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HomeMy WebLinkAbout166923 12/10/2008 a \,r CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $68.27 CARMEL, INDIANA 46032 PO Box 689020 DES MOINES iA 50368 -9020 CHECK NUMBER: 166923 CHECK DATE: 12/10/2008 DEPARTMENT ACCOU PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION 601 5023990 510622 68.27 6035301202510622 r I page t of 3 TX 7 D 130000000 TRACTOR° ®SUPPLYCO2 BUSINESS ACCOUNT ►°i�w►V��fYT UW11tFtF1 i 3 �Ll�,i O Previous Balance 0.00 Closing Date 11/19/08 Payments 0.00 Next Closing Date 12/18/08 CARMEL UTILITIES Credits 0.00 Payment Due Date 12/14/08 TREASURER OFFC Purchases 68.27 7603RD AVE SW Debits 0.00 Current Due 68.27 CARMEL, IN 46032 2072 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 10,000 Late Fees 0.00 Minimum Payment Due 4 68.27 Credit Available 9,931 New Balance 4 68.27 CURRENT ACTIVITY TraractIon LasatloN IN Am4 [tt NOV 18 GOODS AND SERVICES WESTFIELD IN 2.29 TOTAL 6035301202515860 $2.29 NOV 1.8 GOODS AND SERVICES WESTFIELD IN 65.98 TOTAL 6035301202515878 $65.98 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 @rg PERCENTAGE Finance Charge Rate Penad RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 24 0.00 0.00 .00000 0 0.00 1.7d 9001flZ941Z06 90/01. AIZ06S aauele9 IInU 'off AlddnS j©43e.11 Notify Us in Case of Errors or Questions About Your Bill Copy Fee: On any matter unrelated to a billing error or disputes 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 °,fleck or money order. 1 nss Remit To: BIII To: page 3 of 3 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202510622 TRAiCTOR� DEPT.30 1202510622 DON SIMPSON ®SUPPLY PO BOX 689020 1 CIVIC SQ BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 12/14/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 431000888166010 431000888162020 7 Purchase Order: Purchase Order: 111808 111808 AMOUNT DUE: 2.29 AMOUNT DUE: 65.98 Store: 574000431 INVOICE DATE: 11118/08 Store: 574000431 INVOICE DATE: 11118 108 PLUG 1 /21N GALV 3149168 1.00 2.29 2.29 BOOT 2 BUCKLE BLACK 10 6356255 1.00 32.99 32.99 BOOT 2 BUCKLE BLACK 12 6356271. 1.00 32.99 32.99 SUBTOTAL 2.29 TAX 0.00 SUBTOTAL 65.98 SHIPPING 0.00 TAX 0.00 SHIPPING 0.00 TOTAL 2.24 TOTAL 65.98 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801 779 -7425 page 2 of 3 Tx 7 D 130000000 ®SUPPP'PL' C2 BUSINESS ACCOUNT CURRENT ACTIVITY TI8ti88£tIOR 0 yiA h [I@ C I t�QIA� s llflt Ama CARD AGREEMENT INFORMATION UPDATE. PLEASE KEEP THIS NOTICE. He 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." This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. 7 7 ,p A�h may 5, x S P 7 E tYll!�•iSC }:7I�E�v'i a («IY.s Cfi 1 P A YtIt1E #TS'rC 1`RACTOR 'SLIPPLY CiD34i?Ah1Y j R.O t ox $020 a To actor prly� De's Moines, IA 50368 -9020 31 .Nr�rt TSEC.TEAAA;MEME1Ef3'TO COMPLETE :Please include 16 Digit Account Number uestf .zy 30P4: 1 6035 301# t4AM( CARK IE EL S I. civic SO i ADDRESS CARMEL IN 460322584 (317) S71 -2428 CITY STATE ZIP PHONE 431 431000179 2 888162: 11/18/2008 02:27pm CUSTOMER TO COMPLETE 6356255 BOOT 2 BUCKLE BLACK 1.00 8 32.99 32,99 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Government Asencies The undersigned certifies The undersigned party certifies their exemption from 6356271 BOOT 2 BUCKLE BLACK compliance with the agricultural payment of sales and use tax on tangible personal 1.00 P 32.99 32.99 NT sales tax exemption law of the state property as indicated below and /or purchaser is Government Asencie5 indicated below and understands engaged in the business of agricultural production of and agrees with the General Subtotal 65,98 food or fiber, horticulture, aquaculture of floriculture for Exemption Statement at right and resale and/or uses the farm machinery, equipment or 7.001 Tax 0100 the applicable statement of the Total 6S.98 respective state printed on the other agricultural production items purchased free of TSC Card 65.96 reverse side of this form. tax, as defined by state law, and as indicated below. PRODUCT ISM BE USED IN THE FOLLOWING The Undersigned party further certifies they Au tho 118 Ref understand the be liable for payment of all taxes PO 8 8 STATE y m p y Change 0100 (REQUIRED) due on the purchase price for.the goods as allowed b Cash Back (Exceptions: Georgia, New York Kentucky State law should Such goods be used or consumed In COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Buyer ac knowledses the receir t of a come 1 PURCHASER IS ENGAGED IN: (REQUIRED) E3 Resale Under penalty of perjury, signee swears the Government information on this statement is true and correct irrk� copy of this sales slip and the Purchase L] Exempt organization every material manner. A willfully false representatiot�I Agricultural Production of exemption will cause the purchasef to be subject to the deser ibed ,merchandise shall be in Dairy Production accordance with the CBrdholder'Asreement. Livestock Production penalty and /or Other provisions as allowed underistate Floriculture /Aquaculture Production law. Other: Sisnature: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity Livestock fnjestibles or Injectibles Exempt Organization (Entity E] FertiiizedAgrichemicals NC: only DOT and US Government are exempt YYY$ Yi$Y8$YH$S$$$HEY8YYY28$i8Y$YYY$ Consumed in Production (KS) Resale (Sales Tax Permit Call 800 968-•0734 within 7 days to Ingredient or Component Parts (KS) complete a survey and be entered in a monthly drawing for a chance to win a Other: $2500 s spree, (Awarded as Gift Card) NO PURCHASE U3Tomr= IGNA (REQUIRED) rr r MGR. APPROVAL CASH' pif CK_• VISA M� 61S TSG CHARGEACCOUNT.NO..' CMG FO H:' t DATE TAX i Form No. 99-00401 (12105) CUSTOMER ORIGINAL -ire. r 4 REFIT TSC BUSINESS ACCOUNT PAYMENTS TO: 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 ietd, IN 4607 4 6035 301# (317) 867 3505 NAME CARMEL UTILITIES 1 CIVIC so ADDRESS CARMEL IN 460322584 (317) 571 -2428 CITY STATE ZIP PHONE 431 431000179 2 888166 11/18/2008 02:38rm CUSTOMER TO COMPLETE 3149188 PLUG 1/21N GALV 1.00 2.29 2,2" U CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Government Asencies The undersigned certifies The undersigned party certifies their exemption from compliance with the agricultural payment of sales and use tax on tangible personal Subtotal 0.79 sales tax exemption law of the state property as indicated below and /or purchaser is 7.00: Tax 0.00 indicated below and. understands engaged the business.of agricultural production of Total 7,29 and agrees with the. Genera! TSC Card 2.29 r Exemption Statement at right' and. food or fiber; horticulture, aquaculture:of floriculture for resale and/or uses the farm ,machinery;- equipment or tithe applicable statement of-the. Autos t 18665 Refs: i other agricultural production; items purchased free of PO 0:111809 respective state printed on the as defined by state Jaw rano;as indicated.. below. reverse side of this form. Chan se 0.00 PROOUCrlsroeeusEDINTtEFOLLaw INO The undersigned ,party further they certifies Cash Back STATEa underst a ndthey: maybeliablefor ,paymentof all taxes Buyer atknaaaledses the receipt a! a CtlAiP (REOMEI due on the purchase price for the-goods ..as allowed b (Ex aons:' y ;Newv°.xst<.'mxk, state should `such goods be—used or`consumed in COWI.ETEREVERSESIDE) COPY O this sales sl ip and the purchase a taxable manner as defined by state laws..' 'PURCHASER IS ENGAG6IN: (REGUIRED) f 1­1 -Resale Under penalty of perI ry u si 9 nee swears the the descrdbed mercha6di5e shall be i n accordance with the Cardholder Asreement. E] Government information on this statement' is true and in C3 Exempt organization every material manner. A willfully false representation Agricultural Production of exemption will cause,the�purc to�be `subject.to Dairy Production Sisnature; [I Uvestock:Producuon penalty and/or other provisions as allowed under state Ftoriculture/Aquaculture Production law. 1. 'Other ITEMS PURCHASED WILL 13E USED FOR: (REOUIRED) tt888ttt '8tttlitt$t8Et82$tYtltttttl!!! Farm Machinery/Repair Parts Government Agency (Entity 1 8lit2Lti888It 88811 $811$i1212St78Yt78! livestock Iniestibles or Injectibles Exempt Organization (Entity Call 800 968 -0734 Within 7 days to NC: only DOT and US Government are exempt complete a survey and be entered in a F1 Fertilizer /Agrichemicals monthly drawins for a chance to win a Consumed in Production (KS) Resale (Sales Tax Permit $2500 shopp i n s sp ree, Ingredient or Component Parts (KS) (Awarded as Gift Card) NO PURCHASE OR SURVEY NECESSARY, Ends 9/30/09. Other: llttttttttltttE2YYtttlE882tt88EtEtt £Usm ER SIGNATURE (REQWRED) MGR. APPROVAL r V A USE,SHA 0 INOP ERATIVE CASH CHECK VISA "WC- XCH. DATE s CHG. E t br a UNIT PR Farm 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. Payee 306840 TRACTOR SUPPLY CO Purchase Order No. P.O. Box 689020 Terms Des Moines, IA 50368 -9020 Due Date 12/3/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/3/2008 4310008881E $65.98 1 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 083803 WARRANT ALLOWED 306840 IN SUM OF T RACTOR SUPPLY CO P.O. Box 689020 _Des Moines, IA 50368 -9020 :A F?A t Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 43100088816 01- 6200 -06 $65.98 &CIC 7if DO 99 9 1 k, C?t 2' l tz7-C, 1 Voucher Total 0' $65.98 Cost distribution ledger classification if claim paid under vehicle highway fund