Loading...
185452 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO i CHECK AMOUNT: $102.20 CARMEL, INDIANA 46032 Po eox 689020 DES MOINES IA 50368 -9020 CHECK NUMBER: 185452 CHECK DATE: 5/11/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 STREET 11.89 6035301200050860 2201 4237000 STREET 90.31 6035301200050860 T KAX T UR sumyco- BUSINESS ACCOUNT 0000324 'ACCDUNTt SUM�lARYF -6035 3412 0405 0860 r k£ x.:a.: a arv^x R.?'� °C Previous Balance Z50.41 Closing Date 04/20/10 Payments 269.99 Next Closing Date 05/21/10 CARMEL STREET DEPT Credits 0.00 Payment Due Date 05/15/10 CINDY Purchases 102.20 3400 W 131ST ST Debits 0.00 Current Due 8Z- WESTFIELD, IN 46074 8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,250 Late Fees 0.00 Minimum Payment Due 82.62 Credit Available 5,123 New Balance 82.62 CURRENT ACTIVITY ss m z ya ay ^Faa. -'d a- r. ��Amount� Transact9an �Y LocatioN q I x a n x a a Date a Descrl tlon r R -t ar t;�wy.:M.�� „k_.P. ..•.>2,zrrssc:a,:.,�r�.'�.r$.ax :..r ta;r�c«"r�P.w �a 'o-za,.T'seAr., 0 APR 7 GOODS AND SERVICES WESTFIELD IN 26.97 TOTAL 6035301200074803 $26.97 APR 8 GOODS AND SERVICES WESTFIELD IN 30.46 TOTAL 6035301200074811 $30.46 MAR 30 GOODS AND SERVICES WESTFIELD IN 24.90 TOTAL 6035301202895874 $24.90 MAR 22 GOODS AND SERVICES WESTFIELD IN 11.89 TOTAL 6035301202895932 $11.89 FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Daily Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periodic Bilking PERCENTAGE Subject to Periodic Bilking PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 30 0.00 0.00 .00000 32 0.00 This Account Issued by Citibank (South Dakota), N CUSTOMER SERVICE 1 -800- 559 -8232 FAX NUMBER 1 -801- 779 -7425 Make checks payable to: TRACTOR SUPPLY CREDIT PLAN Payment must be received by 5:00 p.m. local time on Payment Due Date. `zz� .�`'En 4Payrnent Due'Dats g z ew BalatlCe Mtntrnum Payment due Amount bLEncl©sed PaylnenI. ;s -a r�;a_s 05/15/10 82.62 82.62 FOR PROPER CREDIT, PLEASE WRITE 6035 3012 0005 0860 ON CHECK AND ENCLOSE WITH THIS STUB. Mail Payments to: Make Address Changes Below CARMEL STREET DEPT CINDY 0000071 Dept. 30 1200050860 3400 W 131ST ST B TRACTOR SUPPLY CREDIT PLAN WESTFIELD, IN 46074 -8267 XTRL PO BOX 689020 DES MOINES IA 50368 -9020 I'I��I' III "I'llrllllllll�l��ll1ltlltll Jil rrlill1111 llllltl II��' I�' I' I' I '���'�I'I 6035301200050860000826200000000008262 vsupn BUSINESS ACCOUNT 0000325 CURRENT ACTIVITY Transaction �Locailonf F E c a�@SCf mod a .�"x������ a. Via. s ARIOUItI APR 5 GOODS AND SERVICES WESTFIELD IN 7.98 TOTAL 6035301202896161 $7.98 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS MAR 22 PAYMENT REF P91940OF109EZE71K 269.99 This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 'I' join DEPT.30 1200050860 JEFF STEWART VSUMTCO- PO BOA( 689020 211 2ND ST SW BUSINESS ACCOUNT DES MOINES IA 50368 -9020 0000326 Payment Due Date: 05/15/10 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TD: INVOICE: SHIP TD: INVOICE: 431200001758012 431200001893013 AMOUNT DUE: 26.97 AMOUNT DUE: 30.46 Store: 574000431 INVOICE DATE: 04107 /10 Store: 574000431 INVOICE DATE: 04/08 /10 TSC HITCH PIN 7/8X61N 3 0268739 1.00 6.99 6199 CLP LIGHTED MAC PU TOOL 4046537 1.00 5.99 5.99 TSC HITCH PIN 718X61N 3 0268739 1100 6.99 6199 CLP LIGHTED MAC PU TOOL 4044537 1.00 5.99 5.99 TSC HITCH PIN 1-1/8X8 -1 0269086 1100 12.99 12.99 CLP LIGHTED MAG PU TOOL 4046537 1.00 5.99 5.99 EXTRA HEAVY BARREL BOLT 3541160 1.00 12.49 12.49 SUBTOTAL 26.97 TAX 0.00 SUBTOTAL 30.46 SHIPPING 0.00 TAX 0.00 SHIPPING 0.00 TOTAL 26.97 TOTAL 30.46 SHIP TO: INVOICE: SHIP TO: S1.89 431200000042019 AMOUNT DUE: 24.90 Store: 574009431 INVOICE DATE: 03/30 /10 Store: 574000431 10 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 STALL MAT 4X6 RUBBER 2219003 7.00 39.99 279.93 LOCKPIN SW 114 X 2 1/2 1e33553 1.00 2.49 2.49 MH SCREWDRIVER 3/16X4 E 3808033 1.00 3.99 3.99 LOCKPIN SW 114 X 2 1/2 1833553 1.00 2.49 2.49 MH SCREWDRIVER 3X6 IN M 3808164 1.00 4.99 4.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 MH 2PC PLIERS GROOVE J 4052677 1.00 19.99 19.99 LOCKPIN SW 1/4 X 2 112 1833553 1.00 2.49 2..49 MH IDPC SCREWDRIVER ST 3808368 1.00 19.99 19 -99 LOCKPIN SW 1/4 X 2 1/2 1833553 1 -00 2.49 2.49 MH 3PC PLIERS 4052693 1100 19.99 19.99 LOCKPIN SW 114 X 2 112 1833553 1.00 2.49 2.49 MH 2PC PLIERS GROOVE J 4052677 1.00 19.99 19.99 LOCKPIN SW 1/4 X 2 112 1833553 1.00 2.49 2.49 MH 2PC PLIERS LOCKING 4052665 1.00 19.99 19.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 MH 2PC PLIERS LOCKING 4052685 1.00 19.99 19.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2 -49 2.49 MH 2PC PLIERS GROOVE J 4052677 1.00 19.99 19.99 MH PLIERS 6IN LONG NOSE 3807663 1.00 6.99 6.99 SUBTOTAL 24.90 MH CUTTERS 7 IN DIAGONA 3807671 1.00 8.99 8.99 TAX 0.00 MH 3PC PLIERS 4052693 1.00 19.99 19.99 SHIPPING 0.00 MH 8PC SCREWDRIVER ST 3608350 1.00 14.99 14.99 ANGLE GRINDER 4.51N 7AM 3806811 1.00 69.99 69.99 TOTAL 24.90 WHEEL 4 1 /2X1 /4X7 /8 MET 3821617 1.00 2.99 2.99 WHEEL 4 1 /2X1 /4X7 /6 MET 3821617 1100 2.99 2.99 FLAP DISC 4 1 /2X7 /05IN 6 3804681 1.00 7.99 7.99 250P DISC 120 4- 1/2X7/8 3910393 1.00 7.99 7.99 SUBTOTAL 571.75 TAX 0.00 SHIPPING 0.00 TOTAL 11.89 Please Direct Inquiries to: Phone: 800-559-8232 Fax: 801- 779 -7425 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 'EMMI M DEPT.30 1200050860 SHAUN PRIVETT rsu"Lyco— PO BOA( 689020 3400 W 131 ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 0000327 Payment Due Date: 05/15/10 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN sNlp Ta: INVOICE: 431200001195011 AMOUNT DUE: 7.98 Store: 574000431 INVOICE DATE: 04105 110 GW ANGLE CONNECTOR BRAS 4428640 1.00 3.99 3.99 OW ANGLE CONNECTOR BRAS 4428640 1.00 3.99 3.99 SUBTOTAL 7.98 TAX 0.00 SHIPPING 0.00 TOTAL 7.98 Please Direct Inquiries to: Phone: 800-559-8232 Fax: 801 779 -7425 mmaimm REMIT TSC BUSINESS ACCOUNT PAYMENTS ONLY TO: TRACTOR SUPPLY COMPANY P.Q. Box 689020 Tractor U,S, supp C Des Moines, IA 50368 18160 U,S, 31 North TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Westf field, IN 46074 6035 301# (317) 867 -3505 NAME CARNEL STREET DEPT ADDRESS 3400 W 131ST ST WESTFIELD IN 460748267 (317) 733 -2001 CITY STATE ZIP PHONE 431 431000172 1 1009999 03/22/2010 01:22em CUSTOMER TO COMPLETE 2219003 STALL MAT 06 RUBBER CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: -7.00 a 39 ,99 279.93 NT Government Asencies The undersigned certifies The undersigned party certifies their exemption from 3808033 MH SCREWDRIVER 3116X compliance with the agricultural payment of sales and use tax on tangible personal 1 100 3.99 3,99 NT sales tax exemption law of the state property as indicated below and /or purchaser is Government Asencies indicated below and understands engaged in the business of agricultural production of 3808164 MH SCREWDRIVER 3X6 I and agrees with the General food or fiber, horticulture, aquaculture of floriculture for 1.00 4,99 4.99 NT Exemption Statement at right and resale and /or uses the farm machinery, equipment or Government Asencies the applicable statement of the 4052677 MH 2PC PLIERS GROOVE respective state printed on the other agricultural production items purchased free of 1 00 19 99 19.99 NT reverse side of this form. tax, as defined by state law, and as indicated below. Government Asencies PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they 3808368 MH tOPC SCREWDRIVER STATE: understand they may be liable for payment of all taxes 1.00 19.99 19.99 (REQUIRED) due on the purchase price for the goods as allowed by Government Asencies (Exceptions: Ge orgia, New York a Kentuck state law should such goods be used or consumed in 4052693 MH 3PC PLIERS COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. 1.00 19.99 19.99 NT PURCHASER IS ENGAGED IN: (REQUIRED) Government Asencies Resale Under penalty of perjury, signee swears the 4052677 MH 2PC PLIERS GROOVE Government information on this statement is true and correct in 1.00 19,99 19.99 NT Exempt organization every material manner. A willfully false representation Government Asencies Agricultural Production of exemption will cause the purchaser to be subject to 4052685 MH ZPC PLIERS LOCKIN Dairy Production 1.40 19.99 19.99 NT Livestock Production penalty and /or other provisions as allowed under state Floriculture /Aquaculture Production law. Government Asencies 4052685 MH 2PC PLIERS LOCKIN Other: 1.00 19.99 19.99 NT ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Government Asencies Farm Machinery/Repair Parts E] Government Agency (Entity 4052677 MH 2PC PLIERS GROOVE 1,40 19.99 19.99 NT Livestock Injestibles or Injectibles Exempt Organization (Entity Government Asencies Fertilizer /Agrichemicals NC: only DOT and US Government are exempt 3807883 MH PLIERS 6IN LONG N Consumed in Production (KS) Resale (Sales Tax Permit 1.00 6, 6.99 NT Government Asencies Ingredient or Component Parts (KS) 3807671 MH CUTTERS 7 IN DIAG Other: 1. 8.99 8,99 NT Government Asencies 4052693 MH 3PC PLIERS CUSTOMER GNATURE:(REQUIRED) MGR, APPROVAL 1. 19.99 19 NT Government Asencies USE SHADED AREA ONLY WHEN REGISTER IS F X IN CASH CHECK VISA MJC DISCOVER TSC CHARGE"ACCOUNT NO CHG EXCH DHTE', R a Y Ll v DESCRIPTI ITEM NUMBER Form No. 98- 00401 (12/08) CUSTOMER ORIGINAL ARKANSAS: The custq <nar, as indicated by their .;;}nature o the r ens, ccrtllio, that heishe is engaged in the business of farming and the fare' machinery and equipment purchased Will be LiSell exc €usrVety and directly in the agricultural production of food of fiber as a business. The reverse signed is aware that any false r'epresent'ation made by them in an attempt to purchase farm; maotrinery and oquipm.nt free frarn Arkansas Sales Tax I. i,dalnaan.I GEORGIA: The re verso signed hereby ,,Allies that all tangible persona€ property purchased or leased after the reverse indicated date will be purchased or leased for tree purpose indicated U.ow unless olfler se speClfieei on a particular order, and that the purchases are used as a part at a pursuit angagod in for profit. This certificate sl'fall remain In affect until ravoked I,, writing, Any r."gible p. cinai property obtained under this certificate of exemption 19 subject to it "he Sales and use tax if it is Used Or COOSurn id by the pul Chafer in any .tanner other than indicated on this certificate. (Check proper box.) -FARM MACHINERY AND EQUIPMENT I Rubbo, -tired tan' tractor;; and attachments which wifl be used oxclusfvcly in filing. planting, cultivating or harvesting fans crops for sale. Such crops will be planted and harvested -,thin a tae €va -monIh period. O- C -G -A. 46- 8- 3(29)(1) i 2. McChGai]ry al10111r cLl;pmenf which will bb, used on the farm directly in the production Of pool €t'y or eggs for sale. O.C.G.A. 48- 8- 3(29)(A) j Machinery ancf:or equip,nent which will be used on the farm directly in the: production, processing or storage of fluid milk for sale. O.C.G.A. 48- 8.3(29)(C) i 4, Machinery ahrj!., equipment which will be used o.n the fare, directly In the prod ucii oe"ti of rv.stook for sat.. O.C.G .A. 48 8 3(29)(D) S. Machinery and %or equipment which will be u sed on the farm directly in harvesting farm crops grown and used on the farm as feed for poultry or livestock by a producer fal €inq ,nder the categories 2. 3, ar 4 above. O,C -O,A. 48- 8- 3(29)(E) I 5. Machinery and /or equipment which wiii be u. ed in the hatching and breeding of poultry and livestock for ,ale. O- C -G_A- j j 7. Machinery anrlR>r equipment which will be used in tilling the soil in animal huahandl'Y. O,C,G.A- 4 B 8- 3 29 )(F)•(G) (H) 8. Mact,inery and/or equipment which will be used c:xclusly -:ly for irrigation of faun crops grown for sale including, hot not finned to fruit, vefletf..b€o and nut crops. O.0 -G_A_ 46 -8 -3(26) 1 9. Pecan sprayefs_ pecan shakers and /or other equipment used in harvesting pecans. O.C.G.A. 48- 8- 3(29)(J) 10. quipment which will he used on the farm axcrrev.ly in r;rracessing onions. O_C -G.A. 48 -8- 3(29)(1) T)MBER EQUIPMENT AND RELATED ATTACHMENTS- 11. Off -road equipment and rolated attachments wtlich -ill be used axclustvaly In the site preparation, planting. cultivation. err harvesting of timbe_t: This shall include all off -road equipment and related attach,menls used I every forestry prac..cll.lre stung with €>-,e severing of a free from the 9— end i ntit and inGudinq the point at which the tree or its parts in any form has been loaded €n the field in o r a truck or other vehicle for transport to the pace of use. O.C.G.A. 48 -8- 3(29),1) LIVESTOCK, SEED, FERTILIZER, FEED. PACKAGING, ETC: 1 12. cattle, hogs. sheep. horses, poultry, and bees when sold Ior breading purposes. O.C.G.A. 48 -8 -3(28) 13. Saar, seedlings, tee'tilirers.. insecticides, fungicide;;. r00enric3das, herbicides, defell.m.. soil fumigants. plant growth regulating chemicals. desiccants (including .1 -Ong. and sawdust front wood, peanut hulls, toiler s earth. straw and hay) arid feed for livestock, lish or poultry when used either directly In filling fine ..if pr in animal, fish or poultry husbandry; anchor', norrroturnabla rrlaterials us.d for packing farm product, for shipment or sale. O- C -G -A- 48 -11-3(25) (35) (A) (fit) -FUELS USED IN POULTRY STRUCTURES ELECTRICITY USED IN IRRIGATION OF FARM CROPS- 14. The sale of electricity for the pp. —lion of an irrigation systore which is used on a farm exclusively for irrigation of farm crops when separately metered. O- C -G -A- 48 -8 -3(64) j 15. Liquefied petroleum gas or other fuel used in a structure in which broilers, pullets. or other poultry are raised when, separately rnetered. O,C.G.A. 48 -e -3(49) ILLINOIS' The reverse signed hereby certifies that the properly purchased will be used prfrrfarlly in producfio. agriculture or In State or Federal agriculture programs. Any farm chern ICals purchased as exempt are such pursuant to Section 130.1955. KENTUCKY: The reverse signed hereby cerIifies that they era a farmer regularly engaged in the occupation of; (farmer must Initial appropriate lie i[si) tilling and cultivating file soil for it,. production of crops: ap:' -J, -)vuL' 1 t raising and feuding livestock or poultry the products o1 which ordinarily constitute food for human consumption; or raising and feeding Ira rrlag, all5ar.a s, ratife9, bullet o, er aquatic ganrbms. The r lSe signed aft-,. t.ei! f as that tn.e tangible personal proporty purchased as indicated bolo will be used for the exempt pulp 4 ffoy I`Q r unde€ KRS 139480, Farmer must INITIAL appropriate line(.). Baling twine and -i,e Farm orlami -m 9' Farm machinery. attachments and repairireplaccmcant parts therefor Farm work stock ;Teed and food additivas Gasoline, ,percial haul;;, nalolal gas pr €iquelied petroleum gas U,eslocK Or poultry the products i^,it which ordinarily oonstrt to fco 1 for Merman con9Umpti Rallies, llamas, aip.,.S, buffalo, or aquatic pr9ancmS Mnlnhiric,y, equipment enrichments and repo r /rep €ace rnont parts therefor to be incorporated Into as e.xrs. ing on-far go4itirifsoyboan facility and�poi livestock, ratite, llama, alpaca, or aquaculu,le tad Eities' Seed or fertilizer •fir ji =ul Materials to be in .orporated Into the r. vation or repair of an erisuntg' on -farm grain /soybean facilities and poultry, livestock, ratite. Mama. 81peca, or aquaculture facility. Water used in the production of crops as a business Or In tho raising of livestock /poultry, ratites, Ifamas. alpacas, buffalo, aquatic organisms a nd dairy ...tile. SEE REVERSE SIDE. SEE REVERSE(SIDE is CI t'- Signafurc Date t1 j MICHIGAN. The reverse signed hereby cedlfies that all it.re except aS Indicated, are purchased for ar consumption In connection with the production of herticulti,l'al or agricultural products as a business enterprise, and agrees to reimburse the sn_Ite, the sales tax if used or consumed otherwise- Unlawful use of this certificate subjgcts gsrsens to the peihaltl.d of t€ie Sales tax act. Ef 1 r Ii I r h I i} iI (I NORTH DAKOTA. SOUTH DAKOTA: The purchases made herein are subject to the reduced rate of sales tax and are not exempt from such taz!, i r._ NEBRASKA: The reverse signed certifies the intended use of the items purchased renders it exol'pt under Rag. 1 -060, 1 -06'1 or I- 063.1 i L' n TEXAS CERTIFICATION OF EXEMPTION Tf i Purchaser's' SEE REV ERSF SIDE L'• E) Su set Addrosa SEE REVERSE SIDE r f:1 t 'far,. stat, zip code $EE REVERSE SIDE I claim an exemption from payment of sates arid use taxes for the purchase of taxable items described below or on the attached orde pr invoi "�s t r. t1 SEE REVERSE SIDE Description of items (or an attached order or invoice) to be purchased: V V r SFE REVERSE' SIDE I claim this exemption for the following reason: r SEE REVERSE SIDE (:rlt�i •li'i(: 1t {r f; i.:.. 1 understand 11ha1 1 -111 be ;table far p lent Of gales 'tax wrlich may become due for failure to comply with file provisions of the Tax Code: Limited Sales. E­­, and Use, fax AG, Municipal Sales a hd Use Tax Act, Sal as and Use T x(.8 for Special Purpose Taxing Authorities, County Sales and Use Tax Act, CouniV )'toalth So rvli0.W Sales and Use i 7ax rand •the Texas Health arid Safety Goda: Special Provlsi.ns Relating to Hospital Districts Emergency Services Distdeis, and Etnergen y $e yilye D stricta,ih ..u. r wrih a population of 1 25, 000 or less. Liability for the tax will be deterrr Ined by the pricy paid for tire taxable Items purchased or tire far market rental value Poe fhe.penoij t ot tint, used I. I understand that it is a Criminal offense to give an oxelnption certificate to the seller for taxable ;terns which I know, at the time of purchase will (be rased i n,d {r(pnner other than that expressed in this certificate. r Seiler: SEE REVERSE SIDE ,4; j Street address: SEE REVERSE SIDE City state, zip code: SEE REVERSE SIDE C'.'.]_. '.0 1il v:.: r "h• Purchaser's signature: SEE REVERSE SIDE Data: Phone: I_i):.: il:, -•I +,.,�et1 1=c Title: SEE REVERSE SIDE This certificate does not require a number to be valid. 'tl i Sales and use tax exalnpt oil (lumbers or tax e xempt numbers do not exi This certificate should be furnished to the supplier. Do net .end the completed certificate to the Comptroller of Public Acpou nts:i. rj.5 e I t �ai_ r 3 I', rf, Effective Dale: September 10. 199' ni llv('.. i r Rule 3.287 NEW YORK STATE DEPARTMENT OF TAXATION AND FINANCE NEW YORK STATE AND LOCAL SALES AND USE TAX FARMER'S EXEMPTION CERTIFICATE t l f T To purch aser. and sellers: To he Completed by Ifir1 farmer, given to and retained by the seller to have a valid certificat all r ntr a frill T by com pleted! Read all instructions carefully before completing or accepting this Certi ficate. To sellers You may not accept this certificate as file basis for selling e cuript from tax the property or services listed below. Tax must be ,cpElectr;d ,oa...h This cc rtiflcalo may not be uses/ to claim exemption Inr the following: x 1- utilities, fuel Oil, motor'tuel or die!sesl fuel; 2. labor ch arges in con action with repair, maintenance of or service to real property; •3. tangit ale personal properly, incol'po rafec£ info a'huiidi ng, structure, silo foundation el other capital improvennenis to real property (excludmg grape trellises and the remaining portions of a silo): 4 -honor vehicles: .,'S, property listed as taxable. Name of seller TRACTOR SUPPLY COMPANY AFFILIATES Attn: Tax Name of Farmer SEE REVERSE SIDE `�')r;'; l.. r +jrt!!t1. i� "il t74' SErest address 200_Powdl P €ace Street add,,,, Far S, Y City Bfentwood State TN ZIP Code 37027 City SEE REVERSE EVERE SIDE State 21P bd Check applicable box: 21 Single Purchases Cartlflcata Blanket Certiticata r, r I, the reverse signed hereby certify shat 1 am oxenepi from payment of the sales and use tax on tangible personae property purchased jf am you bocause 1110 property is to b© used r ice ar ex rapt purpose and that certain services are also 0x ipt when porfonned on all exempt property. (Check applicable box or:buxos.)- kai j j).1) v n i'', U7. I. fJ (a) ibie personal property, except property incorporated Into a building or structure for use or consumption ctlrecEly' and (ir`IZEdoinifiately iri the pi•oduritfon of tangible par I property for sale by farming, including stock, dairy, poultry, fruit, fur bearing animal, and truck farming, The term farming also includes ranching, operating nurseries, greenhouses or other similar structures used primarily for the raising of agricultural, horticultural or iloricultu r cammvditiea, and operating orchards or neyards_ fT_. i, CI (b) Tangible personal property for use In si acting, adding to, altering or Improving a silo used In farming to makfe;$ndr stor on �•,f §rm,Rrovtdecf such tangible parse laf property Is to become an integral component part of such silo. (This exemption does not apply to t9ngi bic usiad in constructing a silo foundation.) I_1 (c) Posts and wire for use in constructing or maintaining vineyard trellises used in growing grapes for sale L_I (d) Sary €cos of installing, repairing, maintaining and servicing exempt tangible personal property- (This exemptlon,s p�dvlaECJ� /vrftirsth state and local sales and use tax with the exception of the tax imposed by or for New York City.) f f r l 1 r; 0., These statements are made with the knowledge: that willfully issuing a false or fraudulent ce nificate with file intent to evade• tax is a misderTfea rioY'u nd :.sectioa 1817( al the New York State Tax Law and suction 210.45 of line penal law punishable by a fine of not more than $1,000, or imprisonment for not mpre thanla`yi=ar or, Signature of farmer or forme: is mpresc'. ntative (state title and relationship) $FF REVERSF SIDE f l fit, 6. .,i Seiler The tax exemption for forme'. is lin'lited to the purch"O. of (1) tangible personal property used directly and predominantly in the production phase of farming and (2) the services described En (d) related to that property. Purchases for use ;r, administration, storage or marketinl:7 or purchases of tangible personal property used lndiractly.in terming would not gsaalify. (See Publication 844, Sales Tax Oto,"afiort for rarmers, to, complete explanation M the tax treatment of farmers purchases and ,ales.} t. For your protection, a farmer most give you this certificate not later than 90 clays after delivery of the property sold or services rendered. if you fiave riot raoeived�lht,s cartl /rcate within 90 days of the data of sa €e, the sa €a will be do—ned to have been taxable at the time tic• transact €on took place and the burden of proving it was net, siia€T be upo` both lyou.?ncl t(r. purchaser. If the bi.ekel certificate box is checked. yen may consider this O.Alficato part of any order received hare the purchaser. A blanket certificate ieni: itis id 1{gr1rr3 until Ctrfa purchaser gives you written notice of revocation, or until the Tax Department notifies you that the purchaser may not make exempt purchases. Purchaser You must pay tax on utilities (telephone, telegraph, electricity or gas service) heating off, motor tuel and diesel motor fuel at file time of purchase and claim a refund for any exempt use. Alf you are purchasing diesel motor fuel for exclusive consumption in farm machinery used to produce tangible personal property for sate, you may use Form FT -1004, F3 �mt•rs Exemprion Cort />`<'cafe for Purchases of Dieset Motor 1"Oef to purchase that fuel exempt.) If the bi.,4,et Cerllf.M. box i. chaci —cl, ,a" may Consider This certificate part of any order received from the purchaser. A blanket certificate remains in force until the purchaser dives you wrih.h notice of revocation, or until tyre lax Depal'Imenf notifies you that the purchaser may not make exempt purchases. REMITTSC BUSINESS ACCOUNT PAYMENTS ONLY TO: TRACTOR SUPPLY COMPANY P.O. Box 689020 3808350 MY 8PC SCREWDRIVER S Des Moines, IA 50368 1100 B 14.99 1439 NT TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Government Asencies 6035 301# 3806811 ANGLE GRINDER 4.51N NAME 1.00 69.99 69.99 NT Government Asencies 3821617 WHEEL 4 1/2X1/4X7/8 ADDRESS 1.00 0 2.99 2.99 NT Government Asencies CITY STATE ZIP PHONE 3821617 WHEEL 4 1/2X1/4X7/0 1.00 2.99 2.99 NT Government Asencies 38046 CUSTOMER TO COMPLETE .0 O FL 8 AP DISC /2X7/8I 7.99 7.9Y NT Government Asencies CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: 3910393 250P DISC 120 4 -1/2X The undersigned certifies The undersigned party certifies their exemption from 1.00 L 7.99 7.99 NT compliance with the agricultural Government Asencies sales tax exemption law of the state payment of sales and use tax on tangible personal property as indicated below and /or purchaser is indicated below and understands Subtotal 11.89 and agrees with the General engaged in the business of agricultural production of 7.00% Tax 0.00 Exemption Statement at right and food or fiber, horticulture, aquaculture of floriculture for Total 11 .89 resale and /or uses the farm machinery, equipment or the applicable statement of the other agricultural production items purchased free of TSC Card 11.89 respective state printed on the tax, as defined b state law, and as indicated below. Acct>m:YYYYtYYYfYYY5932 reverse side of this form. y Auth#:022803 Ref#:2212221933 PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they PO carmel fire bob v understand the m be liable for p ayment of all taxes Chanse 0.00 STATE: y y p y REQUIRED) due on the purchase price for the goods as allowed by Cash Back COMPLETEREVgia,Ne York &Kentucky state law should such goods be used or consumed in Buyer acknowledses the receipt of a cQmPle a taxable manner as defined by state laws. tel PURCHASER IS ENGAGED IN: (REQUIRED) C] Resale Under penalty of perjury, signee swears the tope of this sales slip and the Purchase o Government information on this statement is true and correct in the described merchandise shall be in Exempt organization every material manner. A willfully false representation Agricultural Production of exemption will cause the purchaser to be subject to accordance with the Cardholder Asreement Dairy Production penalty and /or other provisions as allowed under state Livestock Production Floriculture /Aquaculture Production law' Sisnature: Other: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity Livestocklnestiblesorinectibles YYYYYYYYiYYYYiiYYYYYYYYtYYY YiYYYtYYYY F1 1 1 Exempt Organization (Entity Fertilizer /Agrichemicals NC: only DOT and US Government are exempt YCallYY00- 960 -i 34 wit hini72daysY to Call 800- 968 -0734 within 7 days to Consumed in Production (KS) Resale (Sales Tax Permit complete a survey and be entered in a Ingredient or Component Parts (KS) monthly drawing for a chance to win a El Other: $2500 shoppins spree (Awarded as Gift Card) NO PIjRCHASE OR SURVEY NECESSARY. Ends 9/30/10, CUSTOMER SIGNATURE: (REQUIRED) MGR. APPROVAL G X USE SHADED AREA ONLY CASH CHECK_ `VISAMlC e DISCOVER^ TSC CHARGE ACC OUNTNO CHG EXGH DATE, DESCRIPTION UNIT PRICE TAX Form No. 99-00401 (12/08) CUSTOMER ORIGINAL VOUC NO. WARRANT NO. ALLOWED 20 Tracior Supply IN SUM OF P.O. Box 9020 Des Moines, IA 50368 -9020 $11.89 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department 6Z) PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 .1 ��!r 42- 370.00 $11.89 i hereby certify that the attached invoice(s), or V V 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 MAY i 0 2010 i Fire Chief 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)) $11.89 1 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 page 1 of 4 Tx 7 D 1301000100000�/11�y� ®o um Vim 0000324 S�a+rLYe— BUSINESS ACCOUNT �o GGORI�IVTSUMMARY� {,60353 ©1�Q05UE1� R Previous Balance 250.41 Closing Date 04/20/10 Payments 269.99 Next Closing Date 05/21/10 CARMEL STREET DEPT Credits 0.00 Payment Due Date 05/15/10 CINDY Purchases 102.20 3400 W 131 ST ST Debits 0.00 Current Due 82.62 WESTFIELD, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,250 Late Fees 0.00 Minimum Payment Due 82.62 Credit Available 5,123 New Balance 82.62 CURRENT ACTIVITY Transaction L ry 1 4C #foN 1�RIOtlrllt pate QBSCfl�tiolt' 1a�� ��6,0 ax�� ,e APR 7 GOODS AND SERVICES WESTFIELD IN 26.97 TOTAL 6035301200074803 $26.97 APR 8 GOODS AND SERVICES WESTFIELD IN 30.46 TOTAL 6035301200074811 $30.46 MAR 30 GOODS AND SERVICES WESTFIELD IN 24.90 TOTAL 6035301202895874 $24.90 MAR 22 GOODS AND SERVICES WESTFIELD IN 11.89 TOTAL 6035301202895932 $11.89 FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Daily Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periodic Billing PERCENTAGE Subject to Periodic &Ming PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 30 0.00 0.00 .00000 32 0.00 This Account Issued by Citibank (South Dakota), N.A. CUSTOMER SERVICE 1 -800- 559 -8232 FAX NUMBER 1 -801- 779 -7425 Notify Us in Case of Errors or Questions About Your Bill Copy Fee: On any matter unrelated to a billing error or disputed purchase, we charge a $5.00 fee for each duplicate statement for a billing period that If you think your billing statement is wrong, or if you need more information is more than 3 months prior to your request. We add this fee to your regular about a transaction on your billing statement, write to us ion a separate revolve credit plan balance. sheet) as soon as possible at the billing error address on the front of your statement. 44e must hear from you in writing no later than 60 days after we Payment Options Other Than Regular Mail: sent you the first statement on which the error or problem appeared. In your letter, give us the following information: Pay by Phone. You may make your payment by phone by using the Pay by Phone Service. You will be charged $14.95 to use this payment service. Your name and account number. Call by 5 p.rn. Eastern time to have your payment credited as of that day. The dollar amount of the suspected error. If you call after that time, your payment will be credited as of the next day. Describe the error and explain, if you can, why you believe there is an We may process your payment electronically upon verification of your error. If you need more information, describe the item you are unsure identity. about. Send payment by courier or express mail to the Express Payments address: Customer Service Center, Dept. CCS 8725 W. Sahara Blvd., Las Important Payment Instructions Vegas, NV 89117. Payment must be received in proper form, at the proper address, by 5 p.m. Pacific time in order to be credited as of that day. All Crediting Payments: Payment must be received in proper form at our payments received in proper form, at the proper address, after that time processing facility by 5 p.m. local time there to be credited as of that day. A will be credited as of the next day. payment received at the processing facility in proper form after that time will be credited as of the next day. Please allow 5 7 days for payments by Report a Lost or Stolen Card Immediately: Customer Service is available regular mail to reach us. There may be. a delay of up to 5 days in crediting a 24 hours a day, 7 days a week. payment sent by mail if it is not in proper form or is addressed to a location other than the address listed on the return envelope or on the front of the Your account is issued by Citibank (South Dakota), N,A. payment coupon, or, for courier or express mail payments, to the Express Payments Address set forth below. Proper Form: For a payment sent by mail or courier to be in proper form, you must: Enclose a valid check or money order. No cash, gift cards, or foreign currency please. Include your name and account number on the front of your check or money order: Tractor Supply Co. Full Balance S902TV 10/06 902TV5741006 PCT page 2 of 4 TX 7 D 13 900 0 L �Su"LYCo- BUSINESS ACCOUNT 0000325 R CURRENT ACTIVITY ransaction L�OCationi a w a a O a ME I L T e i �r41TIQl#nt ate �Descnptn� �.w APR 5 GOODS AND SERVICES WESTFIELD IN 7.98 TOTAL 6035301202896161 $7.98 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS MAR 22 PAYMENT REF P91940OF109EZE71K 269.99 This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. 1 Remit To: Bill To: P age 3 or a 184 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 TWTQR DEPT.30 1200050860 JEFF STEWART rsu"Lyco- PO BOX 689020 211 2ND ST SW BUSINESS ACCOUNT DES MOINES IA 50368 -9020 0000326 Payment Due Date: 05115110 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 0 431200001758012 431200001893013 AMOUNT DUE: 26.97 AMOUNT DUE: 30.46 Store: 574000431 INVOICE DATE: 04/07 /10 Store: 574000431 INVOICE DATE: 04108 110 TSC HITCH PIN 7/8X61N 3 0268739 1.00 6.99 6 -99 CLP LIGHTED MAG PU TOOL 4046537 1.00 5199 5199 TSC HITCH PIN 7 /8X61N 3 0268739 1.00 6.99 6.99 CLP LIGHTED MAG PU TOOL 4046537 1.00 5.99 5.99 TSC HITCH PIN 1 -1 /8X8 -1 0269086 1.00 12.99 12.99 CLP LIGHTED MAG PU TOOL 4046537 1.00 5.99 5.99 EXTRA HEAVY BARREL BOLT 3541160 1.90 12.49 12.49 SUBTOTAL 26.97 TAX 0.00 SUBTOTAL 30.46 SHIPPING 0.00 TAX 0.00 SHIPPING 0.00 TOTAL 26.97 TOTAL 30.46 SHIP TO: INVOICE: SHIP TO: IN 431200000042D19 43100 09999010 Purchase Order: CARMELFIREBOBV AMOUNT DUE: 24.90 AMOUNT DUE: 11j Store: 574000431 INVOICE DATE: 03/30 /10 Store: 574000431 I LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 STALL MAT 4X6 RUBBER 2219003 7.00 39.99 279.93 LOCKPIN SW 114 X 2 112 1833553 1.00 2.49 2.49 MH SCREWDRIVER 3/16X4 E 3808033 1.00 3.99 3.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 MH SCREWDRIVER 3X6 IN M 3808164 I.00 4.99 4.99 LOCKPIN SW 1/4 X 2 112 1833553 1.00 2.49 2.49 MH 2PC PLIERS GROOVE J 4052677 1.00 19.99 19.99 LOCKPIN SW I/4 X 2.112 1833553 1..00 2149_ 2.49 MH IOPC SCREWDRIVER ST 3808368 _1..00__ 1.9.99 191.94 LOCKPIN SW 114 X 2 1/2 1833553 1.00 2.49 2.49 MH 3PC PLIERS 4052693 1.00 19.99 19.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 MH 2PC PLIERS GROOVE J 4052677 '1.00 19.99 19.99 LOCKPIN SW 114 X 2 1/2 1833553 I.00 2.49 2.49 MH 2PC PLIERS LOCKING 4052685 1.00 19.99 19.99 LOCKPIN SW 114 X 2 1/2 1833553 1.00 2.49 2.49 MH 2PC PLIERS LOCKING 4052685 1100 19.99 19.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.49 2.49 MH 2PC PLIERS GROOVE J 4052677 1.00 19.99 19.99 MH PLIERS 6IH LONG NOSE 3807883 1.00 6.99 6.99 SUBTOTAL 24.90 MH CUTTERS 7 IN DIAGONA 3807671 1.00 8.99 8.99 TAX 0.00 MH 3PC PLIERS 4052693 1.00 19.99 19.99 SHIPPING 0.00 MH BPC SCREWDRIVER ST 3808350 1.00 14.99 14.99 ANGLE GRINDER 4.5IN 7AM 3806611 1.00 69.99 69.99 TOTAL 24.90 WHEEL 4 1 /291 /4X7 /8 MET 3821617 1.00 2.99 2.99 WHEEL 4 1/2X114X7/8 MET 3821617 1.00 2.99 2.99 FLAP DISC 4 112X718IN 8 3804681 1.00 7.99 7.99 250P DISC 120 4- 1/2X718 3910393 1.00 7 -99 7.99 SUBTOTAL 571.75 TAX 0.00 SHIPPING 0100 TOTAL 11.89 Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801 -779 -7425 185 Remit To: Bill To: P a g e 4 or 4 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 TOR =A DEPT.30 1200050860 SHAUN PRIVETT PO BOX 689020 3400 W 131 ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 oo00327 Payment Due Date: 05/15/10 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: 431200001195011 AMOUNT DUE: 7.98 Store: 574000431 INVOICE DATE: 04/05110 GW ANGLE CONNECTOR BRAS 4420640 1.00 3.99 3.99 GW ANGLE CONNECTOR BRAS 4420640 1.00 3.99 3.99 SUBTOTAL 7.98 TAN 0.00 SHIPPING 0.00 TOTAL 7.90 Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801 -779 -7425 VOUCHER NO. .\N- ARRANT NO. Tractor Supply ALLOWED 20 IN SUM OF P: O. Box 9020 Des Moines, IA 50368 9020 $90.31 ON ACCOUNT OF APPROPRIATION FOR Carmel Street. Department 0� 3)r D6 09b- PO# l Dept «NVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 370.00 $90.31 1 hereby certify that the attached invoice(s), or 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 �1 Thhirsd ftMay 06, 2010 Street Commissio er .,ti..,.. .,..Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 261 (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)) 04/01/10 $90.31 1 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