247006 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 306840
i' ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $*******619.87*
?4 CARMEL, INDIANA 46032 PO BOX 689020 CHECK NUMBER: 247006
DEPT 30-1 2028 54 988 CHECK DATE: 06/30/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 STREET 399.90 6035301200050860
2201 4238000 STREET 219.97 6035301200050860
Account Statement
Commercial Account
IFTMTOR
Account Inquiries: CARMEL STREET DEPT
��0 1-800-559-8232 Fax 1-801-779-7425
Account Number: 6035 3012 0005 0860
Summary of Account Activity Payment Information
Previous Balance $84.86 Current Due $619.87
Payments -$84.86 Past Due Amount + $0.00
Credits _ -$0.00 Minimum Payment Due = $619.87
Purchases +$619.87 —
ayment Due Date 07/14/15
Debits +$0.00 LP
FINANCE CHARGES +$0.00 Credit Line $600
Late Fees +$0.00
New Balance $619.87 Credit Available $0
Closing Date 06/19/15
LTRACTOR
Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIn Date 07/21/15
SUPPLY CREDIT PLAN g
Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 29
TRANSACTIONS
Trans Date Location/Description Reference# Amount
ACCOUNT 6035 3012 0289 5874
O 06/08 GOODS AND SERVICES WESTFIELD IN $ 399.90
on
Q- TOTAL 6035 3012 0289 5874 $ 399.90
O ACCOUNT 6035 3012 0289 6013 _
O 05/26 GOODS AND SERVICES WESTFIELD IN $ 179.98
TOTAL 6035 3012 0289 6013 $ 179.98
ACCOUNT 6035 3012 0333 5730
06/01 GOODS AND SERVICES WESTFIELD IN $ 39.99_
TOTAL 6035 3012 0333 5730 $ 39.99
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
06/18 PAYMENT-THANK YOU P9194005A09LMPYXA $ 84.86-
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account.
Annual Percentage 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
G
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 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 Describe the error and explain,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.
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T03936-9194-1574-0002--0-O--09/01/02-93-000-P--0-N--0-0-0--12/31/99-TS01-May 21,2016-0-0 N--- -0-
Tractor Supply Full Pay JUL13
IVTRUTOR Remit payment and make checks payable to: INVOICE DETAIL
TRACTOR SUPPLY CREDIT PLAN
911111
5 y%An PO BOX_jft DEPT.30-1200050860
DES MOINES 82IAA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due:- Trans.Date: Invoice#:
3400 W 131 ST ST 200403566
CARMEL,IN 46032-0000 $399.90 06/08/15
PO: Store: 574000431,WESTFIELD, IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE Yo
MAT 4X6X3X4 RUBBER 68018011333 10.0000 EA $39.99 $399.90
\� SUBTOTAL $399.90
TAX $0.00
SHIPPING $0.00
TOTAL $399.90
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due: Trans Date:. Invoice#:
3400 W 131 ST ST 200394541
CARMEL,IN 46032-0000 $77.16 05/06/15
PO: Store: 574000431,WESTFIELD,IN
C3 PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
02 QUICK COUPLER 21N PART F 23537920054 1.0000 EA $6.99 $6.99
Cr GARDEN HOSE QUICK COUPLER 23537908038 - 1.0000 EA $7.99 $7.99
C3 REDUCER BUSHING 11/4 X 3/ 23537081502 2.0000 EA $2.69 $5.38
O
rlJ NIPPLE PLATED 3/4IN 23537950211 1.0000 EA $2.99 $2.99
ELBOW THREAD BARB 2 2 23537025001 1.0000 EA $3.99 $3.99
TEE FEMALE TPT 1 1/4 23537062501 1.0000 EA $6.99 $6.99
NIPPLE MALE TPT 1 1/4 23537094502 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 FITTING 23537383507 1.0000 EA $9.99 $9.99
2 INCH TANK FITTING 23537383507 1.0000 EA $9.99 $9.99
STREET ELBOW 2 X 2 23537088501 ~1.0000 EA $6.99 $6.99
GW LONG NECK BRASS SHUTOF 749394086640 1.0000 EA $6.99 $6.99
SUBTOTAL $77.16
TAX $0.00
SHIPPING $0.00
TOTAL $77.16
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due- Trans Date:. Invoice#:
3400 W 131 ST ST 200394965
CARMEL,IN 46032-0000 -$2.29 05/07/15
PO: Store: 574000431,WESTFIELD,IN
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- $1.39-
REDUCER BUSHING 11/4 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 1.0000 EA $5.99 $5.99
NIPPLE MALE TPT 1 1/4 _ 23537094502 1.0000 EA $2.49- $2.49-
ADAPTER MALE TPT HB 1 3/4 23537041001 1.0000 EA $1.79 $1.79
SUBTOTAL $2.29-
TAX $0.00
SHIPPING $0.00
TOTAL $2.29-
Page 3 of 6 1-800-559.8232
TOR Remit payment and make checks payable to: INVOICE DETAIL
TRACTOR SUPPLY CREDIT PLAN
DEPT.30-1200050860
PO BOX
S Y CO DESS MO NES2IA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due: Trans Date: Invoice#:
3400 W 131 ST ST 200400103
CARMEL,IN 46032-0000 $179.98 05/26/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
TIRE 20X10.0-8 4 PLY SUPE 811410010233 1.0000 EA $89.99 $89.99
TIRE 20X10.0-8 4 PLY SUPE 811410010233 1.0000 EA $89.99 $89.99
SUBTOTAL $179.98
TAX $0.00
SHIPPING $0.00
TOTAL $179.98
BILL TO: SHIP TO:
Acct: 6035 3012 0333 5730 NATHAN MORRIS Amount Due: Trans Date: Invoice#:
3400 W 131ST ST 200401471
CARMEL,IN 46074-8267 $39.99 06/01/15
PO: Store: 574000431,WESTFIELD,IN
C3
02 PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
I' SPRAY GUN SHORT ORCHARD 755217172131 1.0000 EA $39.99 $39.99
C3 --
C3 SUBTOTAL $39.99
TAX $0.00
SHIPPING $0.00
TOTAL $39.99
I -
I
Page 5 of 6 1-800-559-8232
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))
05/26/15 200400103 $179.98
06/01/15 200401471 $39.99
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
IN SUM OF $
P. O. Box 9020
Des Moines, IA 50368-9020
$219.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 200400103 42-380.00 j $179.98 1 hereby certify that the attached invoice(s), or
2201 200401471 42-380.00 $39.99 bill(s) is (are) true,and correct and that the
(10 ; �� U/ materials or services itemized thereon for
`( I ` ,J I which charge is made were ordered and
received except
! f
Fri 2015
e
St w1 nPissloner
missloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund