247510 07/15/15 CITY OF CARMEL, INDIANA VENDOR: 306840
® ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $"'"*""`613.85*
f r CARMEL, INDIANA 46032 PO BOX 689020 CHECK, NUMBER: 247510
DEPT 30-1202854988 CHECK DATE: 07/15/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 WATER 613.85 6035-3012-0334-1654
Account Statement
Commercial Account
iFTWTO ® WATER OPERATIONS
Account Inquiries:
1-800-559-8232 Fax 1-801-779-7425
SUMUCO
® Adcount -.NumbSer;,;6035'3012:03341654.-
Summary of Account Activity Payment Information
Previous Balance _ $1,770.69 Current Due $613.85
Payments �_, -$117_70.69 _ Past Due Amount �T + $0.00
Credits $0.00 Minimum Payment Due — ^— _ $613.85
Purchases -----
Debits _ v _ +$0.00 Payment Due Date 07/24/15
FINANCE CHARGES ^— — +$0.00 _Credit Line $10,000
Late Fees — +$0.00 - — -- --- —
New Balance $613.85 Credit Available $9,386 —
Closing Date _ _ _ 06/2_9/15
Send Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIn Date _ T 07/30/15
TRACTOR SUPPLY CREDIT PLAN _ g
PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 31
TRANSACTIONS
Trans Date Location/Description _ _Reference# Amount
06/01 _ GOODS AND SERVICES WESTFIELD IN_ $ 44.98
E_+ 06/02 GOODS AND SERVICES WEST FIELD IN $ — 7197
Q' 06/19 GOODS AND SERVICES WESTFIELD IN $ y 50.98
Lri
06/19 GOODS AND SERVICES WESTFIELD IN $ 118.99
CO3 06/24 GOODS AND SERVICES WESTFIELD IN _ _ _ _ $ _150.00
06/25 —_ GOODS AND SERVICES WESTFIELD IN R� _ $ 101.96 a
06/25 GOODS AND SERVICES WESTFIELD IN $ M 74.97
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
06/26 V� PAYMENT-THANK YOU P9194005K09TL57LE $�1,770.69-
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 J _ Rate(APR) Rate Finance Charge- -. Finance Charge
PURCHASES
REGULAR REVOLVING CREDIT PLAN �TM0.00% 0.00000% $0.00 �~ $0.00'
---NOTICE..SEF_-RE.VERSE,SIDE.F_OR.IMP_ORTANT_INFORMATION____ JPage_1-of,6 __ _ This Account is Issued by Citibank,N.AL_
J Please detach and return lower portion with your payment to insure proper credit. Retain upper portion 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 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 Bili.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.
In
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T03936-9194-1574-0002--O---04/01/12-10-000-P--0-N--0-0-0--12/31/99-TS01-May 29,2015-0-0 N--- -0-
Tractor Supply Full Pay JUL13
Page 2 of 6
ivTBACTOR Remit payment and make checks payable to: INVOICE DETAIL
TRACTOR SUPPLY CREDIT PLAN
DEPT.30-1203341654
in
PO BOX 689020
i
DES MOINES IA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due:. Trans Date: Invoice#:
3450 W 131 ST ST 200401478
CARMEL,IN 46074-8267 $44.98 06/01/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CES JEAN DEN 36X32 5PKT M 786669094726 1.0000 EA $19.99 _ $19.99
CES JEAN DEN 36X32 UTY LT 786669093705 1.0000 EA $24.99 $24.99
SUBTOTAL $44.98
TAX $0.00
SHIPPING $0.00
TOTAL $44.98
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due:' Trans Date:,: - Invoice#:
3450 W 131 ST ST 200401832
CARMEL,IN 46074-8267 $71.97 06/02/15
PO: Store: 574000431,WESTFIELD,IN
o' PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE J
Ln CES JEAN CNVS 46X30 UTY G 786669209557 1.0000 EA $27.99 $27.99
-C CES JEAN DEN 46X30 5PKT D 786669095105_ 1.0000 EA $21.99 $21.99
Z3ru CES JEAN DEN 46X30 5PKT M _786669094689 1.0000 EA _ $21.99 $21.99
SUBTOTAL $71.97
TAX $0.00
SHIPPING $0.00
TOTAL $71.97
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due:' Trans Date:, Invoice#:
3450 W 131ST ST 200406487
CARMEL,IN 46074-8267 $50.98 06/19/15
PO: Store: 574000431,WESTFIELD, IN /
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE J
CHRT MENS TRAD JEAN 34X32 35481854699 1.0000 EA $25.49 $25.49
CHRT MENS TRAD JEAN 34X32 35481854699 1.0000 EA $25.49 i $25.49
SUBTOTAL $50.98
TAX $0.00
SHIPPING $0.00
- TOTAL $50.98
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans Date: . Invoice#:
3450 W 131 ST ST 2406488
CARMEL,IN 46074-8267 $118.99 06/19/15
PO: Store: 574000431,WESTFIELD, IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
61N BT LACE STOE WPRF GB 883802491357 1.0000 EA $118.99 $118.99
SUBTOTAL $118.99
TAX $0.00
SHIPPING $0.00
TOTAL $118.99
Page 3 of 6 1-800-559-8232
Remit payment and make checks payable to: �1
1VT TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
� ® DEPT.BOX 2
S MOINESIA350368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans Date: Invoice#:
3450 W 131 ST ST 200407772
CARMEL,IN 46074-8267 $150.00 06/24/15
PO: Store: 574000431,WESTFIELD, IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
SPECIAL ORDER PAYMENT 00000000000 1.0000 $158.53 $158.53
SUBTOTAL $158.53
TAX $0.00
SHIPPING $0.00
TOTAL $150.00
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans Date: Invoice#:
3450 W 131 ST ST 200407940
CARMEL,IN 46074-8267 _ $101.96 06/25/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
Er CES JEAN CNVS 32X30 UTY B 786669093903 1.0000 EA $25.99 $25.99
Ln CES JEAN DEN 32X30 UTY MD 786669092999 1.0000 EA $24.99 $24.99
CES JEAN DEN 32X30 UTY MD 786669092999 1.0000 EA _ $24.99 $24.99
C3CES JEAN CNVS 32X30 UTY G 786669209298 1.0000 EA $25.99 $25.99
W a
SUBTOTAL $101.96
ti
TAX $0.00
SHIPPING $0.00
TOTAL $101.96
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: .Trans Date: Invoice#:
3450 W 131 ST ST 200408023
CARMEL,IN 46074-8267 $74.97 06/25/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
JEAN 36X32 RLX ANTQ WR62 84084352408 1.0000 EA $24.99 $24:99
JEAN 36X32 RLX ANTQ WR62 84084352408 1.0000 EA $24.99 $24.99
JEAN 36X32 RLX ING WR62 84084686305 1.0000 EA $24.99 $24.99
SUBTOTAL $74.97
TAX $0.00
SHIPPING $0.00
TOTAL $74.97
Page 5 of 6 1-800-559-8232
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 7/7/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/7/2015 62915 $613.85
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
7
Date Officer
VOUCHER # 152344 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
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
62915 01-6200-06 $613.85
Voucher Total $613.85
Cost distribution ledger classification if
claim paid under vehicle highway fund