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Home My WebLink About332366 11/16/18 v! � CITY OF CARMEL, INDIANA VENDOR: 00353214 1- ONE CIVIC SQUARE DAN GRESKAMP CHECK AMOUNT: $*******150.96* CARMEL, INDIANA 46032 C/0 ENGINEERING CHECK NUMBER: 332366 C! II 0 ENGNEERNG CHECK DATE: 11/16/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4356001 580878 150.96 UNIFORMS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) Vendor# 00353214 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DAN GRESKAMP IN SUM OF$ CITY OF CARMEL C/O ENGINEERING 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. C/O ENGINEERING Payee $150.96 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Engineering Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 580878 43-560.01 $150.96 I hereby certify that the attached invoice(s),or 11/13/18 580878 Clothing-J.Eyers $150.96 2200 2200 2200 2200 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 Friday, November 16, 2018 Jeremy Kashman Director 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Z ZOo 14956001This transaction consists of one or more Items ident-i.f-led as exempt-from_-s-ta-te sales 71=10My VaIMor use tax. By signing below, and under i penalties of Perjury, sisnee declares he/she legally has the right to purchase the above TractorSupply.com items exempt from sales and use tax and these items will be used exclusively in a manner which qualifies for the exemption 17500 AUSTRIAN PINE WAY claimed. Failure to comply with provisions WESTFIELD, IN 46074 of applicable tax laws and regulations may 317-896-1086 result in assessment of state and local taxes as well as penalty and interest. The Ticket: 580878 sisnee affirms that all information provided Date: 11/13/18 Time: 12:31 PM including name, address, and sales tax Store: 431 Register: 2 exemption number (if required) is true and Cashier: Kristin accurate, I hereby understand and agree that Customer: City Of Carmel Engineering Tractor Supply Co, may use my signature Phone #: 3175712441 provided hereon for completion of a valid Company: City Of Carmel Engineering exemption certificate if and when necessary. Item Qty Price Amount WC MN DEER SPLTHR PLM GLV LG TN For our Returns Policy, visit 1184151 1 12.99 12.99 E TractorSuPPlu.com/returns CH MN KNIT WATCH HAT BN Help a neighbor. Review your Products. 6307793 1 12.99 12.99 E www.tractorsupply.com/reviews BLM MN INS DCK JKT 3X BN Join Neighbor's Club 1237350 1 54.99 54.99 E Go to www.neishborsclub.com Earn more rewards when you use a CES MN INS DCK BIB XLS BN TSC Personal Card to make a Purchase. 7037040 1 69,99 69.99 E Apply 8 www.applyforTSCcard.com Go to telltractorsupply.com or Call Subtotal 150.96 1-800-541-4429 within 7 days to Tax 0.00 complete a survey and be entered in Total 150.96 a monthly drawing for a chance to - ---------------------------------- win a $2500 shopping spree. (Awarded as Gift Cards) Ends 12/31/2018 Visa - SALE 150.96 Click on "Sweepstakes Rules" for ************6229 - EMU Chip complete details or to Participate Authorization #: 013607 without Purchase or survey. Terminal ID 001790431000200 ***##**###******#***###***##****##*#* ** Cryptogram BDE17DE963CElFlC AID A0000000031010 Enter Survey Code 8: RPP : VISA CREDIT 0431-02-580878-111318-1231-2 CVM : NONE / 5E0000 SOLD ITEM COUNT 4 TVR : 8000008000 / TSI 6800 II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I -------------------------------------------- Change 0.00 I agree to pay the above amount according to T1LK43C3CHIAQWC9 mu card issuer agreement. Please call 1-877-718-6750 for Customer Solutions, Tax Exempt Information Sign up now for ads, news, and more at TractorSupply,com Name: City Of Carmel Engineering Customer Copy Address: One Civic Square City/St: Carmel, IN Zip Code: 46032 Phone: 317-571-2441 Tax Exempt Reason: Government Agencies Expiration Date: Tax Exempt Holder: