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Home My WebLink About155930 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 J ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $382.70 DES MOINES IA 50368 -9020 CHECK NUMBER: 155930 CHECK DATE: 1123/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 R4356000 17702 PARKS 382.70 6035301202854988 rt: x` I I page I of 3 T SUP BUSINESS ACCOUNT Previous Balance 72.22 Closing Date 12/31/07 Payments 7Z.22 Next Closing Date 01/30/08 CARMEL CLAY PARKS REC Credits 0.00 Payment Due Date 01/25/08 ACCOUNTS PAYABLE Purchases 382.70 1411 E 116TH ST Debits 0.00 Current Due 382.70 CARMEL, IN 46032.3455 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 7,500 Late Fees 0.00 Minimum Payment Due 382.70 Credit Available 7,117 New Balance 382.70 CURRENT ACTIVITY Tra�n'sectton�Lcat onF`. r Amount paRa Itssar�pt9urt :a DEC 10 GOODS AND SERVICES WESTFIELD IN 239.88 DEC 14 GOODS AND SERVICES NOBLESVII_LE IN TOTAL T 6035301202855001 $382.70 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS DEC 14 PAYMENT REF P919400AW09FB86TO 72.22 Customer Service and Billing Errors address: PO Box 689161, Des Moines, IA 50368 -9161. LBY://e 9 2008 FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Daily Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periodic all PERCENTAGE Subject to Periodic Billing PERCENTAGE Finance Charge Rate Penod RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 52 0.00 0.00 .00000 30 0.00 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 ptan balance. sheen as soon as posslhie at the boring error address on the front of your statement. We must hear frorn 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: a 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 arnount of the suspected error. If you call after that time, your payment will be credited as of the next day. Describe the error and expfain, 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 identify_ 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 mall if it is not in proper for 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.R. 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. iYactor Supply Co. Full Balance S902TV 10/06 902TV5747006 PCT page 2 of 3 T RIA StTFnr BUSINESS ACCOUNT CURRENT ACTIVITY Tf8�F18@CtiQf1 r rs D�O��Q f a �,r N &`f3 /AID 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." Remit To: Bill To: Page 3 of 3 564 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202854988 W MR DEPT.30 1202854988 COURTNEY SCHAEG EL BUSINESS ACCOUNT PO BOX 689020 1427 E 116TH ST 'DES MOINES IA 50368 -9020 Payment Due Date: 01/25/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN r SHIP TO: INVOICE: SHIP TO: INVOICE: 431000802035010 624000889603010 Purchase Order: Purchase Order: 17693 17960 AMOUNT DUE: 239.88 AMOUNT DUE: 142.82 Store: 574000431 INVOICE DATE: 12/10 /07 Store: 574000624 INVOICE DATE: 12114 107 BIB CRHT INSLTD BR 44X3 6311629 1.00 79.96 79.96 SHOE LDS 8 VISTA PALM A 7326431 1.00 71.96 71.96 BIB CRHT INSLTD BR 36X3 6311514 1.00 79.96 79.96 CAP KNT THNSLT BK PH63 7067566 1.00 2.50 2.50 BIB CRHT INSLTD BR 36X3 6311522 1.00 79.96 79.96 CAP KNT THNSLT BK PH63 7067566 1.00 2.50 2.50 LACE HKNG 60IN BN PL62 7421184 1.00 1.89 1.89 SUBTOTAL 239.88 BIB CRHT INSLTD BR 44X3 6311637 1.00 63.97 63.97 TAX 0.00 SHIPPING 0.00 SUBTOTAL 142.82 TAX 0.00 TOTAL 239.88 SHIPPING 0.00 _TOTAL_ 142..2 Anogov SS3Nisno REMIT TSC BUSINESS ACCOUNT W PAYMENTS TO: �,I 6��,�' Yo V TRACTOR SUPPLY COMPANY S P.O. Box 9020 SEC Des Moines, IA 50368 -9020 .ts�"aiiNl•L�urlr. Tit TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number 6035301 l.estttl,lct, ';G074 NAME (317) 1367 -3 S'J5 CLOY PrC 'ri REC ADDRESS 1 12 t: 1161 tt CAVivi- Ii' 460:33455 CITY STATE ZIP PHONE (31 7) J7 i 26?� 31 131000175 2 6(,203 CUSTOMER TO COMPLETE 12/10/2007 CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: G311 1. 0 0 DID �r '�iT i 9. V 6 n >r: 1.0 7V.9ri ,111 The undersigned certifies The undersigned party certifies their exemption from Goaernr Alcnci.c compliance with the agricultural payment of sales and use tax on tangible personal c311'11-4 3 i'' d :6 53 .i sales tax exemption law of the state property as indicated below and /or purchaser is 1 .00 r. 1 ?9. 9n i? indicated below and understands engaged in the business of agricultural production of GDve,-'ulent 11JL.acie�, and agrees with the General food or fiber, horticulture, aquaculture of floriculture for 631 1522 ;I5 V'(41 IN31 -10 Efi 3 Exemption Statement at right and resale and /or uses the farm machinery, equipment or 1.00 t. r9.' >G 7?. V6 NT the applicable statement of the other agricultural production items purchased free of 6uvcl Asencics respective state printed on the tax, as defined by state law, and as indicated below. reverse side of this form. subtaTV 2� 1 .0 PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they 6 Tet:t u.01) STATE: understand they may be liable for payment of all taxes 1 u 1 t�I 2�9.6f (REQUIRED) due on the purchase price for the goods as allowed by .CSC 239 t1c (Exceptio Georgia, New York a Kentucky state law should such goods be used or consumed in COMPLETE REVERSE SIDE) fl f a taxable manner as defined by state laws. p0 i 1l't h 01 t,4;�6 tat 31 EJ i PURCHASER IS ENGAGED IN: (REQUIRED) fip2 Resale Under penalty of perjury, signee swears the Ch, +IIUV 0.01 Government information on this statement is true and correct in Cc Al '.G:ck Exempt organization every material manner. A willfully false representation Agricultural Production of exemption will cause the purchaser to be subject to 5 i' f' 1I0il'QLAe.la•�:, UIC I il' uR ZI LO, r1L' Dairy Production penalty and /or other provisions.as allowed under state- Livestock Production Floriculture /Aquaculture Production law. L "D;'Y of liois ;��I.:� :,).ir t;nci 4 +i= N tlrLh� +aL' t) i Other: 1?1_ t?c�f:i laD1S I-tc.'.itur+ii;r' a ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) c.c�urJatl e ;i,i tl, 1:7i C,�1 .j'ral. r f c• °.we.. i Farm. Machinery/Repair Parts Government Agency (Entity Livestock Injestibles or Injectibles Exempt Organization (Entity t Si s, tUr e Fertilizer /Agrichemicals NC: only DOT and US Government are exempt Consumed in Production (KS) Resale (Sales Tax Permit /2//2.107 Ingredient or Component Parts (KS) Other. e &:�zRSfi %s88S3r,s� Tizs,�BR:SrSL'�f,3Y8;�': 8S Ct +1.1 C010 -969.17;5 i ui. ihi r 7 day, iu �STOMERSIGNATU$E^fREQ MGR. APPROVAL t. afis'It 1C n 9U1 N2Y 81, Lt t 4 C'lI "iCPC i 11) c. W JJ X ONLY USE SHADED-AREA CASH CH K VISA M/C DISCOVER TSC CHARGE ACCOUNT N0. CHG. EXCH. DATE U ITEM NUMBER' DESCRIPTI IT 0 I I �a/ C loo Form No. 99 -00401 (12/05) CUSTOMER ORIGINAL REMIT TSC BUSINESS ACCOUNT PAYMENTS TO: TRACTOR SUPPLY COMPANY Su"LYC P .O. Box 9020 fractor suPp.ly Company Des Moines, IA 50368 -9020 237 Pleasan i St, TSC TEAM MEMBER TO COMPLETE Please include 16 Dig Account Number Pdoblesvil e, 0 46060 9 (317) /6 -1f183 6035 301 NAME CARREL CLAY NARKS REC 1427 L 1161H S i CARREL :fN n60323455 ADDRESS DEC 1 7 2007 317) 5? 1 •2695 CITY STATE ZIP P 624 67.4000098 1 8896U, i Z/ 14/:[007 09 25am CUSTOMER TO COMPLETE 7326431 SHUL LDS 8 V181A PAL 1.00 C° 7I ,Y6 M 1Y6 PdI CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Res. Price 79.96 The undersigned certifies Governoent Agencies g The undersigned party certifies their exemption from 7067566 CAP KNT I'HNSL t i K PH compliance with the agricultural payment of sales and use tax on tangible personal i .00 i? E, 50 sales tax exemption law of the state property as indicated below and /or purchaser is es. Price: 3.99 indicated below and understands engaged in the business of agricultural production of and agrees with the General g p Governtnetit AsLiic,.es Exemption Statement at right and food or fiber, horticulture, aquaculture of floriculture for 7067566 CAP KOT THt'CSLT BI: PH the applicable statement of the resale and /or uses the farm machinery, equipment or 1 ,00 (c 2.50 2.50 INT respective state printed on the other agricultural production items purchased free of Res. Price: 3.99 reverse side of this form. tax, as defined by state law, and as indicated below. Gov,:rnmenY Agencies (421184 LACE HrNG 601H H E'L PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they 1 00 t� 1 t;9 i 8;/ N I STATE: understand they may be liable for payment of all taxes Governrte•nt Agencies (REQUIRED) due on the purchase price for the goods as allowed by 6:x;16,; r' B 18 CRA f 1ifSLI o 8k 1 (Exceptio Georgia, New York a Kentucky state law should such goods be used or consumed in 1.00 63.9? 63. 5' Pdl COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Ret, P,'ice: rl .96 PURCHASER IS ENGAGED IN: (REQUIRED) GDVC1'nfAen'i A9PRCie9 Resale Under penalty of perjury, signee swears the Government information on this statement is true and correct in Subtotal 142.8?. Exempt organization every material manner. A willfully false representation o OUx tax v Ou F1 Agricultural Production of exemption will cause the purchaser to be subject to Total i,,2 I)1 Dairy Production Livestock Production p enalty and /or other p rovisions as allowed under state TSC Card i '1,82 Floriculture /Aquaculture Production law. AC c t: R S 8 8 8 8 Y A II# ;1001 Other: Auth4:014175 ;ef I- iC82t)I lit; PU 1-7-702 ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Chaw )e 0 00 Farm Machinery/Repair Parts Government Agency (Entity Ca Al Back Livestock Injestibles or Injectibles Exempt Organization (Entity BUYer achnoul.edses the receipt of a cone l.e Fertilizer /Agrichemicals NC: only DOT and US Government are exempt i t d Consumed in Production (KS) Resale (Sales Tax Permit cur-y o; this sales slip turd the purchase o r Ingredient or Component Parts (KS) the descr'i'ued merchandise shall be in Other. accordance with the Cirdhoidee Asreetne,rt. U Sl I I MGR. APPROVAL Si:intltUPe: USE SHADED AREA ONLY CASH CHECK VISA M/C DISCOVER TSC CHARGE ACCOUNT NO. CHG. EXCH. DATE ITEM NUMBER DESCRIPTIO Form No. 99 -0040' (12/05) CUSTOMER ORIGINAL ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 1 An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by o• whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Tractor Supply Co. Terms PO Box 9020 Date Due Des Moines, IA 50368 -9020 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/10/07 802035 Staff clothing 239.88 12/14/08 889603 Staff clothing 142.82 Total 382.70 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. k Tractor Supply Co. Allowed 20 PO Box 9020 Des Moines, IA 50368 -9020 In Sum of 382.70 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund t 5 go PO# or INVOICE NO. ACCT #/TITLE AMOUNT Dept Board Members 17702P 802035 4356000 239.88 1 hereby certify that the attached invoice(s), or 17702P 889603 4356000 142.82 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 18 -Jan 2008 Signat re 382.70 Business Se ices Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund