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
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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.
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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