHIPPING $0.00'
TOTAL $9.99
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Page 4 of 4 1-800-559-8232
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
IN SUM OF$
P. O. Box 9020
Des Moines, IA 50368-9020
$84.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 200394098 42-389.00 $9.99 1 hereby certify that the attached invoice(s), or
2201 200394541 42-389.00 $77.16 bill(s) is (are)true and correct and that the
2201 200394965 42-389.00 ($2.29)
materials or services itemized thereon for
which charge is made were ordered and
received except
�j�loj&. naQ12015
4'.-VV W = - - --- &
StfMikIfteaAmIsaigner
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
i
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/04/15 200394098 $9.99
05/06/15 200394541 $77.16
05/07/15 200394965 ($2.29)
i
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