249441 09/09/1 5 CITY OF CARMEL, INDIANA VENDOR: 306840
® ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $""""""219.54*
CARMEL, INDIANA 46032 PO BOX 689020 CHECK NUMBER: 249441
DEPT 30-1202854988
CHECK DATE: 09/09/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 100060273 187.98 6035301200050860
2201 4237000 200419682 31.56 6035301200050860
Account Statement
Commercial Account
�® Account Inquiries: CARMEL STREET DEPT
SUc® 1-800-559-8232 Fax 1-801-779-7425 Account Number: 6035 3012 0005"0860
Summary of Account Activity 11 Payment Information
Previous Balance $57.97 Current Due $219.54
Payments_— �i _--$57.97 _ Past Due Amount + $0.00 —
Credits -$0.00 Minimum Payment Due �— _ $219.54
Purchases +$219.54 ----
Debits _+$0.00 Payment Due Date 09/15/15
FINANCE CHARGES — +$0.00 Credit Line $600 _
Late Fees +$0.00 — ----- -- --
New Balance $219.54 Credit Available _ — $380
Closing Date _ 08/21/15
LTRACTOR
d Notice of Billing Errors and Customer Service Inquiries to: Next Closing.Date 09/20/15
SUPPLY CREDIT PLAN __
Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 31
Reminder:Payments can be made by mail or by calling 1-800-559-8232($14.95 fee for payments made by phone).
Note:In-store payments are not accepted.
TRANSACTIONS
Trans Date Location/Description Reference# Amount
O ACCOUNT 6035 3012 0289 6013
08/04 GOODS AND SERVICES WESTFIELD IN $ 187.98
C3 TOTAL 6035 3012 0289 6013 5 187.98
O ACCOUNT 6035 3012 0348 3944
08/11 GOODS AND SERVICES WESTFIELD IN _ — y _ _ s 31.56
TOTAL 6035 3012 0348 3944 s 31.56
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
08/20 PAYMENT-THANK YOU P9194007909MV71KNE 5 57.97-
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
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 This Account is Issued by Citibank,N.A.
4o Please detach and return lower Dortinn with vour navment to insure nrnner r-redit Retain i inner nnrtinn fnr vnnr re.rnMc d&
R Remit payment and make checks payable to: VNI ®ICE DETAIL
TRACTOTRACTOR SUPPLY CREDIT PLAN ® M
DEPT.30-1200050860
PO BOX 78004
'PSUPPLYCO® PHOENIX,AZ 85062-8004
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount-Due: Trans Date: Invoice#:
3400 W 131 ST ST 100060273
CARMEL,IN 46032-0000 $187.98 08/04/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CNL 30GAL SPOT SPRAYER000001075009 1.0000 EA $149.99 $149.99
SPRAY LANCE TELESCOPING __- 000002137277 1.0000 EA $37.99 $37.99
SUBTOTAL $187.98
TAX $0.00
SHIPPING $0.00
TOTAL $187.98
BILL TO: SHIP TO:
Acct: 6035 3012 0348 3944 ANDREW DOCKERY Amount Due: Trans Date: Invoice#:
3400 W 131 ST ST 200419682 v
CARMEL,IN 46074-8267 $31.56 08/11/15
PO: Store: 574000431,WESTFIELD,IN
C3
02 PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
Er NIPPLE MALE TPT 1000002110869 _ 1.0000 EA $1.79 $1.79
NIPPLE MALE TPT 1_____ 000002110869 110000 EA $1.79 $1.79
rru STRAINER POLY PRO 1 IN 50 000002114130 _ 1.0000 EA $19 99 $19 99
FITTING TANK 3/4 000002125602 _ �^1.0000 EA $7.99 $7.99
SUBTOTAL $31.56
TAX $0.00
SHIPPING $0.00
TOTAL $31.56
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))
08/04/15 100060273 $187.98
08/11/15 200419682 $31.56
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
$219.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT
Board Members
2201 100060273 j 42-370.00 j $187.98 1 hereby certify that the attached invoice(s), or
2201 200419682 42-370.00 $31.56 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
l
hursda�+, ep 15
ff I� �h
Street CommissiNAr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund