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Home My WebLink About168719 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO i CHECK AMOUNT: $268.77 CARMEL, INDIANA 46032 Po aox 669020 DES MOINES IA 50368 -9020 CHECK NUMBER: 168719 CHECK DATE: 2/4/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0622 268.77 6035301202510622 t< i page 1 of 2 T "HU MIR SUPPLY CO2 BUSINESS ACCOUNT �iss Previous Balance 68.27 Closing Date 01/20/09 Payments 68.27 Next Closing Date 02/18/09 CARMEL UTILITIES Credits 0.00 Payment Due Date 02/14/09 TREASURER OFFC Purchases 268.77 760 3RD AVE SW Debits 0.00 Current Due 268.77 CARMEL, IN 46032 -2072 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 10,000 Late Fees 0.00 Minimum Payment Due 268.77 Credit Available 9,731 New Balance 268.77 CURRENT ACTIVITY Datei f�escn tlor>! IMF w xy. JAN 15 GOODS AND SERVICES WESTFIELD IN 268.77 TOTAL 6035301202515571 $268.77 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS DEC 20 PAYMENT REF P919400PL09EY0467 68.27 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 Bill PERCENTAGE Subject to Periodic &Ihrg PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 33 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 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: o 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. o 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 I Remit To: Bill To: Page 2 of 2 794 TRACTOR TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202510622 WSUMYCO2 DEPT'30- 1202510622 JOSEPH FAUCETT PO BOX 689020 1 CIVIC SO BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 02/14/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: 431000902478010 Purchase Order: JOE278 AMOUNT DUE: 268.77 Store: 574000431 INVOICE DATE: 01/15/09 BIB 42X30 INS EX BK CT6 7021227 1.00 83.65 83.65 JKT INS DCK XL BK BNCES 7793531 1.00 27.99 27.99 JKT INS EX HO LT BK CT6 7037341 1.00 69.65 69.65 BIB ART INS LS BK BNCES 7037244 1.00 48.99 48.99 JKT INS HD XT BR BNCES6 7793214 1.00 38.49 38.49 SUBTOTAL 268.77 TAX 0.00 SHIPPING 0.00 TOTAL 268.77 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801- 779 -7425 I REMIT TSC BUSINESS ACCOUNT i r slum%YCO M PAYMENTS TO: TRACTOR SUPPLY COMPANY P.O. Box 9020 Tractor Supply ComranY Des Moines, IA 50368 -9020 1 B 160 U.S. 31 North TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number vjeskf ield. IN '16V4 6035 301 (317) 667 3505 NAME CARMEL UTILITIES I civic Jo ADDRESS C'�RMCL IN 450322584 (31r) 571 -2428 CITY STATE ZIP PHONE 13 1 43 2 902478 01/15/2009 10:18am CUSTOMER TO COMPLETE 7021227 Ble 42X30 INS EX V pe 1.00 83.65 83.65 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Res. P rice: 119.50 The undersigned certifies The undersigned party certifies their exemption from n GovernmQnt Asencies compliance with the agricultural- payment of sales and use tax on tangible personal 77,3531 JKT INS DCK XI_ BK EN sales tax exemption law of the state property as indicated below and /or purchaser is t .00 Id 2.7, 99 27. V9 NTI O indicated below and understands engaged in the business of agricultural production of Res. Price: 39.99 and agrees with the General Government Asencies food or fiber, horticulture, aquaculture of floriculture for ir. Exemption Statement at right and 7037341 JKT 'INS EX HD LT BK resale and /or uses the farm machinery, equipment or the applicable statement of the 1.00 69.65 69, 65 NT, respective state printed on the other agricultural production items purchased free of Res. Price: 99.50 reverse side of this form. tax, as defined by state law, and as indicated below. Gover Asencies PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they 7037247 BIB riRT 1NS LS BK BN understand the may be liable for payment of all taxes I 48. d 48.99 N r STATE: y y p y Re Res, P rice: 69.99 (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 GOver ni tent Asenc COMPLETE REVERSE SIDE) 779321 4 JKT I i1D XT BF' BNC a taxable manner as defined by state laws. PURCHASER IS ENGAGED IN: (REQUIRED) 1 OO 38. 58 49 NT Resale Under penalty of perjury, signee swears the Res, Pi".ce: 54,99 Government information on this statement is true and correct in Government Asencies Exempt organization every material manner. A willfully false representation Agricultural Production of exemption will cause the purchaser to be subject to "tutotal 868, r'7 Dairy Production penalty and /or other provisions as allowed under state 7.00: Tax 0.00 Livestock Production Total 7.68.'17 E] law Floriculture /Acluaculture Production TSC Ca1'd 268.77 Other: Accts:t324t2tt2tt.t5571 Autht:015728 R00;150918331 ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) PO 41 j oC 278 Farm Machinery/Repair Parts Government Agency (Entity Cha nse 0,00 Livestock Injestibles or Injectibles Exempt Organization (Entity Ca Bac NC: only DOT and US Government are exempt Fertilizer /Agrichemicals Buvt_r acknDwled9L tit:: rr'ceir't of a CantPle Consumed in Production (KS) Resale (Sales Tax Permit Ingredient or Component Paris (KS) LOPY of this gales slit= and the PUrchatie o f Other: the described tnerchcAiid,_se shall lie ill accordance with the Cardholder Asreemert, CUS MER G TU E:(REQUIRED MGR. APPROVAL w 7 X USE SHADED AREA ONLY WHEN REGISTER IS INOPERATIVE. C SH CHECK VISA M/C DISCOVER TSC CHARGE ACCOUNT NO. CHG. EXCH. DATE UNIT PRICE ITEM NUMBER DESCRIPTIO Form No. 99 -00401 (12/05) CUSTOMER ORIGINAL prescribed by State Board of Accounts City Form No. 201 (Kev 199b) 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. Terms PO BOX 689020 Due Date 1/29/2009 DES MOINES, IA 50368 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/2912009 4310009024; $268.77 hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date iff i TOUCHER 087204 WARRANT ALLOWED ;06840 IN SUM OF RACTOR SUPPLY CO 'O BOX 689020 )ES MOINES, IA 50368 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members 'O INV ACCT AMOUNT Audit Trail Code 43100090247 01- 7202 -06 $268.77 C AI Voucher Total $268.77 'ost distribution ledger classification if ;lairn paid under vehicle highway fund