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Home My WebLink About171113 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO 0 CHECK AMOUNT: $44.98 CARMEL, INDIANA 46032 Po BOX 689020 DES MOINES IA 50368 -9020 CHECK NUMBER: 171113 CHECK DATE: 4/16/2009 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4239012 603530120285 44.98 6035301202854988 i 1 I page 1 of 2 '1 i7 S L I M Y C BUSINESS ACCOUNT ACCQUIT SUM�fl�rRY k p3a 3012 ®2$549$6 r, Previous Balance 0.00 Closing Date 03/30/09 Payments 0.00 Next Closing Date 04/29/09 CARMEL CLAY PARKS REC Credits 0.00 Payment Due Date 04/24/09 ACCOUNTS PAYABLE Purchases 44.98 1411 E 116TH ST Debits 0.00 Current Due 44-98 CARMEL, IN 46032 3455 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 7,500 r Late Fees 0.00 Minimum Payment Due 44.98 Credit Available 7,455 New Balance 44.98 CURRENT ACTIVITY Traiisactlon ,�[.ocation z Amault►t FEB 27 GOODS AND SERVICES NOBLESVILLE -IN -44.98 TOTAL 6035301202855001 $44.98 This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. IEWLer:- APR 0 6 BY:.............. 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 alli PERCENTAGE Finance Charge Rata Penod RATE Finance Charge Rate Pe nod RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 51 0.00 0.00 -00000 0 0.00 This Account Issued by Citibank (South Dakota), N.A. CUSTOMER SERVICE 1-BOO-559-8232 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 It 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 check or money order. Tractor Supply Co. Full Balance S902TV 10/06 902TV5741006 PCT Remit To: Bill To: Page 2 or 2 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202854988 DEPT.30- 1202854988 COURTNEY SCHAEGEL PO BOX 689020 1427 E 116TH ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 04/24/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP To: INVOICE: 624001095400010 Purchase Order: COURTNEY AMOUNT DUE: 44.98 Store: 574000624 INVOICE DATE: 02127 109 JACKET CRNT ARCTIC 42 6310102 1100 44.96 44 -98 2 SUBTOTAL 44 -96 TAX 0.60 SHIPPING 0.00 TOTAL 44.98 Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801 779 -7425 REMIT TSC BUSINESS ACCOUNT PAYMENTS TO: TRACTOR SUPPLY COMPANY SU LYC0 P.O. Box 9020 Trac Surely Company Des Moines, IA 50368 -9020 2375 East Pleasant St TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Noble5vil le. IN 46060 6035 301 (31 776-1 88 NAME CARMEL, CLAY PARIS REC 1427 f_ 116TH ST ADDRESS CARMEL IN 460323455 (317) 571 -26VS CITY STATE ZIP PHONE 624 624000WO 'I 1095400 J 02/2712009 01:25pm CUSTOMER TO COMPLETE 6310102 JACKET CRHT ARCTIC 4 1.00 e 44.98 44.98 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Res, Price: G9 .96 The undersigned certifies The undersigned party certifies their exemption from Government Asencies 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 Subtotal 44.99 indicated below and understands 7.00% Tax 0.00 engaged in the business of agricultural production of and agrees with the General Total 44.99 food or fiber, horticulture, aquaculture of floriculture for Exemption Statement at right and TSC Card 44.98 resale and /or uses the farm machinery, equipment or the applicable st tement of the cct6:34# #13#1### #5001 respective state rinted on the other agricultural production items purchased free Auth #:027043 Re4o :271 2252774 reverse side of this form. tax, as defined by State law, and as indicated below. PO :Courtney PRODUCT IST IN THE FOLLOWING The undersigned party further certifies they t'f' "r'se 0.00 understand the may be liable for payment of all taxes Gash Back srarE: EQUIRED) due on the purchase price for the goods as allowed by (Exceptions: Georgia, New York a Kentucky state law should such goods be used or consumed in Buyer ar.knowledsas the receipt of a conlple COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. e d PURCHASER IS ENGAGED IN:(REOUIRED) LoPY of this sales slit' and the PLLrChR5( 0 Resale Under penalty of perjury, signee swears the Government information on this statement is true and correct in the described merchandise Shall be in Exempt organization every material manner. Awillfully false representation accordance with the Cardholder Asreement, 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 5isnature: la w' Floriculture %Aquaculture Production Other ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity# t #f33 #t## Livestocklnestiblesorinectibles F] 1 1 Exempt Organization (Entity F] Fertilizer /Agrichemicals NC: only DOT and US Government are exempt Call 800 -968 -0734 within 7 days to complete a Survey and be entered in a E] Consumed in Production (KS) Resale (Sales Tax Permit# monthly drawing for a chance to win a Ingredient or Compo ent P (KS) $2500 s1101'p ins Spree. r (Awarded as Gift Card) NO PURCHASE Other: OR SURVEY NECESSARY, Ends 9/30/09, CST SIGNAT RE:(REO E MGR. APPROVAL I V SHA DED ONLY CASH CHECK„ ISA M/C DISCOVER TSC CHARGE ACCOUNT NO. CHG. EXCH. DATE UNIT PRICE ...ITEM NUMBER DES �UICf11S9 1 scrip I MAR 0 9 2009 G.L Sud r Lire Descr a- I S ewe Form No. 99 -00401 (12105) CUSTOMER ORIGINAL ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Dept. 30 1202854988 Purchase Order No. 306840 Tractor Supply Credit Plan Terms P.O. Box 689020 Date Due Des Moines, IA 50368 -9020 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 2127109 624001095400010 Coat for new employee 44.98 Total 44.98 1 hereby certify that the attached invcice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 1 20 Cierk- Treasurer i Voucher No. Warrant No. Dept. 30 1202854988 306840 Tractor Supply Credit Plan Allowed 20 P.O. Box 689020 Des Moines, IA 50368 -9020 In Sum of 4 44.98 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT#MTLE AMOUNT Board Members Dept 1125 624001 095400010 4239012 44.98 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 9 -Apr 2009 Signature 44.98 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I