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205299 01/05/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $1,156.50 DEPT 30- 1202854988 "OM CHECK NUMBER: 205299 DES MOINES IA 50368 -9020 CHECK DATE: 1/5/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 STREET 203.17 6035301200050860 2201 4356001 STREET 553.35 6035301200050860 2201 4467099 STREET 399.98 6035301200050860 pdye i of o 1A r u wuuuuuuu BUSINESS ACCOUNT A►Cf�C#U1IT'SU'iNMA1 Y 6035 301 1005 x860 Previous Balance 1,541.91 Closing Date 12/21/11 Payments 1,589.48 Next Closing Date 01/20/12 CARMEL STREET DEPT Credits 2.99 Payment Due Date 01/15/12 CINDY Purchases 1,159.49 3400 W 131ST ST Debits 0.00 Current Due 1,108.93 CARMEL, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 1,700 Late Fees 0.00 Minimum Payment Due 1,108.93 Credit Available 559 New Balance 1,108.93 CURRENT ACTIVITY rantactwn Locatsoni Amount Dail Dssorlptlon DEC 20 GOODS AND SERVICES WESTFIELD IN 69.991 TOTAL 6035301200074811 $69.99 DEC 5 GOODS AND SERVICES WESTFIELD IN 209.98) TOTAL 6035301202895874 $209.98 NOV 29 GOODS AND SERVICES WESTFIELD IN 123.22113 TOTAL 6035301202896013 $123.22 NOV 29 GOODS AND SERVICES NOBLESVILLE IN 44.99 5 I NOV 29 GOODS AND SERVICES NOBLESVILLE IN 99.991 5t00,b� FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Deily Days in ANNUAL Balance De ty Days in ANNUAL Subject to Periodic Billing PERCENTAGE Subject to Periodic Billing PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 31 0.00 0.00 .00000 30 0.00 z z z zz o o n oun[ Is by Citibank, N.A. CUSTOMER SERVICE 1-8007559-8232 FAX NUMBER 1- 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 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. 911, 4740 121st St, Urbandale, Important Payment Instructions IA 50323. Payment must be received in proper form, at the proper address, by 5 p.m. local time in order to be credited as of that day. Crediting Payments: Payment must be received in proper form at our All payments received in proper form, at the proper address, after that processing facility by 5 p.m. local time there to be credited as of that day. A time 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 This Account is Issued by Citibank, 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. If you send an eligible check, you authorize us to complete your payment by electronic debit. If we do, the checking account will be debited in the amount on the check. We may do this as soon as the day we receive the check. Also, the check will be destroyed. Tractor Supply Co. Full Balance S902TV00000711 Rev. 07/11 page z m 0 m'o r TMTOR BUSINESS ACCOUNT CURRENT ACTIVITY NOV 29 GOODS AND SERVICES NOBLESVILLE IN 2.99 NOV 29 GOODS AND SERVICES NOBLESVILLE I CREDIT 2."99 TOTAL 6035301202896039 $144.98 DEC 5 GOODS AND SERVICES NESTFIELD IN l28 40/6 DEC 12 GOODS AND SERVICES NEDTFIELD IN 9 96/ ,J �/�q DEC 20 GOODS AND SERVICES NEDTFIELD IN 399.9�/ (o 0 TOTAL 6035301202896120 $538.34 DEC S GOODS AND SERVICES HESTFIELD IN 69 V�/ TOTAL 6035301202896161 $69.99 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS NOV 24 PAYMENT REF P91940UA909F%T05D 1,119.57- DEC lS PAYMENT REF P9l94�OAYO9X7K5lS 469.91- This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. /o z� 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. 911, 4740121st St, Urbandale, Important Payment Instructions IA 50323. Payment must be received in proper form, at the proper address, by 5 p.m. local time in order to be credited as of that day. Crediting Payments: Payment must be received in proper form at our All payments received in proper form, at the proper address, after that processing facility by 5 p.m. local time there to be credited as of that day. A time 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 This Account is Issued by Citibank, 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. If you send an eligible check, you authorize us to complete your payment by electronic debit. If we do, the checking account will be debited in the amount on the check. We may do this as soon as the day we receive the check. Also, the check will be destroyed. Tractor Supply Co. Full Balance S902TV00000711 Rev. 07/11 NOTBAC70K SUPPLY0 BUSINESS ACCOUNT r{emil 10: om 10. page s of o TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 10-f S(R• DEPT.30- 1200050860 GARY JONES PO BOX 689020 211 2ND ST SW BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 01/15/12 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 200133027 200129722 AMOUNT DUE: 69.99 AMOUNT DUE: 209.98 Store: 574000431 INVOICE DATE: 12/20 /11 Store: 574000431 INVOICE DATE: 12/05 /11 REEL SOFT AIR HOSE W RU 20209046784 1.00 EA 69.99 69.99 BOOT 12IN 12M WELLINGTO 43538525461 1.00 EA 89.99 89.99 COAT INS EX XL BK CT62 35481191220 1.00 EA 119.99 119.99 SUBTOTAL 69.99 TAX 0.00 SUBTOTAL 209.98 SHIPPING 0.00 TAX 0.00 SHIPPING 0.00 TOTAL 69.99 TOTAL 209.98 e SHIP TO: INVOICE: SHIP TO: INVOICE: 200128412 200142849 v AMOUNT DUE: 123.22 AMOUNT DUE: 44.99 z Store: 574000431 INVOICE DATE: 11/29 /11 Store: 574000624 INVOICE DATE: 11/29 /11 z z z o LIGHT TRAPEZOID 4X6 HAL 28845001679 6.00 EA 19.99 119.94 BOOT 5 BUCKLE BLACK 14 86189334143 1.00 PR 44.99 44.99 Z i SQUARE KEY 3/16 X I 8236720969 1.00 EA 1.49 1.49 Z o INSERT TEE 1/2 1/2 3/4H 634332068164 1.00 EA 1.79 1.79 SUBTOTAL 44.99 Z o TAX 0.00 Z SUBTOTAL 123.22 SHIPPING 0.00 TAX 0.00 Z SHIPPING 0.00 TOTAL 44.99 Z TOTAL 123.22 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 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 Reqular 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. 911, 4740 121st St, Urbandale, Important Payment Instructions IA 50323. Payment must be received in proper form, at the proper address, by 5 p.m. local time in order to be credited as of that day. Crediting Payments: Payment must be received in proper form at our All payments received in proper form, at the proper address, after that processing facility by 5 p.m. local time there to be credited as of that day. A time 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 This Account is Issued by Citibank, 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. If you send an eligible check, you authorize us to complete your payment by electronic debit. If we do, the checking account will be debited in the amount on the check. We may do this as soon as the day we receive the check. Also, the check will be destroyed. Tractor Supply Co. Full Balance S902TV00000711 Rev. 07/11 NOTHACTOR SUPPLYCO BUSINESS ACCOUNT nmmll 1w. 0111 1 v. page a OT a TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 10 MN DEPT.30- 1200050860 FRED MARTZ SUMYCO2 PO BOX 689020 3400 W 131 ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 01/15/12 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 200142830 200142845 AMOUNT DUE: 2.99 AMOUNT DUE: 99.99 Store: 574000624 INVOICE DATE: 11/29 /11 Store: 574000624 INVOICE DATE: 11/29/11 PEANUTS SALTED IN SHELL 81864201246 1.00 EA 2.99 2.99 SHOE CHORE HI BK 13 SN6 664911300200 1.00 PR 99.99 99.99 SUBTOTAL 2.99 SUBTOTAL 99.99 TAX 0.00 TAX 0.00 SHIPPING 0.00 SHIPPING 0.00 TOTAL 2.99 TOTAL 99.99 SHIP TO: INVOICE: SHIP TO: INVOICE: 200142831 200129725 AMOUNT DUE: 2.99- AMOUNT DUE: 128.40 Store: 574000624 INVOICE DATE: 11/29 /11 Store: 574000431 INVOICE DATE: 12/05 /11 e PEANUTS SALTED IN SHELL 70455110173 1.00 EA 2.99- 2.99- SPECIAL ORDER PAYMENT 00000000000 1.00 128.40 128.40 0 n N o SUBTOTAL 2.99- SUBTOTAL 128.40 TAX 0.00 TAX 0.00 SHIPPING 0.00 SHIPPING 0.00 N ro TOTAL 2.99- TOTAL 128.40 S 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 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. 911, 4740121st St, Urbandale, Important Payment Instructions IA 50323. Payment must be received in proper form, at the proper address, by 5 p.m. local time in order to be credited as of that day. Crediting Payments: Payment must be received in proper form at our All payments received in proper form, at the proper address, after that processing facility by 5 p.m. local time there to be credited as of that day. A time 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 This Account is Issued by Citibank, 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. If you send an eligible check, you authorize us to complete your payment by electronic debit. If we do, the checking account will be debited in the amount on the check. We may do this as soon as the day we receive the check. Also, the check will be destroyed. Tractor Supply Co. Full Balance S902TV00000711 Rev. 07/11 NFTBACTOR SUPPLYCO BUSINESS ACCOUNT ntellul. I v: SUPPLY CREDIT PLAN Dill I W. page D or O ryy TRACTOR ACCOUNT: 6035301200050860 BilL��i 01 DEPT.30- 1200050860 MIKE HENRICKS ®SUPPLY PO BOX 689020 3400 W 131ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 01/15/12 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 200131265 100020319 AMOUNT DUE: 9.96 AMOUNT DUE: 399.98 Store: 574000431 INVOICE DATE: 12/12 /11 Store: 574000431 INVOICE DATE: 12/20 /11 560BC 2X2 SURFACE HE PS 38613147508 1.00 EA 2.49 2.49 TSC TBX SPEC ALUM 60IN 43419930360 2.00 EA 199.99 399.98 56OBC 2X2 SURFACE HE PS 38613147508 1.00 EA 2.49 2.49 56OBC 2X2 SURFACE HE PS 38613147508 1.00 EA 2.49 2.49 SUBTOTAL 399.98 56OBC 2X2 SURFACE HE PS 38613147508 1.00 EA 2.49 2.49 TAX 0.00 SHIPPING 0.00 SUBTOTAL 9.96 TAX 0.00 TOTAL 399.98 SHIPPING 0.00 TOTAL 9.96 SHIP TO: INVOICE: 200129696 AMOUNT DUE: 69.99 Store: 574000431 INVOICE DATE: 12/05 /11 .n o SHOE EDGWTR CAMP 10 SN6 664911400276 1.00 EA 69.99 69.99 0 t` o SUBTOTAL 69.99 0 o TAX 0.00 0 SHIPPING 0.00 m TOTAL 69.99 m S 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 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 Reqular 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. 911, 4740 121st St, Urbandale, Important Payment Instructions IA 50323. Payment must be received in proper form, at the proper address, by 5 p.m. local time in order to be credited as of that day. Crediting Payments: Payment must be received in proper form at our All payments received in proper form, at the proper address, after that processing facility by 5 p.m. local time there to be credited as of that day. A time 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 This Account is Issued by Citibank, 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. If you send an eligible check, you authorize us to complete your payment by electronic debit. If we do, the checking account will be debited in the amount on the check. We may do this as soon as the day we receive the check. Also, the check will be destroyed. Tractor Supply Co. Full Balance S902TV00000711 Rev. 07/11 1PTRACTOR otk SUFFLY0 BUSINESS ACCOUNT 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/21/11 $399.98 12/21/11 $203.17 12/21/11 $553.35 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 N O. WARRANT NO. ALLOWED 20 Tractor Supply IN SUM OF P. O. Box 9020 Des Moines, IA 50368 -9020 $1,156.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member: 2201 2201-670.99 $399.98 1 hereby certify that the attached invoice(s), or 2201 42- 370.00 $203.17 bill(s) is (are) true and correct and that the 2201 43- 560.01 $553.35 materials or services itemized thereon for which charge is made were ordered and received except r Tuesday Ja nuary 03, 2012 vvv St eet CommissioIr d Street 0 tleimissione,r Cost distribution ledger classification if claim paid motor vehicle highway fund