158672 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $676.28
CARMEL, INDIANA 46032 PO Box 689020
DES MOINES IA 50368 -9020 CHECK NUMBER: 158672
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 43100080903 79.60 6035301200182572
601 5023990 43100081143 246.83 6035301200182572
601 5023990 43100081150 29.96 6035301200182572
601 5023990 43100082143 214.90 6035301200182572
601 5023990 624052316 104.99 6035301200182572
page 1 of 3 Tx 7 Ut73a00 01
I Y R
BUSINESS ACCOUNT
0A4 GQlNT SUM�flARY
Previous Balance 754.44 Closing Date 03/19/08
Payments 0.00 Next Closing Date 04/18/08 CARMIEL UTILITIES
Credits 0.00 Payment Due Date 04/13/08 ACCOUNTS PAYABLE
Purchases 214.90 3450 W 131ST ST
Debits 0.00 Current Due 214.90 WESTFIELD, IN 46074 -8267
FINANCE CHARGES 0.00 Past Due Amount 754.44 Credit Line 5,000
Late Fees 0.00 Minimum Payment Due 969.34 Credit Available 4,030
New Balance 969.34
CURRENT ACTIVITY
�Tr I.ocet�orils� A Afl7QURf
ffi'M 0-1�
MAR 3 GOODS AND SERVICES WESTFIELD IN 214.90
TOTAL 6035301202905632 $214.90
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 611 PERCENTAGE
Finance Charge Rate Period RATE Finance Charge Rate Period RATE
REGULAR REVOLVE CREDIT PLAN 0.00 .00000 29 0.00 0.00 .00000 29 0.00
This Account Issued by Citibark So .ctfh D r C hAER SERVICE 1- ,BO0 -5S9 -8232_ FAX NUMBER 1- 801 775 -7425
14hT,�
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
li ycu think /our 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
abm t a transacticr cn your billing statement, write to u5 (on a separate revolve credit plan balance,
sheet) as soon as possibia at the billing error address on the front of your
statement. We must hear from you in writing no later than 50 days after we Payment Options Other Than Regular Mail:
sent you the first statement on which the error or problem appeared. In your
letie_ give ns the following information: a Pay by Phone. You may make your payment by phone by using the Pay by
Phone Service. Yo€i will be charged $14.95 to use this payment service.
Your name and account number. Call by 5 p.m. Eastern tirne 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 fiN. Sahara Blvd., Las
Important Payment Instructions Vegas, NV 84117. 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 improper form after that time will
be credited as of the next day. Please allow 5 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 riot in proper form or is addressed to a location
other than the address listed an the retorn 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 Cr.), Full Balance 5902TV 10/06
902TV5741006 PCT
page 2 of 3 7
Vi1
SUPPLYC�
BUSINESS ACCOUNT
CURRENT ACTIVITY
TranseCtlO►t LQGBtION' r .'e'nf'F�'
a ,ib a�
n
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."
Continued non payment may affect your
to purchase on credit. Protect
this privilege by sending payment today.
1
0yu
Remit To: Bill To: Page 3 or 3
TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572 �ilresbR�
DEPT.30 1200182572 KRIS ANTHIS vsUMYCO2
PO BOX 689020 3450 W 13TH ST BUSINESS ACCOUNT
DES MOINES IA 50368 -9020
Payment Due Date: 04/13/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN
SHIP TO: INVOIC
431000821439010
Purchase Order:
BOOTS
AMOUNT DUE: 214.90
Store: 574000431 INVOICE DATE: 03/03 /08
BOOT LTHR STOE 10M TL67 7342623 1.00 114.95 114.95
.BOOT LTHR STOE IOM TL67 7342348 1.00 99.95 99.95
SUBTOTAL 214.90
TAX 0.00
SHIPPING 0.00
TOTAL 214.90
Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801 -779 -7425
rvv•• •rvv r-.v vv v.�
PAYMENTS TO:
ION )UTBUT TRACTOR SUPPLY COMPANY
C OW P.O. Box 9020
Des Moines, IA 50368 -9020
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
6035 301
NAME
ADDRESS
CITY STATE ZIP PHONE
CUSTOMER TO COMPLETE i
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT:
r
The undersigned certifies The undersigned party certifies their exemption from
compliance with the agricultural payment of sales and use tax on tangible personal k
sales tax exemption law of the state property as indicated below and /or purchaser is
indicated below 'and understands engaged in the business of agricultural, production of
and agrees with the General
Exemption Statement at right and food or fiber,. horticulture, aquaculture of floriculture for
resale and /or uses the farm machinery, equipment or
the applicable, statement of. the
respective state printed on the other agricultural production items purchased free of r
reverse side of this form. tax, as defined by state law, and as indicated below.
PRODUCT ISTO BE USED INTHE FOLLOWING The undersigned party further certifies they
STATE: understand they may be liable for payment of all taxes
(REQUIRED) due on the purchase -price for the goods as allowed by 3 f'
(Exceptions: Georgia, New York Kentudry
COMPLETE REVERSE SIDE) State la Should such goods be Used Of COnSU In
aaaxable manner as defined by state laws.
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under, penalty of perjury, signee swears the`
Government information on'this statement is true and correct in
Exempt organization every material manner. A willfully false representation
Agricultural Production 0f�exemption will cause the purchaser to be subject to
Dairy Production
Livestock Production penalty and /or other provisions as allowed under state
Floriculture /Aquaculture. Production law.
Other: o
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
Farm Machinery/Repair Parts Government Agency (Entity
Livestock Injestibles or Injectibles 'Exempt Organization {Entity
Fertilizer /Agrichemicals
NC: only DOT and US Government are exempt
Consumed in Production (KS) Resale (Sales Tax Permit
Ingredient or Component Parts (KS)
Other:
�Cl15TOMER SIGNATURE (REQUIRED] v ^"r MGR. APPROVAL
ATE CXS E tll$A ISC€QVEf3 TS6� CaE t7NFit40`' •u.
r r
r
Form No. 99 -00401 (12105) CUSTOMER ORIGINAL
Operations Center 4/4/2008 1:48 PM PAGE 2/003 Fax Server
60353012001825721 17020001/2V087TX 001PO BOX 669161, DES MOINES IA 50368 -9161
page 1 3 Tx 7 D $30000000
Previous Balance 1,559.17 Closing Date 01/21/08
Payments 1,434.22 Next Closing Date 02/19/08 CARMEL UTILITIES
Credits 0.00 Payment Due Date 02/15/08 ACCOUNTS PAYABLE
Purchases r$ 461,38 3450W13THST
Debits 0.00 Current Due 586.33 WESTFIELD, IN 46074
FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,000
Late Fees 0.00 Minimum Payment Due 586.33 Credit Available 4,413
New Balance 586.33
CURRENT ACTIVITY
I II
JAN 15 GOODS AND SERVICES WESTFIELD IN 29.96
TOTAL 6035301200201117 $29.96
JAN 4 GOODS AND SERVICES NOBLESVILLE IN 104.99
TOTAL 6035301202814891 $104.99
JAN 15 GOODS AND SERVICES WESTFIELD IN 246.83
TOTAL 6035301202814966 $246.83
JAN 4 GOODS AND SERVICES WESTFIELD IN 79.60
TOTAL 6035301202815013 $79.60
FINANCE CHARGE SUMMARY
Current Billing Period Previous Billing Period
Balance Daily Days in ANNUAL 3�1- a Daily Daysin ANNUAL
Subject to Periodic Billing PERCENTAGE Subject to Penocfc Billing PERCENTAGE
Finance Charge Rate Period RATE Finance Charge Rate Period RATE
REGULAR REVOLVE CREDIT PLAN 0.00 .00000 33 0.00 0.00 ,00000 30 0.00
f
This Account Issued by Citibank (South Dakota), N.A. CUST01'
bperations Center 4/4/2008 1:48 PM PAGE 3/003 Fax Server
60353012001825721 ❑❑2CO0 1 /2 1108 7TX 001PO BOX 689161, DES MOINES IA 50368 -9161
page 2 of 3 TM 7 D 170000000
CURRENT ACTIVI
PAYMENTS, CREDITS, FEES, and ADJUSTMENTS
DEC 20 PAYMENT REF i P9194COB209JW2HSH 1,434.22
Customer Service and Billing Errors address: PO Box 689161, Des Moines,
IA 50368 -9161.
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."
n�lre! e p�.. pV�7lIYC.7.7 H�.,C,U'ly1V
PAYMENTS TO:
TRACTOR SUPPLY COMPANY
P.O. I UID
Vs
Box 9020
Des Moines, IA 50368 -9020
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
6035 301
NAME
ADDRESS
CITY STATE ZIP PHONE
CUSTOMER TO COMPLETE
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT:
The undersigned certifies The undersigned party certifies their exemption from l
compliance with the agricultural payment of sales and use tax on tangible personal
sales tax exemption law of the state property as indicated below and /or purchaser is
indicated below and .understands engaged in the business of agricultural production of
and agrees with the General food or fiber, horticulture, aquaculture of floriculture for
Exemption Statement at right and resale and /or uses the equipment farm machine a ul merit ar
th applicable statement of the
other agricultural production items purchased free of a
respective ,state printed on the tax, as defined by state law, and as indicated below.
reverse side of this form.
PRODUCT ISTO BE USED INTHE FOLLOWING The undersigned party further certifies they
STATE: understand they may be liable for payment of all taxes
(REQUIRED)7 (REQUIRED due on the purchase price for the goods as allowed by
Exceptions: Georgia, New York Kentucky state law Should such oods be used or consumed In
COMPLETE REVERSE SIDE) g
a.taxable manner as defined by state laws.
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under penalty of perjury, signee swears the
Government information on this statement is true and correct in t
Exempt organization every material manner. A willfully false representation r
Agricultural Production of exemption will cause the purchaser to be subject to
El Dairy Production
Livestock Production penalty and /or other provisions as allowed understate
Floriculture,Aquaculture Production law'
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
Farm.Machinery/Repair Parts Government Agency (Entity
Livestock Injestibles or Injectibles Exempt Organization (Entity
FertilizerlAgrichemicals NC: only DOT and US Government are exempt
Consumed in Production (KS) Resale (Sales Tax Permit
t j
[J Ingredient or Component Parts (KS)
Other.
W.,
CU5TUMER RE.,{AEQjt i MGR. APPROVAL
X
C `CHECK VISA )S( DVEFSGC}aAE31xAC%CG11�NTgtdO' CItC, ixCPi`'DIirE
1 am
NUMBER
WIN
REC J c
DATE
Form No.'99-00401 (12/05) CUSTOMER -ORIGINAL
rtclivaa a 131 DUJ ➢iVC�� 1+14VV�A91f i
PAYMENTS TO:
TRACT-OR SUPPLY COMPANY
S L y1i 2
P.O. Box 9020
Des Moines, IA 50368 -9020
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
6035 301#
NAME
ADDRESS
CITY STATE ZIP PHONE
CUSTOMER TOCOMPLETE t (w415,f ,r.
CERTIFICATE OF.EXEMPTION: GENERAL EXEMPTION STATEMENT:
The undersigned certifies
The undersigned. party certifies their exemption from
compliance with" the agricultural payment of 'sales. and;use °tax on" tangible personal
sales tax exemption law of.the state property as "indicated,, below and/or, purchaser is
indicated .below and .understands engaged in the business of agricultural production of-
and agrees with the .General food or fiber, horticulture aquaculture of for
Exemption Statement.•at -right and e m machine
h
resale and /or uses th far equipment or
the applicable statement of the r i
other. a
•gricultural .productidn items purchased free of
respective state "printed on the I .Y
reverse side of this'form. tax, as defined by- state -law, -and as indicated below.
PRODUCT ISTO U ED IN THE FOLLOWING The undersigned party further certifies they t
STATE: understand they may be liable for payment of all taxes
(REQ UIRED) due on the purchase price for. the goods as -allowed by
(Exceptions: Georgia, New York b Kentucky State. Should such- OodS_be used or.cOnsO In
COMPLETE REVERSE'SiDE)., g
a taxable manner as defined.by state laws.
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under penalty of perjury, signee swears the
government information on this statement. is true and correct in
Exempt organization every. material manner. A willfully false.representation
[3 Agricultural Production
of-ezem
E:] Dairy Production ption will cause the purchaser to be subject to
Livestock Production penalty and/or other provisions as allowed under, state
Floriculture /Aquaculture Production law'
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
Farm Machinery/Repair Parts Government Agency (Entity
Livestock Injestibles or Injectibles Exempt Organization (Entity
Fertilize NC: only DOT and US Government are exempt
Consumed in Production (KS) Resale (Sales Tax Permit
Ingredient or Component Parts (KS)
Other:
LCUSTOMER SIGNATURE�[RE9UIRED) 7� �G MGR. APPROVAL
I,P 3 jlN
df1iky V ^ICH ilr1'MQ b• X
o e•
VISl1' tulC .015LbVE _'CHAfiGE; "AC C)UN Na.'CF14 )CEH
NO
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Y
R_ IRCEMED
DATE .5
Po#
USE 4•' 4
Form No. 99 -00401 (12/05) CUSTOMER ORIGMAL
r1tM1 I 10 0Ub1Nt:bb ALA;IJUNI
sw" PAYMENTS TO:
TRACTOR SUPPLY COMPANY
c o w
t P.0. Box 9020
Des Moines, IA 50368-9020
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
(6035 301
NAME
ADDRESS
It
CITY STATE I ZIP IPHONE
C J,
CUSTOMER TO COMPLETE
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT:
,The undersigned certifies, The undersigned party certifies their exemption from
compliance with this agricultural payment of sale's and use tax on tangible personal
sales tax exemption law of the state f
indicated below and understands 1 i i property as indicated below and/or purchaser is
and agrees with the General food in the business of agricultural production of
food or fiber, horticulture, aquaculture of.floriculture for
Exemption Statement at right and
resale and/or uses the farm machinery, equipment or rll
the applicable statement of the f i other agricultural production items purchased free of
respective state. "'printed on the.
reverse side of this form. tax, as defined by state law, and as indicated below.
PRODUCT 15 TO BE USED IN THE FOLLOWING The undersigned party further certifies they
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 Kentucky state law should such. goods be used or consumed in
COMPLETE REVERSE SIDE) a taxable manner as defined by state laws.
PURCHASER IS ENGAGED IN: (REQUIRED)
-Resale Under penalty of perjury, signee swears the
Government information on this statement is true and correct in
Exempt organization every material manner. A willfully false representation 0:
Agricultural Production
F Dairy Production of exemption will cause the purchaser to be subject to
penalty and/or other provisions as allowed under state
Livestock Production
Flodculture/Aquiculture Production law.
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
F Farm Mach inery/Repair Parts Government Agency (Entity
Livestock Injestibles or lnje6tibles Exempt Organization (Entity
Fertilizer/Agrichernicals NC: only DOT and US Government are exempt
Consumed in Prbduction•(KS)' F Resale (Sales Tax Permit
Ingredient or Component Parts (KS)
Other;
ka
J.,
1 7
MGR. APPROVAL F
0
X
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:USt
HADJED�AAE T
K 171SA _01SCOV H
7 ITEM N1 IMBER" i Lei
RECEIVED Iff-tD, J
DATE
USE 9
Form No. 99-00401 (12105) CUSTOMER ORIGINAL
""Von i I vv ®a+�eovw.7 rwL.�.v�on I
TO R PAYMENTS TO:
TRACTOR SUPPLY COMPANY
s
r W
P.O. Box 9020
Des Moines, IA 50368 -9020
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
6035 301
NAME
ADDRESS
CITY STATE I ZIP J PHONE
CUSTOMER TO COMPLETE
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT:
The undersigned certifies, The-undersigned party certifies their exemption from
compliance with. the agricultural payment of sales and use tax on tangible personal
sales tax exemption law of the state property as indicated below and/or purchaser is
indicated below and understands engaged in the business of agricultural production of
and agrees with the General food or fiber, horticulture, aquaculture of floriculture for
Exemption Statement at right and
the applicable s {atemerit of the resale.and /or uses the farm machinery, equipment or
respective state,printed on the other agricultural production items purchased free of
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
STATE: I 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 Kentucky state law should such goods be used or consumed in
COMPLETE REVERSE SIDE)
a taxable manner as defined by state laws.
PURCHASER IS ENGAGED IN: (REQUIRED)
Resale Under penalty of perjury, signee swears the
Government information on this statement is true and correct in
Exempt organization every 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
Livestock Production
Floriculture /Aquacunure'Production law.
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
Farm Machinery/Repair Parts Government Agency (Entity
Livestock Injestibies or Injectibles Exempt Organization (Entity 1
Fertilizer /Agrichemicals
NC: only DOT and US Government are exempt
Consumed in Production (KS) Resale (Sales Tax Permit
Ingredient or Component Parts (KS)
Other:
ST t GNAT CGUIREp)g j MGR. A R
A V
A
CA CHEC iSA� VEFt }TSC >A IAR•[{E9 001'1N'F 14 F r{fi 1 EXGh1
e
Form No. 99 -00401 (12105) 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, f'
price per unit, etc.
Payee
306840
TRACTOR SUPPLY CO Purchase Order No.
P.O. Box 689020 Terms
Des Moines, IA 50368 -9020 Due Date 4/7/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2008 624052316 $104.99
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 081425 WARRANT ALLOWED
306840 IN SUM OF
TRACTOR SUPPLY CO A
P.O. Box 689020����
=Des Moines, IA 50368 -9020 ®'®ERI��
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
i
624052316 01- 6200 -03 $104.99
CN 1. }>vtC1 sbqL_3 �c 19 'Lao
l,
Voucher Total 7 9
Cost distribution ledger classification if
claim paid under vehicle highway fund