HomeMy WebLinkAbout168721 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
Q CHECK AMOUNT: $199.99
CARMEL, INDIANA 46032 Po eox seeozo
DES MOINES IA 50368 -9020 CHECK NUMBER: 168721
CHECK DATE: 2/412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 50:23990 2572 199.99 6035301200182572
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page 1 of 2 7
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SUPPLY C�
BUSINESS ACCOUNT
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ACCQIdT SUMMARY 6035 3012 '0'018 25722
...e .x x a ate z s a�. r A :d
Previous Balance 0.00 Closing Date 01/20/09
Payments 0.00 Next Closing Date 02/18/09 CARMEL UTILITIES
Credits 124.99 Payment Due Date 02/14/09 ACCOUNTS PAYABLE
Purchases 324.98 3450 W 131 ST ST
Debits 0.00 Current Due 199.99 WESTFIELD, IN 46074 -8267
FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,000
Late Fees 0.00 Minimum Payment Due 199.99 Credit Available 4,800
New Balance 199.99
CURRENT ACTIVITY
Transactlo ms LocatioN�" Z- ����Amaurtt
��Date f�e;3cription. y��� .mow
JAN 9 GOODS AND SERVICES WESTFIELD IN 199.99
TOTAL 6035301200201083 $199.99
JAN 8 GOODS AND SERVICES NOBLESVILLE IN 124.99
JAN 9 GOODS AND SERVICES WESTFIELD IN CREDIT 124.99
TOTAL 6035301202905574 $0.00
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 Billing PERCENTAGE Subject to Periodic Billing PERCENTAGE
Finance Charge Rate Per 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 -BO1- 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: 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
9027 PCT
Remit To: Bill To: page z of z 171
TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572
DEPT:2O 1200182572 SEAN WHITLOW
PO BOX 689020 130 1 ST AVE SW 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: SHIP TO: INVOICE:
431000901187010 624001074983010
Purchase Order: Purchase Order:
109009 SHOP
AMOUNT DUE: 199.99 AMOUNT DUE: 124.99
Store: 574000451 INVOICE DATE: 01/09 /09 Store: 574000624 INVOICE DATE: 01/08 /09
TBX BET ALUM FS SGL LP 1091753 1.00 199.99 199.99 BOOT 11.SM 6IN TTN STOE 7120877 1.00 124.99 124.99
SUBTOTAL 199.99 SUBTOTAL 124.99
TAX 0.00 TAX 0.00
SHIPPING 0.00 SHIPPING 0.00
TOTAL 199.99 TOTAL 124.99
SHIP TO: INVOICE:
431000901166010
AMOUNT DUE: 124.99
Store: 574000451 INVOICE DATE: 01/09 /09
BOOT I1.5M 6IN TTN STOE 7120877 1.00 124.99 124.99
SUBTOTAL 124.99
TAX 0.00
SH _'0:00
TOTAL 124.99
Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801- 779 -7425
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PAYMENTS TO
TRACTOR SUPPLY COMPANY
P.O. Box 9020
Tlassu"D WX Lufcoz&oi'o
Des Moines, IA 50368-9020 i C 160 U,
TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number
(Z 1)
6035 301
NAME CARMEL UTILITIES
I
S.450 1W 131s',1 if
ADDRESS WFSTFJEL[r m 46CJ740267
CITY STATE ZIP 4S'l 4031 000 1 75° 2
0ilo 2009 11:10am
CUSTOMER TO COMPLETE 10 TBX BET ALUNI Fc ;%'K
00
CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT. RC 1='r ice:
The undersigned certifies The undersigned party certifies their exemption from Util ir i
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 sitbtotal -.1 19 9 1,
indicated below and understands engaged in the business of agricultural production of I ref,,; Tax' 0. 11") U
and agrees with the General food or fiber, horticulture, aquaculture of floriculture for Tu tai 1 11 Exemption Statement at right and ca-val
resale and/or uses the far
the applicable statement of the m machinery, equipment or
other agricultural production items purchased free of
respective state printed on the 014:0.09497 Ref�,:0910103552
reverse side of this form. tax, as defined by state law, and as indicated below. PO f':010"'00?
i
PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they C, nge ca!3h Back 0 (11
STATE: (REGUIRED) understand they may be liable for payment of all taxes
due on the purchase price for the goods as allowed by Su)eer uckclowledtie5
i
(Exceptions: Georgia, New York Kentucky state law should such goods be used or consumed i n d
COMPLETE REVERSE SIDE) a taxable manner as defined by state laws.
COPY o
PURCHASER IS ENGAGED IN: (REQUIRED) f thi5 slip i VU!'Cha5e
Resale Under penalty of perjury, signee swears the the described nicrchandt3e -.511all ij�
Government information on this statement is true and correct in .in
F1 Exempt organization every material manner. A willfully false representation accordelice with the Cardi
Agricultural Production of exemption will cause the purchaser to be subject to
Dairy Production penalty and/or other provisions as allowed under state
f Livestock Production
Floriculture/Aquaculture Production law.
Other:
ITEMS PURCHASED WILL BE USED FOR: (REQUIRED)
Farm Machinery/Repair Parts Government Agenry (Entity
Livestock Injestibles or Injectibles E) Exempt Organization (Entity t4 It t I E $14 t
Feniiizer/Agrichemicals NC: only DOT and US Government are exempt Ca)-1 B00 within 7 day:, to
Cullielete a -wrve)r and be fi-r in a
Consumed in Production (KS) Resale (Sales Tax Permit nloulhly drawing for e. chance to win e,
Ingredient or Component Parts (KS) $2500 5hoi-t-iri9
7 Other: (Awarded as Gift Card) NO PURCHASE
OR SURVEY NECESSARY, Ends 9
CUSTOM R SIGNATURE: (REOWREM) MGR.A APPROVAL
X
CASH CHECK VISA WC DISCOVER TSC CHARGE ACCOUNT NO,
CHG. FXCH, PATE
L) Ll
2 DESCRIRTInNI N
Form No. 99-00401 (12/05) 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 1/27/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/27/2009 4310009011 f $199.99
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 /0 f t;#r
VOUCHER 084315 WARRANT ALLOWED
306840 �A Ej IN SUM OF
TRACTOR SUPPLY CO rC
P.O. Box 689020
Des Moines, IA 50368 -9020
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO* INV ACCT AMOUNT Audit Trail Code
43100090118 01- 6500 -05 $199.99
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Voucher Total $199.99
f'
Cost distribution ledger classification if
claim paid under vehicle highway fund