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HomeMy WebLinkAbout168218 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 g 0 ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $589.77 w DES MOINES IA 50368 -9020 CHECK NUMBER: 168218 CHECK DATE: 1/2112009 DEPARTMENT A PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION 1125 4239012 PARKS 589.77 6035301202854988 page I of 3 TX 7 01200600000 10F�N BUSINESS ACCO il 6030 3p12 0285 Previous Balance 476.82 Closing Date 12/30/08 Payments 0.00 Next Closing Date 01/29/09 CARMEL CLAY PARKS REC Credits 0.00 Payment Due Date 01/24/09 ACCOUNTS PAYABLE Purchases 112.95 1411 E 116TH ST Debits 0.00 Current Due 112.95 CARMEL, IN 46032 -3455 FINANCE CHARGES 0.00 Past Due Amount 476.82 Credit Line 7,500 Late Fees 0.00 Minimum Payment Due 589.77 Credit Available 6,910 New Balance 589.77 CURRENT ACTIVITY Tratisaction�€ ocatiani ottnt date Clescri ttQn 3 NOV 26 GOODS AND SERVICES NOBLESVILLE IN 112.95 TOTAL 6035301202854996 $112.95 Customer Service and Billing Errors address: PO Box 6 29, Dallas, Tx 75265 -3029. Did you overlook your payment to us? If so, please send the amount due today. If 1 1 payment is in the mail thank you! ��Pe ©49 FINANCE CHARGE SUMMARY Current Billing Period Previous Billing Period Balance Daly Days in ANNUAL Balance Dairy Days in ANNUAL Subject to Periodic &Virg PERCENTAGE Subject to Periodic Bilking PERCENTAGE Finance Charge Rate Per od RATE Finance Charge Rate Penad RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 32 0.00 0100 .00000 29 0.00 This Account issued by Citibank (South Dakota), N.A- CUSTOMER SERVICE 1-500-559-8232 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_pas at the, billing err add ress on the front of y our statement. We must hear from you in wrifing no later than 60 d�ysatfer 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 foilowing information: o Pay by Phone. You may make your payment by phone by using the Pay by Phone Service. You will he 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'informatioh, 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 page 2 of 3 Tx 7 01200000000 WTWTOR SLTMYCO- BUSINESS ACCOUNT CURRENT ACTIVITY �Tra�actiar f LccaUaN$ n Amount Data r rlptlon AWN This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. ,t Remit To: Bill To: Page 3 or 3 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202854988 vamyco— DEPT.30 1202854988 TODD SNYDER PO BOX 689020 1427 E 116Th! ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 01/24/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SNIP TO: INVOICE: 624001053445010 Purchase Order: 19506 AMOUNT DUE: 112.95 Store: 57400062 INVOICE DATE: 11126 108 BIB INS DCK 2X BR HNCES 7141289 1.00 69.99 69.99 GLOVE CNVS XL BK BNCES6 7048669 1.00 10.99 10.99 GLOVE XL GLTHR PAT PALM 6349981 1.00 11.99 11.99 WZ INSOLE WORK LG ML68 7377424 1.00 9.99 9.99 WZ INSOLE WORK LG ML68 7377424 1.00 9.99 9.99 SUBTOTAL 112.95 TAN 0.00 SHIPPING 0.00 TOTAL 112.95 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801- 779 -7425 658 Remit To: Bill To: Page 3 or 3 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202854988 DEPT.30 1202854988 COURTNEY SCHAEGEL 10SUMY02 PO BOX 689020 1427 E 116TH ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 12/23/08 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: 624001052404010 Purchase Order: 19506 AMOUNT DUE: 476.82 Store: 574000624 INVOICE DATE: 11/24/08 BIB YTH INS XL ON BN65 7722726 1.00 39.96 39.96 WZ LACE 60IN BRN ML68 7377254 1.00 1.99 1.99 WZ LACE 60TN BRN ML68 7377254 1.00 1.99 1.99 GLOVE GNVS XL BK BNCES6 7048669 I.00 12.99 12.99 816 CRHT ARCTIC 44X32 6409927 1.00 94.96 94.96 JACKET CRHT ARCTIC 48 6310160 1.00 89.96 89.96 JKT DCK OLTLV XT ON CT6 7067134 1.00 79.99 79.99 ,JKT DCK GLTLD 2T BN CT6 7067142 1.00 79.99 79 -99 JXT DCK QLTLD XL BN CT6 7067320 1.00 74.99 74.99 SUBTOTAL 476.82 TAX 0.00 SHIPPING 0.00 TOTAL 476.82 Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801- 779 -7425 V REMIT TSC BUSINESS ACCOUNT PAYMENTS TO: TRACTOR SUPPLY COMPANY P.O. Box 9020 Tractor Supply Coiwany Su"M Des Moines, IA 50368-9020 2,375 Cast Pleasant St. TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Ncible5ville,IN 46060 (317) 776-1683 NAME CARMEL CLAY PARKS REC 1427 E 116TH ST ADDRESS CARMEL. IN 460323455 (317) 571-2695 CITY STATE ZIP PHONE 624 624000103 2 iO5344S J 11/26/2008 11;05aqi CUSTOMER TO COMPLETE 7141?B9 BIB INS DICK 2X DR BN 1.00 2 67.99 69.99 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Governoterit Asencie5 The undersigned certifies The undersigned party certifies their exemption from 7048669 GLOVE CNVS XL BK ENC compliance with the agricultural payment of sales and use tax on tangible personal 1.00 10.99 10.99 NT sales tax exemption law of the state property as indicated below and/or purchaser is Res, Price: 12.99 indicated below and understands engaged in the business of agricultural production of Governnient Agencies and agrees with the General food or fiber, horticulture, aquaculture of floriculture for 6347781 GLOYE XL GLTHR PAT P Exemption Statement at right and resale and/or uses the farm machinery, equipment or 1.00 0 111?9 11,99 NT the applicable statement of the other agricultural production items purchased free of Government Agencies respective state printed on the tax, as defined by state law, and as indicated below. 7377424 WZ INSOLE WORK LG ML reverse side of this form. 1.00 R 9.99 9.99 NT PRODUCT ISTO BE USED IN THE FOLLOWING The undersigned party further certifies they Govermnent Agencies understand they may be liable for payment of all taxes 7377424 WZ INSOLE WORK LG ML STATE: (REQUIRED) due on the purchase price for the goods as allowed by 1.00 9.99 9:99 N1 (Exceptions! Georgia, New York Kentucky state law should such goods be used or consumed in Government Agencies COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Subtotal 112.95 PURCHASER IS ENGAGED IN; (REQUIRED) Resale Under penalty of perjury, signee swears the 1,00% Tax Government information on this statement is true and correct in Total 112,95 71 Exempt organization every material manner. A willfully false representation TSC Card 112,95 F] Agricultural Production of exemption will cause the purchaser to be subject to Acct#,s1*s1st***:*4996 F Dairy Production penalty and/or other provisions as allowed under state Autht:026594 ReW2610050022 E] Livestock Production PO 4�19SG6 F Floriculture/Aquaculture Production aw. Cha I) se 0.00 F1 Other. Cash Back ITEMS PURCHASED WILL BE USED FOR:(REQUIRED) Bckyer acknowledges the receipt of a comple 7 Farm Machin ery/Repair Parts E] Government Agency (Entity ted -opy of this sales slip and the eurchase a FJ Livestock Iniestibles or Injectible s I] Exempt Organization (Entity f i. E] Fertilizer/Agrichernicals NC: only DOT and US Government are exemp the described werchandise shall be in FJ Consumed in Production (KS) FJ Resale (Sales Tax Permit accordance with the Cardholder Agreement C] Ingredient or Component Parts (KS) F] Other: Sai�inattire CUSTOMER SIGNATURE: (REQUIRE DEC 0 Z 2008 USE Sl VHEN REGIS I ER IS INOPERATIVE. QUANTITY ITEM NUMBER N —DESCRIPTION UNIT PRi TAX Poe ou Form No, 99-00401 (12105) CUSTOMER ORIGINAL REMIT TSC BUSINESS ACCOUNT ��R� PAYMENTS TO: TRACTOR SUPPLY COMPANY P�''LYco P.O. Box 9020 Trat :ti -ir Supply CafiPdny W OU D es Moines, IA 50368 -9020 2375 East Pleasant 5t. Nohl.esville,IN 46060 TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number (317) 776_.11383 6035 301 NAME i,AltirlE_f, CLAY F`Ari(s ItEC 1427 E 116TH S CARMEL IN 460323455 ADDRESS (317) 571 -2695 CITY STATE ZIP PHONE 6 624000104 2 1052404 11 /24/2000 10: 49ar.1 CUSTOMER TO COMPLETE 7 722 7 26 BIB YTH INS XL BN BIN 1,00 39,96 39,96 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT- Government Agencies ned certifies 7377254 UZ LACE 60IN BRN KiL6 The undersigned The undersigned party certifies their exemption from 1,00 0 1.99 1.99 NT compliance with the agricultural payment of sales and use tax on tangible personal Government Agencies sales tax exemption law of the state property as indicated below and /or purchaser is 7377254 WZ LACE 60IN BRN ML6 indicated below and understands engaged in the business of agricultural production of 1.00 C 1.99 1 99 NT and agrees with the General food or fiber, horticulture, aquaculture of floriculture for Government Agencies Exemption Statement at right and resale and/or uses the farm machinery, equipment or 7048669 GLOVE CNVS XL BK BNC the applicable statement of the other agricultural roduction items urchased free of a respective state printed an the g p p 1 .00 L 12.99 12.99 N.r defined by t reverse side of this form. tax, as ene sae law, and as indicated below. Government Asencie5 6409927 BIB CRHT ARCTIC 44X3 PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they 1.00 94.96 94.96 NT STATE: understand they may be liable for payment of all taxes Government Agencies (REQUIRED) due on the purchase price for the goods as allowed by 6310160 JACKET CRHT ARCTIC 4 (Exceptions: Georgia, New York Kentucky state l should such goods be used or consumed In 1 00 09 ,96 89 .96 NT COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Government Ae @ncies PURCHASER IS ENGAGED IN: (REQUIRED) 70671 XT DICK QLTLD XT BN Resale Under penalty of perjury, signee swears the 1.00 79,99 79,99 NT F] Government information on this statement is true and correct in E] Exempt organization every material manner. Awillfully false representation Gov ernment Agencies 7067142 JKT DICK (1LTLD 2T BN Agricultural Production of exemption will cause the purchaser to be subject to 1. 00 79.99 79.99 NT Dairy Production penalty and /or other provisions as allowed under state Livestock Production Government Agencies L] Flo riculture /Aquaculture Production law. 7067320 XT DCK RLTLD XL BN other: 1 00 74.99 74 99 NT Government Agencies ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity Subtotal 476,82 Livestock Injestibles or Injectibles Exempt Organization (Entity 7 .00 Tax 0. INC: only DOT and US Government are exempt 1 of al 476. F 1 Fertilizer /Agrichemicals TSC Car 476, 132 Consumed in Production (KS) Resale (Sales Tax Permit Acct r t t t t t t 5001 Ingredient or Component Parts (KS) Au th* 024455 Ref 2409492499 PD *:19506 Other: Change r 00 Cash Balk° r .t_ IV ED IGNATUR (REQUIREDK MGR. APPROVAL I G /1 2 AO0 r. USE X m V UU 00 SHADE AREA ONCY WHEN REGISTER IS INO I P ERATIVE. CASH CHECK'- VISA' M! DISCOVER TSC CHRRGE ACCOUNT NO. r CHG. EXCH- DATE ITEM NUMBER DESCRIPTION Purehase on P.O. 4 i rF j� a Budi et 1 ne Dies Imo A val Date I� Form No. 99 -00401 (12/05) CUSTOMER ORIGINAL J 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)) Amount 11/24/08 6035301202854980 Carharts for maintenance staff PO 19506 P 476.82 11/26/08 6035301202854980 Carharts for maintenance staff PO 19506 P 112,95 Total 589.77 i hereby certify that the attached invoice(s), or bills) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 ,20 Clerk- Treasurer 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 1� 589.77 lL ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 6035301202854980 4239012 476.82 1 hereby certify that the attached invoice(s) or 1125 6035301202854980 4239012 112.95 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 6 -Jan 2009 Signature 589.77 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund