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Home My WebLink About164968 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 b ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $241.95 CARMEL, INDIANA 46032 PO BOX 689020 DES MOINES IA 50368 -9020 CHECK NUMBER: 164968 CHECK DATE: 10116/2008 D(i:PARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION 601 5023990 WATER 241.95 60353012008182572 g Xl a page 1 of 3 T 1*��m Y Vi_ 1 BUSINESS ACCOUNT 1ji*C1lWT SllM ARY 6Q5�`t 2 OQ1'.2572 Previous Balance 1,018.59 Closing Date 09/18/08 Payments 1,018.59 Next Closing Date 10/21/08 CARMEL UTILITIES Credits 0.00 Payment Due Date 10/13/08 ACCOUNTS PAYABLE Purchases 241.95 3450 W 131 ST ST Debits 0.00 Current Due 241.95 WESTFIELD, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,000 Late Fees 0.00 Minimum Payment Due 241.95 Credit Available 4,758 New Balance 241.95 CURRENT ACTIVITY bra nsactlan LocatioN y daunt Date Dsscripticr�lt AUG 29 GOODS AND SERVICES WESTFIELD IN 170.95 SEP 3 GOODS AND SERVICES WESTFIELD IN 71.00 TOTAL 603530120281 $241 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS AUG 21 PAYMENT REF P919400KS09SHXN9Y 454.90 SEP 18 PAYMENT REF P91940OLN09VRXWMK 563.69- 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 Bilhrg PERCENTAGE Subject to Periodic Billing PERCENTAGE Finance Charge Rata Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 so 0.00 0.00 .00000 25 0.00 This Account Issued by Citibank (South Dakota), N.A. CUSTOMER SERVICE, 1- B00 -559 -8232 FAX NUMBER 1 -801 779 -7425 a 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 ton 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. o 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 fisted 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 004 Remit TQ: Bill To: Page 3 or 3 1 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572 ®5 DEPT.30 1200182572 MICHAEL LUPER BUSINESS ACCOUNT PO BOX 689020 760 3RD AVE SW DES MOINES IA 50368 -9020 Payment Due Date: 10 /13/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN J SHIP TO: INVOICE: SHIP TO: INVOICE: 431000869103010 431000870324010 Purchase Order: Purchase Order: 8292008 9032008 AMOUNT DUE: 170.95 AMOUNT DUE: 71.00 Store: 574000431 INVOICE DATE: 08/29 /08 Store: 574000431 INVOICE DATE: 09/03 /08 GW SOLB LANDSCAPER MIX 6854994 1.00 71.00 71.00 SW 50LB LANDSCAPER MIX 6854994 1.00 71.00 71.00 STRAP 2INX15FT 50001-9 R 3020130 1.00 19.99 19.99 CLEVIS STRAIGHT HO 3PT 0268860 1.00 21.99 21.99 SUBTOTAL 71.00 CLEVIS STRAIGHT HD 3PT 0268860 1.00 21.99 21.99 TAX 0.00 DRAWBAR 1 /2IN HOOK 3PT 0268080 1.00 17.99 17.99 SHIPPING 0.00 DRAWBAR 1 /2IN HOOK 3PT 0268080 1.00 17.99 17.99 TOTAL 71.00 SUBTOTAL 170.95 TAX 0.00 SHIPPING 0.00 TOTAL 170.95 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 flee 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 usin:q 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 clay. 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 59117. 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. Ail 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 W UMMEMM 09MM92 BUSINESS ACCOUNT r Z7 I REMOT T BI NESS ACCOUNT WTMC TRACTOR SUPPLY COMPANY P.O. Box 9020 Tractor.Supply Company Des Moines, IA 50368-9020 .18160 U.S. 31 North TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Westf field, IN .46074 6035 301# (31 7) 867 -3505 NAME CARNEL UTILITIES 3450 N 131ST ST ADDRESS. WESTFIELD IN 460748267 (317) 733 -2855 CITY STATE ZIP PHONE 431 431000172 2 869103 09/z9/2008 11 :22am CUSTOMER TO COMPLETE 6954994 SW 501.8 LANDSCAPER 14 1.00 71.00 71.00 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Utility The undersigned certifies The undersigned party certifies their exemption from 3020130 STRAP 2INX15FT 5000L compliance with the agricultural payment of sales and use tax on tangible personal 1.00 19.99 19.99 NT sales tax exemption law of the state property as indicated below and /or purchaser is Utility indicated below and understands 0268860 CLEVIS STRAIGHT HD 3 engaged in the business of agricultural production of 1: and agrees with the General 00 21.99 21.99 MY food or fiber, horticulture, aquaculture of floriculture for Exemption Statement at right and Utility resale and /or uses the farm machinery, equipment or the applicable statement of the 0268860 CLEVIS STRAIGHT Hp 3 respective state printed on the other agricultural production items purchased free of 1.00 21.99 21.99 NT tax, as defined by state law, and as indicated below. reverse side of this form.., Utility PRODUCT ISM BE USED INf FOLLOWIN The undersigned 'party further certifies they 0268090 DRRh1BRR 1/21N HOOK 3 understand th may be liable for payment of all taxes 1 .Utility 17.99 17.99 NT sTar�: Y Y f? Y (REQUIRED) due on the purchase price for the'gaods as allowed by 0268080 DRAWBAR 1/21N HOOK 3 (Exceptions: Georgia, New York Kentucky state law should such goods be used' or consumed in COMPLETE REVERSE SIDE) 1.00 1 7.99 17 NT j a taxable manner as defined by state'laws. Utility PURCHASER IS ENGAGED IN: (REQUIRED) Resale Under. penalty of perjury, signee swears the Subtotal 170.95 Government information on this statement is .true and correct in• E3 Exempt organization every material manner. A willfully representation 7.00X Tax 0.00 Agricultural Production of exemption will cause th@ purchaser to be subject to Total 170.95 Dairy Production TSC Card 170.95 penalty and /or other provisions as allowed under state tivestock Production ACct0 :688E8t211ISSx4974 Floriculture /Agbaculture.Production law' Auth0:029831 Re4a:2910222137 Other. PO 0:08292009 Chanse 0100 ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) trash Back 'Farm Machinery /Repair Parts Government Agency (Entity Livestock lniestibles or Iniectibles Exempt Organization (Entity Buyer acknoaledses the receip of a COMPli FertikizerlAgrichemicals NC: only DOT and US Government are exempt tel Consumed in Production (KS) Resale (Sales Permit COPY of this sales slip and the Purchase f 'Ingredient or Component Parts (KS) the described merchandise shall be in El other accordance with the Cardholder Asreement. .CUSTOMER SIGNATURE: (REGUMED ,MGR. APPROVAL Sisnature: 2 l s 4 CASH CHECK. VISA M/C DISCOVER TSC CHARGE ACCOUNT NO: CHG EXCH: DATE f Form No_ 99 -00401 (12/05) CUSTOMER ORIGINAL PAYMENTS TO: TRACTOR SUPPLY COMPANY P.O. Box Moines, Tractor Supply Company W SUWLYC M Des Moines, IA 50368 -9020 TSC TEAM MEMBER TO COMPLETE 18160 U.S. 31 North Please include 16 Digit Account Number 4lestf field, IN 46074 6035 301 317) 867 -3505 NAME CARMEL UTILITIES 3450 .M 131ST ST ADDRESS WESTFIELD IN 460748267 (317) 733 -2855 CITY STATE ZIP PHONE 431 431000172 2 870324 09/03/2008 09:38am CUSTOMER T O COMPLETE 6854994 GM SOLB LANDSCAPER i9 CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: 1.00 a 71.00 71. NT Utility The undersigned certifies The undersigned party certifies their exemption from compliance with the agricultural payment of sales and use tax on tangible personal Subtotal 71,00 sales tax exemption law of the state property as indicated below and /or purchaser is 7.00% Tax 0100 indicated below and understands engaged in the business of agricultural production of Total 71. and agrees with the General food or fiber, horticulture, aquaculture of floriculture for TSC. Card 71.00 Exemption Statement at right and resale and/or uses the farm machinery,' equipment or Acc t0: s a t a s t a s a; a a4g74 the applicable statement of the other agricultural production items purchased free of Autha:003889 Ref0:0308381266 respective state printed on the tax, as defined by state law, and as indicated below. PO 0:09032008 reverse side of this form. Change 0.00 PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies -they Cash Back STATE: understand they may be liable for payment of all taxes (REQUIRED) due on the purchase price for the goods as allowed b vr Buyer acknowledges the receipt of a co l (Exceptions: Georgia, New York V COMPLETE REVERSE SIDE) &Kentucky state law should such goods be used or Consumed ffl d a taxable manner as defined by state laws. copy of this sales slip and the Purchase PURCHASER IS ENGAGED IN: (REQUIRED) f i Resale lender penalty of perjury, signee swears the the described merchandise shall be in Government information on this statement is true and correct in -accordance with the Cardholder Asreement, Exempt organization eve ry 'material manner. A willfully false representation Agricultural, Production of exemption will cause the purchaser to be subject to Dairy Production penalty and /or other provisions as allowed under state Signature: Livestock' Production Floriculture /Aquacuiture Production law. Other: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) a; aattstaaa :taastt:atsaatasasaaaatasa Farm Machinery/Repair Parts Government Agency (Entity AF ttaatatitEEt ;Etaiiata ;a; ;;t ;Et ;atti; Livestock Injestibles or Injectibles Exempt Organization (Entity AY Call 800- 968 -0734 within 7 days to Fertilizer /Agrichemicals NC: only DOT and US Government are exempt complete a Survey and be entered in a Consumed in Production (KS) E] Resale (Sales Tax_ Permit monthly drawing for a chance to win a $2500 shOPpins spree. Ingredient or Component Parts (KS) (Awarded as Gift Card) NO PURCHASE Olner: OR SURVEY NECESSARY. Ends 9/30/08. aa;; sat asast ;as ;ta ;taaatsatstat CUSTOMER: S! ATUR (REQUIERED) MGR. APPROVAL '�'z!o X CASH, CHECK".' VISA M/C DISCOVER TSC CHARGE ACCOUNT NO,'- CHG. EXCH. DATE I l I 1 1 q I I I FOCm.Nn. e9-00401 {121051 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. r Payee 306840 TRACTOR SUPPLY CO Purchase Order No. P.O. Box 689020 Terms Des Moines, IA 50368 -9020 Due Date 10/7/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/7/2008 4310008703; $71.00 I 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 Date Officer VOUCHER 083281 WARRANT ALLOWED ,306840 IN SUM OF TRACTOR SUPPLY CO P.O. Box 689020 Des Moines, IA 50368 -9020 O P EV( Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 43100087032 01- 6200 -06 $71.0 Voucher TotaIQLJ),,C� Q Cost distribution ledger classification if claim paid under vehicle highway fund