HomeMy WebLinkAbout155541 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
0 CHECK AMOUNT: $124.95
CARMEL, INDIANA 46032 Po eox 6e9020
DES MOINES IA 50368 -9020 CHECK NUMBER: 155541
CHECK DATE: 1/1012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 WATER 124.95 6035301200182572
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SUPPLYCS
BUSINESS ACCOUNT
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aGCOUNTSUMtVIARYf 603563012001$ a
Previous Balance 1,434.22 Closing Date 12/19/07
Payments 0.00 Next Closing Date 01/21/08 CARMEL UTILITIES
Credits 0.00 Payment Due Date 01/13/08 ACCOUNTS PAYABLE
Purchases 124.95 3450 W 13TH ST
Debits 0.00 Current Due 124.95 WESTFIELD, IN 46074
FINANCE CHARGES 0.00 Past Due Amount 1,434.22 Credit Line 5,000
Late Fees 0.00 Minimum Payment Due 1,559.17 Credit Available 3,440
New Balance 1,559.17
CURRENT ACTIVITY
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DEC 11 GOODS AND SERVICES WESTFIELD IN 124.95
TOTAL 6035301200201133 $124.95
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 all Per PERCENTAGE Subject to Periodic all PERCENTAGE
Finance Charge Rate Period RATE Finance Charge Rate Period RATE
REGULAR REVOLVE CREDIT PLAN 0. 00000 3o 0.00 0.00 00000 31 0.00
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This Account Issued by Citibank (South,Dakota), N.A.,_ SERVICE 1 D- 559 -8239 FAK,Nl1 R 1- pn1.7�a.7
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
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BUSINESS ACCOUNT
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v CURRENT ACTIVITY
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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!
I
i Remit To: Bill To! Page 3 or 3 in
TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572 R
DEPT.30- 1200182572 DON SIMPSON ®SUPPLYCO
PO BOX 689020 130 1ST AVE SW BUSINESS ACCOUNT
DES MOINES IA 50368 -9020
Payment Due Date: 01/13/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN
r
SHIP TO: INVOICE:
431000802234010
Purchase Order:
12112007
AMOUNT DUE: 124.95
Store: 574000431 INVOICE DATE: 12/11 /07
SHOE LTHR 105E BN ST PE 7088130 1.00 124.95 124.95
SUBTOTAL 124.95
TAX 0.00
SHIPPING 0.00
TOTAL 124.95
Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801 779 -7425
I
r REMOT TSC BUSINESS ACCOUNT
TRACTOR SUPPLY COMPANY
P.O. Box 9020
Des Moines, IA 50368 -9020
�•.i,. is S
VtC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
6035 301
NAME
ADDRESS ?J (f r 0YE
CITY STATE ZIP PHONE
t r',�' U(I' r
CUSTOMER TO COMPLETE
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT:
ll,r3�1r•
The undersigned certifies. The undersigned party certifies their exemption from
compliance with the agricultural Payment of sales and use tax on tangible personal 5,'t t D i 1
sales tax exemption law of the state property as indicated 'below .and /or purchaser is 6j '(1-, t Lv
indicated below and understands engaged in the business of agricultural production of c t,
and agrees with the General
food or fiber, horticulture, aquaculture of floriculture for
Exemption Statement at right and
resale and /or uses the farm machinery, equipment or t 4 vr t a.r
the applicable statement of the other agricultural production items, purchased free of 010k�:t; 11`0 P e4 11.0!" 0,.a;
respective state printed on the'.
reverse side of this form. tax, as defined by state law, and as indicated below.
PRODUCT IS TO BE USED IN THE FOLLOWING The Undersigned party further certifies they L-
i.
STATE: understand they may be liable for payment of all taxes
(REQUIRED) due on the purchase price for the goods as allowed by
(Exceptions: Georgia New York a Kentucky state law should such goods be used or consumed inL'i
COMPLETE REVERSE SIDE)
a taxable manner as defined by state laws. F.. t!,+- L :r'
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under penalty of perjury, signee swears the i,` -cr '5•. 5, �.r
Government information on this statement is true and correct in -,kL LI Ga..,,.: V, i
Exempt organization every material manner. A willfully false representation
Agricultural Production of exemption will cause the purchaser to be subject to
Dairy Production
Uvestock.Production penalty and /or other provisions as allowed under state t
Floriculture /Aquacufture Production law.
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
farm Machinery/Repair Parts Government Agency (Entity
Livestock ln)estibles or1njectibles Exempt Organization (Entity [t.! f:0 ,.i C r' 1 to
FeitiUzer/Agri hemtcais NC: only DOT and US Government are exempt L 1:,• -1 t' 6 .0; r d LI' L'.. i w,' k r. r•
Resale Tax Permit _rtt11!r n.• kt Cil "t II
Consumed In Production (KS)
ingredient or Component Parts (KS) tier i a.) 00 1 *d,; �;ft
Other: L+ SIi!' 't CCaj;', S I' (t'llt
C S GNATEg4REOUIRED)' MGR. APPROVAL I p
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CASH CHECK VI i ry M/C DISCOVER z ,TSC CHA ft E ACCOUNT NO. F; r f C HG may; i �EXCFi wv Q DATE s
4'.. k.r`t r b.,. C =4 {4
QUANTITY ITEM NUM6 0 71
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Y
Form No. 9s-00401 (1205) 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.
Payee
306840
TRACTOR SUPPLY CO Purchase Order No.
P.O. Box 689020 Terms
Des Moines, IA 50368 -9020 Due Date 12/31/2007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/200', 4310008022: $124.95
s
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
e r W Y w✓y r0�� -tom-'•
Date Officer
VOUCHER 074301 WARRANT ALLOWED
306840 IN SUM OF
TRACTOR SUPPLY CO
P.O.. Box 689020 Z
Des Moines, IA ,50368 -9020
6'
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
�9 Board members
PO INV ACCT AMOUNT Audit Trail Code
43100080223 01- 6200 -06 $124.95
Voucher Total $124.95
Cost distribution ledger classification if
claim paid under vehicle highway fund