HomeMy WebLinkAbout157262 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
CARMEL, INDIANA 46032 PO BOX U9020
CHECK AMOUNT: $81.63
DES MOINES IA 50388 -9020
CHECK NUMBER: 157262
CHECK DATE: 3!512008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 SEWER 81.63 6035301202510622
I
page 1 of 3 Tr sumyco- ■�/ii
BUSINESS ACCOUNT
F
ACU
A 3p1 Q2 ix`tJ�22
Previous Balance 826.59 Closing Date 02/19/08
Payments 352.26 Next Closing Date 03/19/08 CARMEL UTILITIES
Credits 0.00 Payment Due Date 03/15/08 TREASURER OFFC
Purchases 81.63 760 3RD AVE SW
Debits 0.00 Current Due 81.63 CARMEL, IN 46032 -2072
FINANCE CHARGES 0.00 Past Due Amount 474.33 Credit Line 10,000
Late Fees 0.00 Minimum Payment Due 555.96 Credit Available 9,444
New Balance 555.96
CURRENT ACTIVITY
JAN 28' GOODS AND SERVICES IN 81.63
TOTAL 6035301202515464 $81.63
PAYMENTS, CREDITS, FEES, and ADJUSTMENTS
JAN 26 PAYMENT REF P91940ODB09N4AE1K 352.26
Customer Service and Billing Errors address: PO Box 689161, Des Moines,
IA 50368 -9161.
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 &III PERCENTAGE
Finance Charge Rate Period RATE Finance Charge Rate Period RATE
REGULAR REVOLVE CREDIT PLAN 0.00 .00000 29 0.00 0.00 .00000 55 0.00
Thi ?4ccount Issued by Citibank (South Dakota), N.A. CUSTOMER SERbICE
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 o« 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 rust hear from you in writing no 'eater than 60 days after we Payment Options Other Than Regular Mail:
sent yoil the first stater on which the error or problem appeared. In your
Iett_er, 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 payrnent 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 1A1. 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 bays in crediting a 24 hours a day, 7 days a week_
payment sent by mail if it is riot 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 helow.
Proper Form: For a payment sent by mail or courier to be in proper form,
'rou must:
Enclose a valid check or money of der. 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. Fu''. oalance S902TV 10/06
902T V5741n 1�
page 2 of 3 TJVTW0R'
SWUM
BUSINESS ACCOUNT
CURRENT ACTIVITY
19 5 r WHIM-6 3 rllrrt nt
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CARD AGREEMENT INFORMATION UPDATE.
PLEASE KEEP THIS NOTICE.
We are adding an optional Pay by Phone Service. This service is
disclosed in the following new section which we
are adding to your Card Agreement:
"Optional Pay by Phone Service. You may request to make your payment by
phone using our optional Pay by Phone Service. Each time you make such a
request, you agree to pay us the amount shown in the Pay by Phone
section on the back of the billing statement. Our representatives are
trained to tell you this amount if you decide to use this optional Pay
by Phone Service."
Did you overlook your payment to us? If
so, please send the amount due today. If
payment is in the mail thank you!
882
Remit To: Bill To: page 3 of 3
TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202510622 DEPT.30 1202510622 CALVIN COOPER 77=Toff
SUMY O
PO' BOX 689020 ONE CIVIC SQUARE BUSINESS ACCOUNT
DES MOINES IA 50368 -9020
Payment Due Date: 03/15/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN
SHIP TO: INVOICE:
431000814380010
Purchase Order:
12808
AMOUNT DUE: 81.63
Store: 574000431 INVOICE DATE: 01128 108
BIB INS BCK BK B1436 7131010 1.00 25.66 25.66
JKT INS SNDSTN XL BN CT 7047192 1.00 55.97 55.97
SUBTOTAL 81.63
TAX 0.00
SHIPPING 0.00
TOTAL 81.63
Please Direct Inquiries to: Phone: 800 -559 -8232 Fax: 801 -779 -7425
REMIT TSC BUSINESS ACCOUNT
PAYMENTS TO:
TRACTOR SUP_ PLY COMPANY
P.O. Box 9020 rr;sL Eu{ St r i t E Loin ,ttty
Des Moines, IA 50368 -9020 e t da 0.9. 31 i lui I
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number c�ir) ti;:r 35os
6035 301
NAME l,( =lr;, I t_ UT
iriv.I.ia
ADDRESS
CITi STATE ZIP PHONE 1;41 ,$1.r};"J7
l 1
CUSTOMER TO COMPLETE i•: P41" if:q
VI
1.00
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT:
The undersigned certifies The undersigned party certifies their exemption from ItU °r'2i'1ltll'Tfl ^:•:;rC:i r::,
JIJ ICS SP!Dj` YL L;; v;,J
compliance with the agricultural payment of sales and use tax on tangible personal
sales tax exemption law of the state 'a A'
indicated below and understands property as indicated below and /or purchaser is f s i c ?,5
and agrees with the General engaged in the business of agricultural production of C #ti
e
Exemption Statement a right and food or fiber, horticulture, aquaculture of floriculture for
the applicable statement of the resale and /or uses the farm machinery, equipment or aUl t, pi.,
state
respective other agricultural production items purchased free of 6,004
p printed on the tax,, as defined b state law, and as indicated below. a�
reverse side of this form. y (u ai b 1 r,
The under art further certifies they T''( C c? 81
PRODUCT IS TO BE USED IN THE FOLLOWING g p arty
STATE: understand they may be liable for payment of all taxes
(REQUIRED) due on the purchase price for the goods as allowed by 1_,`, r (CC
(Exceptions: Georgia, New York Kentucky state law should such goods be Used or consumed In
COMPLETE REVERSE SIDE) ch 7 F .r C" till
a taxable manner as defined by state laws. C','.,h
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under penalty of perjury, signee swears the
Government information on this statement is true and correct in l :ft.' r -,:ai r, 0; ,t runt .1
Exempt organization every material manner. A willfully false representation
Agricultural Production of exemption will cause the purchaser to be subject to
D a i ry Production penalty and /or other provisions as allowed under state
C] Li vestock: state
D. ''ift..: t1U_,ti'i:rt'a �1; �Itcri:d.isr :11.`.11 •btu i.tt
Floriculture /AquacultureProduction law' 11CCD1'Jt11ICe triih 1IL" Cctr;li,uiL'.t is_ <r��tstetr5'.
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) s i, r
Farm Machinery/Repair Parts Government Agency (Entity
Livestock Injestibles or Injectibles Exempt Organization (Entity
Fertilizer /Agrichemicals NC: only COT and US Government are exempt
Consumed in Production (KS) Resale (Sales Tax Permit y g t r. y x• F r
Ingredient or Component Parts (KS)
Cull. S,f'.g Lt' Itr; i.0 J'o.' iv
Other. ;:U .It 1:' (2-J 111 u
I:avA iilly dt ot'i.;.3 rpt' L� C)h- 11nLe iU u"kv
CUSTOMER SIGNATURE: (REQUIRED) MGR. APPROVAL
X
e •P
CASH CHECK VISA M/C DISCOVEfi TSC CHARGE ACCOUNT N0. CHG. EXGH, DATE
l�
V
a
ATEM,NUMEIER 6ESCRIPT1 N... CE
O
85 °'�van1:• ^iR:'a$;.3: '::f: "v3Y:`� "`;:3;:3hu
i�`I tt1',. =.,1,t rti fr1IW`t t tTr1 '�t3 r, ?tlJ:'1'1-07
Form No. 99 -00401 (12105) CUSTOMER ORIGINAL
Paso 1 of a r
SIC-
BUSINESS ACCOUNT
Previous Balance 586.33 Closing Date 02/19/08
Payments 124.95 Next Clasing Date 03/19/08 CARMEL UTILITIES
Credits 0.00 Payment Due Date 03/15/08 ACCOUNTS PAYABLE
Purchases 293.06 3450 W 131ST ST
Debits 0.00 Current Due 293.06 WESTFIELD, IN 48074 OW
FINANCE CHARGES 0. OD Past Due Amow 461 -38 CredItLine 5,000
Late Fees 0.00 MInWrmt Payment Due 754.44 Credit Available 4,245
Naw Balance 754.44
CURRENT ACTIVITY
S
F- E-B ---13 ,=S AND -SER-V-ICES. VESTFIELD I-N.._
FEE 18 GOODS AND SERVICES WESTFIELD IN 14.49
TOTAL 6035301200201083 $139.44
FEB 13 GOODS AND SERVICES HESTFIELD IN 153.62
TOTAL 6035301202905582 $153.62
PAYMENTS, CREDITS, FEES, and ADJUSTMENTS
JAN 26 PAYMENT REF P919400DB09N4AEZD 124.95
FINANCE CHARGE SUMMARY
Current Billing Period Previous Billing Period
Balance Daily 0�rs in ANNUAL Baw" DaOy Days in ANNUAL
Subjece b Pa .10 I'll PERCENTAGE SueNU m Por +odic BiRmg PERCENTAGE
Enema ,.go Rata P. P, RATE Rnanca C,Nargs Rata Pwiod RATE
REGULAR REVOLVE CREDIT PLAN Cat 00000 29 9.00 a.ao 09990 33 0.90
This Accoutn..... Citibank (South Dakota N A. CUSTOMER SERVICE 1 -.390 -5513 -9232 X NUMBER 1 .301-77.7425
Make checks payable to, TRACTOR SUPPLY CREDIT PLAN Payment must be received by 5 :00 p,m. local time on Payment Due Date.
"3,108 754.44 754.44
FOR PROPER CREDIT, PLEASE WRITE 6035 3012 001 a 2572 ON CHECK AND ENCLOSE WITH THIS STUB.
Mail Payments to: Make Address Changes Below
Dept.30- 1200182572 CARMEL UTILITIES 0001440 0
TRACTOR SUPPLY CREDIT PLAN ACCOUNTS PAYABLE aTeO
PO BOX 689020 3450 W 131ST ST
DES MOINES IA 50368 -9020 WESTFIELD, IN 460748267 e e
�e�e�e��nnel�u��ulule�elee��enulel��nne�el��uselolel �e�nle
603530 120018257200754440 0461380075444
t d a7lll l 13WHU3 t s 91 soon sa qad
Rem it To:
Bill To:
TRACTOR SUPPLY CREDIT PLAN
ACCOUNT; &035301200182572 9e a or a
DEPT.30. 12 00182572
PO BOX 689020 SEAM WHITLOW
130 i sT AYE SW {C—
W
Payment Due date: 03/16/08 Please make checks payable to TRACTOR SU PPLY CREDIT PLAN
SHIP TO` INVOICE: SHIP T D:
INVOICE:
431000817654010 4310OD618577010
AMOUNT DUE: 124.95 AMOUNT DUE: 14A9
Store: 67 40 0 0461 INVOICE DATE: 02113 /08 Storc 574000431 INVOICE [DATE: 02/18 /08
SHOE LTHR 13 ON ST PECD 7080067 l•p0 124.16 124.95 PVC PIPE CUTTER 3146732 1.00
14.49 14,49
SUBTOTAL 124.96 SUBTOTAL 14.49
TAN 0.00 TAN v.00
3HIPPINO 0.00 SHIPPING p,pp
TOTAL 124..95 TOTAL 14.49
SNIP T0:
INVOICE=:
431000817667010
Purchase Order:
JEFFKOZLOVICH
AMOUNT DUE: 153.62
seors: 574060431 INVOICE DATE: 02/13 108
COAT SMSTN XL CHOC CT 7209443 1.00 69.11 09.97
!!1 jFUL M CT6 7021120 1,00 63.66 83.65
SUBTOTAL 153.62
TAN 0100
BHIPP[NO 040
707AL 153.62
Please Direct Inquiries to: Phone: 800- 559 -8232 Fax; 801 779 -7425
E CI 8311:jP1 13wduj 1.S :91 B00d Se .qa3
REMIT TSC B US INE SS ACCOUNT
PAYMENTS TO:
TRACTOR SUPPLY COMPANY
YC O P.O. Box 9020
Des Moines, IA 50368 -9020
1F11 tl.S, ti Ora T
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number lilestt u1r1,1 5�7
6035 301 31 7) Lt" e 3 5 5
NAME
UPRIO UTTL.TIJ4S
t:•U IST OC 5'!
ADDRESS cr"N'1 t M ''6037 %lt'> V
CITY STATE ZIP PHONE
02 .'1 5 X) 03 n1
CUSTOMER TO COMPLETE 7 Cn-
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: 0`) L 69.9? b'r' 97 NT
v 1_'j
The undersigned certifies The undersigned party certifies their exemption from U is
compliance with the agricultural payment of sales and use tax on tangible personal 70: 'a'I ?0 TP:; EX B,'
sales tax exemption law of the state property as indicated below and /or purchaser is 1 MI t' I :l1 G:A Ell
indicated below and understands engaged in the business of agricultural production of Fir {I, it. 119.S t
and agrees with the General food or fiber, horticulture, aquaculture of floriculture for g 1 -1
Exemption Statement at right and resale and /or uses the farm machinery, equipment or
the applicable statement of the other agricultural production items purchased free of SUb, 0iZ1I 153.1;2
respective state printed on the
p p tax, as defined by state law, and as indicated below. f� n`� 1 'o x 0
reverse side of this form. T a1 1.':3 62
PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they T Cel "i1 153 +G'
understand the may be liable for payment of all taxes 3= >5�'i
STATE: due on the purchase
(REQUIRED) price for the goods as allowed by
(Exceptions: Georgia, New York Kentucky state law should such goods be used or consumed In f'J w Jett i(OS "U'd tC i
COMPLETE REVERSE SIDE)' a taxable manner as defined by state l a ws.
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under penalty of perjury, signee swears the
Government information on this statement is true and correct in L ;it, t "•t n �tr,r�3c� tit.- cccri;' u; ;j �U,.. l
Exempt organization every. material manner. A willfully false representation" 1
Agricultural Production of exemption will cause the purchaser to be subject to
Dairy. Production penalty and /or other provisions as allowed under state
Livestock Production IaW ftla Cie [:1'1it'ri 1d1'C.ft,sltrj .::i':i:t� i.11
F Floriculture /Aquaculture Production e:ccttrtlttrc ts:titll '[fr.: Cat rt ti }Ttt�t f ,i r11a 'd{
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
aa'turf2
Farm Machinery/Repair Parts Government Agency (Entity
Livestock Injestibles or Injectibles Exempt Organization (Entity# Fertilize r /Agrichemicals NC: only DOT and US Government are exempt
Consumed in Production (KS) Resale (Sales Tax Permit
Ingredient or Component Parts (KS) v b 3 8 31 3'> "3 "31:1
Other:
!';:11 E!1� Q'a -(t uiihi.n 7 PLC
011 L- ttt .t ,lild bfr Qb'( +'td i t :A
[}f}'i)114' rJ`•'t ".'lEg �U,' 2t C11E` +rCr' {C) t'!f!
CUS O ER SI RE: UI D) MGR. APPROVAL
G�- X REUD FEB 1 0 2008
SE'sRA
C SH` CHECK =VISA M/C DISCOVER" TSC CHARGE ACCOUNT NO. GHG. EXCH. DATE
LJ
P P
f
9 6
Form No. 99 -00401 (12/05) CUSTOMER ORIGINAL
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. a,
3
Payee
306840
TRACTOR SUPPLY CO Purchase Order No.
Terms
PO BOX 689020 Due Date 2/26/2008
DES MOINES, IA 50368
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/2008 4310008143f $81.63
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 077413. WARRANT ALLOWED
306&s40 IN SUM OF
TRACTOR SUPPLY CO
p O BOX 689020
P ES MOINES, IA 50368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
43100081438 01- 7200 -01 $81.63
�3►on��i7667010 33.b; a
d1.72��.OG
Voucher Total
ost distribution ledger classification if
c laim paid under vehicle highway fund