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HomeMy WebLinkAbout333240 12/11/18 O�q" J`Y� CITY OF CARMEL, INDIANA VENDOR: 306840 **t***,,,; , ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $ 96.95 _� ��� CARMEL, INDIANA 46032 DEPT 30-1205115593 CHECK NUMBER: 333240 vy,`;1 PO BOX 78004 CHECK DATE: 12/11/18 .grow�°' PHOENIX AZ 85062-8004 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 2005266987 96.95 OTHER EXPENSES VOUCHER NO. 183469 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor # 306840 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER TRACTOR SUPPLY CO CITY OF CARMEL DEPT 30-1203341654 An invoice or bill to be properly itemized must show: kind of service,where performed, PO BOX 78004 dates service rendered, by whom, rates per day, number of hours, rate per hour, PHOENIX, AZ 85062-8004 numbers of units, price per unit, etc. Payee 96.95 306840 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR TRACTOR SUPPLY CO Terms Carmel Water Utility DEPT 30-1203341654 Due Date BOARD MEMBERS PO BOX 78004 I hereby certify that that attached invoice(s), PHOENIX,AZ 85062-8004 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 2005266987 01-6200-06 $96,95 and received except 11/27/2018 2005266987 $96.95 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20— Clerk-Treasurer T�iCTOR. )PSU"MC2 TractorSupply.com 17500 AUSTRIAN PINE WAY WESTFIELD, IN 46074 317-896-1086 Ticket; 266987 Date; 11/21/18 Time; 10;43 AM Store: 431 Register; 1 Cashier: Sarah' Business Customer: WATER OPERATIONS 3450 W 131ST ST CARMEL, IN 46074-8267 Item Qty Price Amount 6 ROUND TO 7 RV BLADE ADAPTER FLEX 1106936 1 21 .99 21 .99 E CRESCENT 2-N-1 PLIER LINESMAN/WIRESTRIP' 1312299 1 19.99 19.99 E CRESCENT 3PC CUSH ADJ WRENCH SET 1308860 1 19.99 19.99 E CRESCENT 3PC CUSH ADJ WRENCH SET 1308860 1 19.99 19.99 E JS - JUMBO/GAUGE PROFESSIONAL INFL 1308773, ' 1 14.99 14.99 E Vu t: Subtotal 96.95 2 2 Tax 0.00 Total 96.95 TSC Business Account - SALE 96.95 ************1654 - PinPad Swiped Authorization #: 021517 Terminal ID 001790431000100 CVM : DEFAULT -------------------------------------------- Change 0.00 I agree to pay the above amount according to my card issuer agreement, Tax Exempt Information Name: WATER OPERATIONS Address: 3450 W 131ST ST City/St: CARMEL, IN Zip Code: 46074-8267 Tax Exempt Reason: Government Agencies Expiration Date; Tax Exempt Holder: This transaction consists of one or more items identified as exempt from state sales or use tax, By signing below, and under penalties of Perjury, signee declares he/she legally has the right to purchase the above items exempt from sales and-use tax and these items will be used exclusively in a manner which qualifies for the exemption claimed. Failure to comply with provisions of applicable fax laws and regulations may result in assessment of state and local taxes as well as Penalty and interest. The sisnee affirms that all information Provided including name, address, and sales tax exemption number Cif required) is true and accurate. I hereby understand and agree that Tractor Supply Co. may use my signature provided hereon for completion of a valid exemption certificate if and when necessary. For our Returns Policu, 'visit TractorSuPPly.com/returns Help a neighbor. Review your Products. www,tractorsupply.com/reviews Join Neighbor's Club Go. to www.neishborsclub.com Earn more rewards when you use a TSC Personal Card to make a Purchase.