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Home My WebLink About172584 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $138.99 DES MOINES IA 50368 -9020 CHECK NUMBER: 172584 CHECK DATE: 5/1312009 DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 603530120018 138.99 6035301200182572 ti page 1 of 2 Tx 7 D 111 fJo� t vs iTi irV` BUSINESS ACCOUNT AG�C Ni 4t�WTSUMIi�ARY 0035i'4 072Q01$2572 u- ,a�Y:ii A 1a� #e s..��aea�M., r. Previous Balance 0.00 Closing Date 04/20/09 Payments 0.00 Next Closing Date 05/19/09 CARMEL UTILITIES Credits 0.00 Payment Due Date 05/15/09 ACCOUNTS PAYABLE Purchases 138.99 3450 W 131ST ST i Debits 0.00 Current Due 138.99 WESTFIELD, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,000 Late Fees 0.00 Minimum Payment Due 138.99 Credit Available 4,861 New Balance 138.99 CURRENT ACTIVITY Transaction Ltio Amount Iasscr APR 2 GOODS AND SERVICES WESTFIELD IN 54.99 TOTAL 6035301200201125 $54.99 APR 1 GOODS AND SERVICES WESTFIELD IN 84.00 TOTAL 6035301202814941 $84.00 This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Daily Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periodic &Ilirg PERCENTAGE Subject to Periodic Billing PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 32 0.00 0.00 .00000 29 0.00 This Account Issued by Citibank (South Dakota), N.A. CUSTOMER SERVICE 1- 800.559 -8232 FAX NUMBER 1-801-779-7425 ti r 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 regu-far 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 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 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 check or money order. Tractor Supply Co. Full Balance S902TV 10/06 902TV5741006 PCT 8/0 Remit To: Bill To: page 2 or 2 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572 TRAMR' DEP ,T.30 1200182572 GREG HOLANDER ®SUMYCO. PO BOX 689020 130 1 ST AVE SW BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 05/15109 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 431000919430010 431000919094010 Purchase Order: Purchase Order: GREG DAN AMOUNT DUE: 54.99 AMOUNT DUE: 84.00 Store: 574000431 INVOICE DATE: 04/02 /09 Store: 574000431 INVOICE DATE: 04/01 /09 GW 50LB NORTH BG QUICK 5854009 1.00 54.99 54.99 SPECIAL ORDER ARTICLE 0222220 2.00 40.00 80.00 SPECIAL ORDER ARTICLE 0222220 1.00 4.00 4.00' SUBTOTAL 54.99 TAX 0 -00 SUBTOTAL 84.00 SHIPPING 0.00 TAX 0.00 SHIPPING 0.00 TOTAL 54.99 TOTAL 84.00 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801 779 -7425 l nlcoVlo 0 1 QL+ 17L#QI1VF —QQ F4VVVNOa 1 I N IRAC70 PAYMENTS T TRACTOR SUPPLY COMPANY A11Y C P.O. Box 9020 Des Moines, IA 50368 -9020 TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number 6035 301 NAME ADDRESS CIYY STATE ZIP 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 resale and /or uses the farm machinery, equipment or the applicable statement of the 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. 1 PRODUCT IS 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 Agricultural Production of exemption will cause the purchaser to be subject to Dairy Production E] 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 f Fertilizer /Agrichemicals NC: only DOT and US Government are exempt Consumed in Production (KS) Resale (Sales Tax Permit Ingredient or Component Parts (KS) Other b. CUSTOMEgSIGNATURE:(REOUIR y MGR. APPROVAL X 0 0 CASH CHECK` VISA 1:MWC DISCOVER TSC CHARGE ACCOUNT NO. CHG. EXCH. DATE 0" NON ITEM N DESCRIPTIO TAX DATE PO# F i Form No. 99 -00401 (12105) CUSTOMER ORIGINAL >t 1 0 ou"J11l1r—CP0 M%'Ft VU0V I PAYMENTS TO: TAWNUTOR TRACTOR SUPPLY COMPANY SLMYCO I N P.O. Box 9020 Des Moines, IA 50368 -9020 TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number 6035 301 NAME ADDRESS i 3 "v CIV STATE ZIP PHONE CUSTOMER TO COMPLETE CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: <'3 The undersigned certifies The undersigned party certifies their exemption from compliance with the agricultural itvP.i„ a 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 farm machinery, equipment or the applicable statement of the r�.. c:( •+:i I 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. The under art further certifies the PRODUCT IS TO BE USED IN THE FOLLOWING 9 party Y 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 cons(lmed 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 /Aguaculture Production law. Other: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity Livestock Injestibles or Injectibles Exempt Organization (Entity NC: only DOT and US Government are exempt Fertilizer /Agrichemicals Consumed in Production (KS) Resale (Sales Tax Permit Ingredient or Component Parts (KS) Other: CUSTQMER SIGNATURE: (REOU RED) MGR. APPROVAL y X o 0 0 0• ASH' CHECK VISA; M/C DISCOVER TSC CHARGE'ACCOUNT NO:'. CHG. EXCH. DATE �9 Ll F a EE Form No. 99 -00401 (72105) 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 5/4/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/4/2009 4310009194< $54.99 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 091729 WARRANT ALLOWED 3^6840 IN SUM OF TRACTOR SUPPLY CO P'O. Box 689020 Des Moines, IA 50368 -9020 0�y��L'� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 43100091943 01- 6200 -06 $54.99 13kr'q1C)b1 DU Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund