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199216 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $241.65 DEPT 30- 1202854988 CHECK NUMBER: 199216 DES MOINES IA 50368 -9020 CHECK DATE: 7/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 STREET 241.65 6035301200050860 page 1 of 4 Tx 7 01130000 0 Q 0 YC� BUSINESS ACCOUNT 0000302 #tw AC�COUN7,SE MARY fa035 3b12 00b5 b86b `2 y3 ds5..e ,2 ....����k. Previous Balance 81.92 Closing Date 06/20/11 Payments 0.00 Next Closing Date 07/21/11 CARMEL STREET DEPT Credits 0.00 Payment Due Date 07/15/11 CINDY Purchases 241.65 3400 W 131ST ST Debits 0.00 Current Due 241.65 CARMEL, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 81.92 Credit Line 1,700 Late Fees 0.00 Minimum Payment Due 3Z3.57 Credit Available 1,376 New Balance 323.57 CURRENT ACTIVITY �Tran58ctt sr' Ls►cxliiaN� Amount MAY 26 GOODS AND SERVICES WESTFIELD IN 12.87 JUN 16 GOODS AND SERVICES NOBLESVILLE IN 69.98 TOTAL 6035301202895874 $82.85 MAY 26 GOODS AND SERVICES NOBLESVILLE IN 17.82 TOTAL 6035301202896120 $17.82 JUN 1 GOODS AND SERVICES WESTFIELD IN 125.20 JUN 13 GOODS AND SERVICES WESTFIELD IN 15.78 TOTAL 6035301202896161 $140.98 FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Daily Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periodic &Ming PERCENTAGE Subject to Periodic Billing PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 51 0.00 0.00 .00000 30 0.00 This Account Issued by Citibank t�. 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 (on a separate revolve credit plan balance. sheet) as soon as possible at the billing error address on the front of your statement. We 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.m. 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 farm, 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 90,7TV5741006 PCT e page 2 of 4 TX 7 D113�0 TOR' Womyco. BUSINESS ACCOUNT 0000303 CURRENT ACTIVITY Ttanctaction E Did you overlook your payment to us? If so, please send the amount due today. If payment is in the mail thank you! This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. Don't lose your charging privileges. Your account is currently past due and unless we hear from you, your charge privileges may be suspended. We want to help you avoid this. We have a number of solutions to help you, but we must hear from you. Call us today at 1- 877 -740 -2971. 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 (on a separate revolve credit plan balance. sheet) as soon as possible at the billing error address on the front of your statement. We 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.m. 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 BUSINESS ACCOUNT Remit To: Bill To: Page 3 or 4 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 �R DEPT.30- 1200050860 JAMES BENTLEY �SUpPLYCO PO BOX 689020 3400 W 131 ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 0000304 Payment Due Date: 07/15/11 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TD: INVOICE: 200089539 200111203 AMOUNT DUE: 12.87 AMOUNT DUE: 69.98 Store: 574000431 INVOICE DATE: 05/26 /11 Store: 574000624 INVOICE DATE: 06/16/11 EYE BOLT 5 /16X4IN 38613123977 5.00 EA 0.99 4.95 HANDLE ENT TREE PRUNER 38313431145 1.00 EA 49.99 49.99 EYE BOLT 5 /16XSIN 38613124028 8 -00 EA 0.99 7.92 DLX BPAS LOPPER W XTEND 449394001598 1.00 EA 19.99 19 -99 SUBTOTAL 12.87 SUBTOTAL 69.98 TAX 0.00 TAX 0.00 SHIPPING 0100 SHIPPING 0.00 TOTAL 12.87 TOTAL 69.98 SHIP TO: INVOICE: SHIP TO: INVOICE: 200106784 200085278 AMOUNT DUE: 17.82 AMOUNT DUE: 52 -22 Store: 574000624 INVOICE DATE: 05/26 /11 Store: 574000431 INVOICE DATE: 05/09 /11 EYE BOLT 5116XSIN 38613124028 4.00 EA 0.99 3.96 ADAPTER MALE TPT HB 1/2 23537034508 1.00 EA 1.29 1.29 EYE BOLT 5 /16X4IN 38613123977 14.00 EA 0.99 13.86 ADAPTER MALE TPT HB 1 3 23537041001 1.00 EA 1.79 1.79 MALE 374X172 HOSE BARB 23537106502 2.00 EA 1.29 2.58 SUBTOTAL 17.82 ADAPTER. MALE TPT HB 1/2 23537034508 1.00 EA 1.29 1.29 TAX 0.00 SPRAY GUN SHORT ORCHARD 755217172151-- 1 00 EA 39.99 34.99- SHIPPING 0.00 ADAPTER MALE TPT HB 1/2 23537034003 1.00 EA 1.29 1.29 REDUCER BUSHING 1X3/4 23537081007 1.00 EA 3.99 3.99 TOTAL 17.82 SUBTOTAL 52.22 TAX 0.00 SHIPPING 0.00 TOTAL 52.22 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801- 779 -7425 I 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 (on a separate revolve credit plan balance. sheet) as soon as possible at the billing error address on the front of your statement. We 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.m. 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 ACT I BUSINESS ACCOUNT 170 Remit To: Bill To: page 4 of 4 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 a�ea DEPT.30 1200050860 SHAUN PRIVETT �raVR� S�LYC PO BOX 689020 3400 VII 131 ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 0000305 Payment Due Date: 07/15/11 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN s SHIP TO: INVOICE: SH T INVOICE: 200085524 200091095 AMOUNT DUE: 4.79 AMOUNT DUE: 125.20 Store: 574000431 INVOICE DATE: 05/10/11 Store: 574000431 INVOICE DATE: 06/01 /11 SPRING 0351 EXT 38594003312 1.00 EA 4.79 4.79 ADAPTER MALE 3/4 3/4 76883880916 1.00 EA 1.79 1.79 QUICK COUPLER 21N PART 89109612772 1.00 EA 11.99 11.99 SUBTOTAL 4.79 REDUCER BUSHING 2X11/2 634332068089 1.00 EA 3.99 3.99 TAX 0.00 REDUCER BUSHING 11/2X1 634332068027 1.00 EA 2.99 2.99 SHIPPING 0.00 BALL VALVE 3 /4IN IPS 19442104757 1.00 EA 9.49 9.49 REDUCER BUSHING 1X3/4 634332060010 1.00 EA 3.99 3.99 TOTAL 4.79 GW HOSE 51BX50 PRO DUTY 31724861059 1100 EA 19.99 19.99 FUEL NOZZLE AUTOM UNLEA 31401101218 1.00 EA 59 -99 59.99 GW HOSE SAVER 77855804008 1.00 EA 3.99 3.99 GW HOSE 2 SHUT OFF BRAS 77855825805 1.00 EA 6.99 6.99 SUBTOTAL 125.20 TAX 0.00 SHIPPING 0100 TOTAL 125.20 SHIP TO: INVOICE: 200094129 AMOUNT DUE: 15.78 Store: 574000431 INVOICE DATE: 06/13 /11 NIPPLE MALE TPT 3/4 634332066771 1.00 EA 1.79 1.79 BALL VALVE POLY 3/4 60 89109604104 1.00 EA 13.99 13.99 SUBTOTAL 15.78 TAX 0 00 SHIPPING 0.00 TOTAL 15.78 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 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 (on a separate revolve credit plan balance. sheet) as soon as possible at the billing error address on the front of your statement. We 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.m. 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. Alf 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 an 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 IWTHAC709 W" 5 BUSINESS ACCOUNT 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)) 06/28/11 $241.65 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 VOUCHER NO. WARRANT NO. Tractor Supply ALLOWED 20 IN SUM OF P. O. Box 9020 Des Moines, IA 50368 -9020 $241.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Members 2201 42- 370.00 $241.65 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 Thursday June 30, 2011 Street Commissi er :ti }I'Caf f^nm miccinn�s Title Cost distribution ledger classification if claim paid motor vehicle highway fund