248545 08/12/15 CITY OF CARMEL, INDIANA VENDOR: 306840
® =1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: S""`""57.97`
CARMEL, INDIANA 46032 PO BOX 689020 CHECK NUMBER: 248545
•, . DEPT 30-1202854988 CHECK DATE: 08/12/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 STREET 57.97 6035-3012-0005-0860
Account Statement
Commercial Account
® Account Inquiries: CARMEL STREET DEPT
1-800-559-8232 Fax 1-801-779-7425
)PSUMycom -Adcotunt-,Number: 6035 3012.6ob5 b8.60"
Summary of Account Activity Payment Information
Previous Balance $619.87 Current Due $57.97
Payments -$619.87 Past Due Amount + $0.00
Credits _ -$0.00 Minimum Payment Due $57.97
Purchases $57.97
Debits +$0.00_ Payment Due Date 08/15/15
FINANCE CHARGES +$0.00
I Late Fees +$0.00 (Credit Line $600
� -
New Balance $57.97 Credit Available------------------ $542
Closing Date 07/21/15
Send Notice of Billing Errors and Customer Service Inquiries to:
TRACTOR SUPPLY CREDIT PLAN Next Closing Date 08/21/15
0 Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 32
TRANSACTIONS
Trans Date Location/Description Reference# Amount
ACCOUNT 6035 3012 0289 5874
0 06/24 GOODS AND SERVICES WESTFIELD IN-_'___ $ 57.97
Er TOTAL 6035 3012 0289 5874 $ 57.97
C3 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
C3
07/10 PAYMENT-THANK YOU P9194006109ER8FDY $ 619.87-
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account.
Annual Percentage Daily Periodic I 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
® Remit payment and make checks payable to: INVOICE ®ETA I L
IFTTRACTOR SUPPLY CREDIT PLAN
DEPT.30-1200050860
Y C® DOES MOINES IA 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
STALL 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 5874 JAMES BENTLEY Amount Due: Trans Date: Invoice#:
3400 W 131 ST ST 200407767
CARMEL,IN 46032-0000 $57.97 06/24/15
PO: Store: 574000431,WESTFIELD,IN
p PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
03 CNL LINK CONN 50 26318101222 T� 1.0000 EA $3.99 $3.99
Q" CNL ROLLER CHAIN 50 10FT 26318101192 1.0000 RL $26.99 $26.99
C3 CNL ROLLER CHAIN 50 10FT 26318101192 1.0000 RL $26.99 $26.99
rU
SUBTOTAL $57.97
TAX $0.00
SHIPPING $0.00
TOTAL $57.97
Page 3 of 4 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))
06/24/15 200407767 $57.97
1 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
$57.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 200407767 I 42-389.001 $57.97 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
//� Tliursd u us 0
, 6, 2015
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StrfteftCom,m, is$ioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund