252414 1 2/08/1 5 r CITY OF CARMEL, INDIANA VENDOR: 306840
® it ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $***"'1,241.88`
?� CARMEL, INDIANA 46032 PO BOX 689020 CHECK NUMBER: 252414
DEPT 30-1202854988 CHECK DATE: 12/08/15
DES MOINES IA 50368-9020
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 100063758 544.94 OTHER EXPENSES
651 5023990 200442708 507.95 OTHER EXPENSES
651 5023990 200442826 188.99 OTHER EXPENSES
Account Statement
Commercial Account
IVTRACTOR CARMEL UTILITIES
Account Inquiries:
� 1-800-559-8232 Fax 1-801-779-7425
� �toO
Account Number: 6035 3012 0251 0622
Summary of Account Activity Payment Information
Previous Balance _ $0.00 Current Due $1,241.88
Payments _ -$0.00 Past Due Amount �— + $0.00
Credits _ __$0_00 _ Minimum Payment Due _ u — _ $1,241.88
Purchases +$1,241.88 ----- —
Debits _ +$0.00 Payment Due Date 12/15/15
FINANCE CHARGES — +$0.00— Credit Line $5,000
Late Fees �_— +$0.00 1 --- -----New Balance $1,241.88 Credit Available $_3,758
Closing Date _ 11/20/15
Send Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIn Date —— v' 12/21/15
TRACTOR SUPPLY CREDIT PLAN g
PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period Y -- — 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.
E3 TRANSACTIONS
117
IU Trans Date Location/Description Reference# Amount
ru ACCOUNT 6035 3012 0251 5498
0 — --- ------- ------------- - --- -
11/17_ GOODS AND SERVICES WESTFIELD IN $_ 544.94
11/17 GOODS AND SERVICES WESTFIELD IN5 507.95
TOTAL 6035 3012 0251 5498 S 1,052.89
ACCOUNT 6035 3012 0332 4270
11/18 GOODS AND SERVICES WESTFIELD IN $ 188,99
--^---` -----TOTAL 6035 3012 0332 4270 —-- $ —_188.99
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
-=_t- -^1OT,.fr_E:.SEE-REVERSE-SIDE FOR,IMPORTANT-INFORMATION , muni-is-lssued by-CF:ibar", ;—
Please detach and return lower portion with your payment to insure proper credit. Retain upper portion for Vour records. 4.
1VT Remit payment and make checks payable to: INVOICE ®ETA I L
TRACTOR SUPPLY CREDIT PLAN
2510622
PO BOX 7 004
SU"LYCOM PHOENIX,AZ 85062-8004
BILL TO: SHIP TO:
Acct: 6035 3012 0251 5498 JEFF COOPER Amount Due: Trans Date: . Invoice #:
1 civic SQ 100063758
CARMEL,IN 46032-2584 $544.94 11/17/15
PO: I Store: 574000431,WESTFIELD, IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
INS BIB CTN DCK ZIP HIP 3 000001005783 1.0000 EA_^ $99.99 $99.99
CES COAT FLN DCK MD BRN 3 000001051910 _ _ 1.0000 EA $67.99 $67.99
JKT SHRP LN_D XLT DKB CT31 000001084544 �v 1.0000 EA $119.99 $119.99
JKT INS EX HD XL BK CT62 _ x_000007022134 1.0000 EA $94.99 _ $94.99
CES BIB INS DCK MS BN BN6 ~000007037024 1.0000 EA rn _$51.99_ $51.99
COAT SNDSTN MD BK CT 35 000007134630 1.0000 EA ~ $109.99 �^ $109.99
SUBTOTAL $544.94
TAX $0.00
SHIPPING $0.00
TOTAL $544.94
BILL TO: SHIP TO:
Acct: 6035 3012 0251 5498 JEFF COOPER Amount Due: Trans Date: Invoice#:
C31 civic SQ 200442708
Er CARMEL,IN 46032-2584 $507.95 11/17/15
ru
IU PO:0 Store: 574000431,WESTFIELD, IN
ti
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CES COAT FLN DCK XL BRN 3 000001051912 _ 1.0000 EA $67.99 _ $67.99
BIB INS 38X32 EX BK CT62 V 000007021170V Y 1.0000 EA $119.99 _ $119.99
BIB INS 44X30 EX BK CT62 000007021251 r 1,0000 EA $119.99 _$119.99
JKT INS EX HD 2X BK CT62 000007022142 f1.0000 EA .__ $99.99 � $99.99
JKT INS EX HD 2XT BK CT63 000007037367 ry 1.0000 EA A$99.99 $99.99
SUBTOTAL $507.95
TAX $0.00
SHIPPING $0.00
TOTAL $507.95
BILL TO: SHIP TO:
Acet: 6035 3012 0332 4270 JASON STEWART Amount Due: Trans Date: Invoice#:
760 3RD SVE SW 200442826
CARMEL,IN 46032-0000 $188.99 11/18/15
PO: Store: 574000431,WESTFIELD, IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
JKT MS SDSTN LG MS CT62 000007022469 1.0000 EA $84.99 $84.99
SUBTOTAL $84.99
TAX $0.00
SHIPPING $0.00
TOTAL $188.99
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
306840
TRACTOR SUPPLY CO Purchase Order No.
Terms
PO BOX 689020 Due Date 12/1/2015
DES MOINES, IA 50368
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/1/2015 100063758 $544.94
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
Date Officer
VOUCHER # 156759 WARRANT # ALLOWED
306840 IN SUM OF $
TRACTOR SUPPLY CO
PO BOX 689020
DES MOINES, IA 50368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
100063758 01-7202-05 $304.97
100063758 01-7202-06 $239.97
;00g4a7o8 01-7aoo -ot 501, 9S
0 0"ga8a(o 01 -7a0o-o t
Voucher Total `'
Cost distribution ledger classification if
claim paid under vehicle highway fund