249057 08/26/15 oi,
CITY OF CARMEL, INDIANA VENDOR: 306840
ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECKAMOUNT: S*--119.99"CARMEL, INDIANA 46032 Po BOX 689020 CHECK NUMBER: 249057
DEPT 30-1202854988 CHECK DATE: 08/26/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 STREET 119.99 6035-3012-0334-1654
Account Statement
® Commercial Account
Account Inquiries: WATER OPERATIONS
1-800-559-8232 Fax 1-801-779-7425
SUN
® Addou nt,Number:'6035'3012.63341654
Summary of Account Activity Payment Information
Previous Balance $613.85 Current Due $119.99
Payments -$613.85 Past Due Amount + $0.00
Credits -$0.00 _.
_ _ _ Minimum Payment Due $119.99
Purchases +$119.99 _-_
_ _._..._ Pa ent Due Date 08/24/15
Debits _ +$0.00 Ym
FINANCE CHARGES +$0.00 Credit Line _ $10,000
Late Fees +$0.00
New Balance $119.99 C_re_dit_Available---------,— $9,880
Closing Date 07/_30/15
LRACTOR
otice of Billing Errors and Customer Service Inquiries to: Next CIOSIn Date 08/30/15
SUPPLY CREDIT PLAN g
790449,St.Louis,MO 63179-0449 Days in Billing Period 31
TRANSACTIONS
Trans Date Location/Description _ Reference# Amount
07/07 GOODS AND SERVICES WESTFIELD IN — $ 119.99
L-J PAYMENTS,CREDITS,FEES AND ADJUSTMENTSEr
Lrt
07/23 PAYMENT-THANK YOU ��— P9194006009NYVTKA�uM $ 613.85-
1:3
L✓ FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account.
Annual Percentage. Dailyperiodic. 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.
IFTRUTOR Remit payment and make checks payable to: INVOICE DETAIL
TRACTOR SUPPLY CREDIT PLAN
PO BOX 689020SUMILYCIR 1654
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 2W41 1 234
CARMEL,IN 46074-8267 $119.99 07/07/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
SHOE CHORE HI BK 10 SN62 000007015137 1.0000 PR $119.99 $119.99
SUBTOTAL $119.99
TAX $0.00
SHIPPING $0.00
TOTAL $119.99
L✓
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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))
07/07/15 200411234 $119.99
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
Dept. 30 - 1203341654
IN SUM OF $
P. O. Box 689020
Des Moines, IA 50368-9020
$119.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. CT#/TITLE AMOUNT Board Members
2201 I 200411234 I 43-560.011 $119.99 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
n
)/Thursday�Au /2
7//
Strom bQ?Kr§sibr4joner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund