252881 12/17/15 CITY OF CARMEL, INDIANA VENDOR: 306840
® ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $*******668 72*
CARMEL, INDIANA 46032 DEPT 30-1200050860 CHECK NUMBER: 252881
PO BOX 78004 CHECK DATE: 12/17/15
PHOENIX AZ 85062-8004
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 WATER 178.76 6035301203341654
2201 4356001 WATER 489.96 6035301203341654
Account Statement
Commercial Account
CARMEL STREET DEPT
Inquiries:
uiries:
TIiA�CTOI� a
1-800-559-8232 Fax 1-801-779-7425 ,, ,..
Account Number::6035 3012 0005 0860
Summary of Account Activity Payment Information
Previous Balance $0.00 Current Due $27.28
moments ,$0.00 Past Due Amount + $0.00
Credits -$0_00 Minimum Payment Due _ _ $27.28
Purchases +$27.28 -— —
Debits +$0.00 Payment Due Date 12/15/15
FINANCE CHARGES +$0.00 Credit Line_ $600
Late Fees — +$0.00 ---
New Balance $27.28 Credit Available $572
Closing Date _ 11/20/15
Send Notice of Billing Errors and Customer Service Inquiries to: Next ClosingDate 12/21/15
TRACTOR SUPPLY CREDIT PLAN _
PO Box 790449,St.Louis,MO 63179-0449 Days in Billing'Period 30
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.
Please note that if We received your pay by phone or online payment between 5 p-.m.ET-and midnight ET on the last'day of your billing period,your —.
payment will not be reflected until your next statement.
C3 TRANSACTIONS
Er. Trans Date Location/Description Reference# Amount -
ACCOUNT 6035 3012 0347 7292
11118 GOODS AND SERVICES WESTFIELD IN $ 27.28
TOTAL 6035 3012 0347 7292 $ 27.28
FINANCE CHARGESUMMARY 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)�M Rate _Finance Charge: ^ Finance Charge
_•.
PURCHASES
REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00
- .
TICE:SEE REVERSE-SIDE-FOR IM -ORT;�t�`t!?FORMAiION—=�=r:;e�'ora m — `-TF�Is�Sccounf Ts Issued Gy C#ifian ,
JPlease detach and return lower portion with your payment to insure proper credlt. Retain upper portion for our records. y____
Other Account and Payment Information. This means that we will credit your account as of the calendar day,
When Your Payment Wiil Be Credited.if we receive your payment in based on Eastern time,that.-we receive your payment request.,
proper format our processing facility by 5 p.m.local time there,it will Express Mail.Send payment by courier or express mail to:
be credited as of that day.A payment received there in proper form Attn:Commercial Payment Dept.,1820 E.Sky Harbor Circle South,
after that time will be credited as of the next day.Allow 5 to 7 days for STE 150,Phoenix,AZ 85034.Payment must be received in proper
payments by regular mail to reach us.There may be a delay of up to 5 form at the proper address by 5 p.m.Central time to be credited as of
days in.crediting a payment we receive that isnot in,proper,form or is that day.All payments received.in proper format the proper address
not sent to-the-correctaddress.'The correct.address for regularmail is after that time will be:credited'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
forcourier 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'ln 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.
may-processyour-pay�nt-electronically-after-we-verify= --Describe the_error and explein;if you can_why_y_ou believe there is-
payment.-We
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
payme�cutoff time for Phone Payments is midnight Eastern time. unsureabout.
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T08894.9194-1574-0002--0---09/01/02-93-000-P--0-N--0.0.0-12/31/99-TS01-October 21,2015.0.0 N---- -0-
Tractor Supply Full Pay SEP15
Page 2 of 4
Remit payment and make checks payable to; INVOICE DETAIL
TRACTOR SUPPLY CREDIT PLAN
DEPT.30-1200050860
78004 ou�7 CO H OE�NIX,AZ 85 62.6004
BILL TO: SHIP TO:
Acct: 6035 3012 0347 7292 RON WILLIAMS Amount Due: Trans Date: . Invoice#:
3400 W 131ST ST 200442902
CARMEL,IN 46074-8267 $27.28 11/18/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
NIPPLE 1 1/2X31N GALV 000003180760 1.0000 EA $2.29 $2.29
FILTER HEAD ADAPTER CAST 000003950301 1.0000 EA $24.99 $24.99
SUBTOTAL $27.28
TAX $0.00
SHIPPING $0.00
TOTAL $27.28
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Page 3 of 4 1-800-559-8232
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Page 4 of 4 1-800-559-8232
Account Statement
Commercial Account
1WWAIRCTOR WATER OPERATIONS
Account Inquiries:
Y� 1-800-559-8232 Fax 1-801-779-7425
Accourrt;Number:;6035,30120334 111,684
Summary of Account Activity Payment Information
Previous Balance $99.96 Current Due $668.72
Payments -$99.96 Past Due Amount + $0,00
Credits -$0.00 Minimum Payment Due = $668.72
Purchases +$668.'72 -..
Debits +$0.00 Payment Due Date 12/24/15
FINANCE CHARGES +$0.00 Credit Line $10,000
Late Fees +$0.00
New Balance $668.72 Credit Available $9,331
11/29/15
Send Notice of BidClosing Date
ing Errors and Customer Inquiries to: Next Closing Date 12/30/15
TRACTOR SUPPLY CREDIT PLAN g
PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 30
Reminder:Payments can be made by mall or by calling 1.800-559-6232($14.95 fee for payments made by phone).
Note:In-store payments are not accepted.
TRANSACTIONS
Trans Date Locationmescriptlon Reference# Amount
61 11/17 GOODS AND SERVICES WESTFIELD IN $ 489.96
Er 11/17 GOODS AND SERVICES NOBLESVILLE IN 6 178.76
Ln
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
M 11/06 PAYMENT-THANK YOU P9194009So9AOZ3YD $ 99.96-
L-4
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)Is the annual interest rate on your account.
Annual Percentage Dally 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.
+ Please detach and return lower oortlon with vour oavmenl to Insure DroDer credit Releln unner nnrtinn Inr your rommis &
Remit payment and make checks payable to:
R' TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
DEPT.30-1203341654
PO BOX 78DO4
SV�P'LY COM PHOENIX,AZ 65062-6004
BILL TO: SHIP TO:
Acct: 6035 3012 03341654 WATER OPERATIONS Amount Due: Trans Date: I I
Invoice#:
3450 W 131ST ST2t�44261
CARMEL,IN 46074.8267 $489.96 11/17/15
PO: Store: 574000431,WESTFIELD,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
INS BIB CTN DCK ZIP HIP 3 000001005780 1.0000 EA $109.99 $109.99
INS BIB CTN DCKZIP'HIP 4 000001005784 1AOOO EA $108.98 $109.99
SHOE CHORE HI BK 11'SN62 000007015145 1.0000 OR $119.99 $119.99
BOOT WETL MUCK 10 BR SN 6 000007152002 1.0000 EA $149.99 $149.99
SUBTOTAL $489.96
TAX $0.00
SHIPPING $0.00
TOTAL $489.96
BILL TO: 'SHIP TO:
Awl; 6035 3012 03%1654 WATER OPERATIONS Amount Due: Trans Date: Invoice#:
3450 W 131ST ST I 1 1 20OWS260
CARMEL,IN 46074.8267 $178.76 11/17/15
L✓ PO: Store: 574000624,NOBLESVILLE,IN
Q'
Ln
r PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
C3
11J 22.321N OR ADJUSTABLE BUN 000001056912 1.0000 EA $2.79 $2.79
CNL 30GAL SPOT SPRAYER 000001075009 1.0000 EA $149.99 $149.99
WHEEL 10X1.75 RUB 000063550127 1.0000 EA $12.99 $12.99
WHEEL 10X1.76 RUB 000003550127 1.0000 EA $12.99 $12.99
SUBTOTAL $178.76
TAX $0.00
SHIPPING $0.00
TOTAL $178.76
Page 3 of 4 1-800-559-8232
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
Dept. 30 - 1200050860 IN SUM OF $
P.O. Box 78004
Phoenix, AZ 85062-8004
$696.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
•2201 200535260 43-560.01 $489.96 1 hereby certify that the attached invoice(s), or
2201 200535260 42-370.00 $178.76 bill(s) is (are)true and correct and that the
'2201 200442902 42-370.00 $27.78
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursda�, D ber0, 2015
S§gge i q@pr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/17/15 200535260 $485:96
11/17/15 200535260 $178.76
11/18/15 200442902 $27.78
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