Loading...
175927 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 669020 CHECK AMOUNT: $99.99 DES MOINES IA 50368 -9020 �o CHECK NUMBER: 175927 CHECK DATE: 8/6/2009 DEPARTMENT A CCOUN T PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 651 5023990 510622 99.99 6035301202510622 f page 1 of 3 Tx 7 D11300 �Q ��V_ BUSINESS ACCOUNT �AGCf?T iMAFY w 6035{2 gi Amu n Previous Balance 15.00 Closing Date 07/21/09 Payments 0.00 Next Closing Date 08/19/09 CARMEL UTILITIES Credits 0.00 Payment Due Date 08/15/09 TREASURER OFFC Purchases 99.99 760 3110 AVE SW Debits 0.00 Current Due 99.99 CARMEL, IN 46032 -2072 FINANCE CHARGES 0.00 Past Due Amount 15.00 Credit Line 10,000 Late Fees 0.00 Minimum Payment Due 114.99 Credit Available 9,885 New Balance 114.99 CURRENT ACTIVITY f�atlsactio 5 s sl OC8tk3tir Ia1170t#!1t t8 t3SGr ItNiR W e 'NE a JUL 10 GOODS AND SERVICES WESTFIELD IN 99.99 TOTAL 6035301202515498 $99.99 Did you overlook your payment to us? If so, please send the amount due today. If payment is in the mail thank you! 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 Daly Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periods Biking PERCENTAGE Subject to Periodic Biking PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLV6 CREDIT PLAN 0.00 .00000 51 0.00 0.00 .00000 3o 0.00 This Account Issues! 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 $5.04 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 an your billing statement, write to us (on a separate revolve credit plan balance. skeet) 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 5902TV 1® /06 902TV5741006 PCT NOD REmlt To: Bill To: page 3 of 3 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202510622 DEPT.30 1202510622 JEFF COOPER FSUMYCO— PO BOX 689020 1 CIVIC SO BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 08/15/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 431000940590010 431000947304010 Purchase Order: Purchase Order: JEFFCOOPER 71009 AMOUNT DUE: 15.00 AMOUNT DUE: 99.99 Store: 574000431 INVOICE DATE: 06/15 /09 Store: 574000431 INVOICE DATE: 07/10 /09 SPECIAL ORDER PAYMENT 431052206 1.00 15.00 15.00 PUMP 12V 3.8&PM QUAD 2102222 1.00 99.99 99.99 SUBTOTAL 15.00 SUBTOTAL 99.99 TAN 0.00 TAX 0.00 SHIPPING 0.00 SHIPPING 0.00 TOTAL 15.00 TOTAL 99.99 Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801 779 -7425 page 2 of 3 Tx 7 D113000 ��V= BUSINESS ACCOUNT CURRENT ACTIVITY TC_ 8 CC$EIOII{ x Blue Books are now available in stores. Be sure to stop by to pickup your free copy packed with product information, planning guides, comparison charts and more. It's even easier to get what you need at Tractor Supply! Now order any item available for sale online and have it shipped to your nearest store for free! Buy in bulk and save! Check out our volume pricing on fencing, feeds, clothing and maintenance, available on purchases as small as five items. See a team member for details. l REMIT TSC BUSINESS ACCOUNT TRACTOR® PAYMENTS TO: TRACTOR SUPPLY COMPANY banyco P.O. Box 9020 Tractor Supply Company Des Moines, IA 50368 -9020 18160 U. 31 Nor Westfield,IN 460(4 TSC TEAM MEMBERTO_COMPLETE Please include 16 Digit Account Number (317) 867 -3505 6035 301 NAME CARMEL UTILITIES 1 CIVIC so CARMEL IN 460322584 ADDRESS 317) 571 -2428 CITY STATE ZIP PHONE 431 786000104 2 947304 07/10/2009 02:00pm CUSTOMER TO COMPLETE 2102222 PUMP 12V 3.BGPM GUAR 1.00 99.99 99.99 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT Government A5encies The undersigned certifies Th undersigned party certifies their exemption from compliance with the agricultural Subtotal 99.99 payment of sales and use tax on tangible personal 7,00% Txx 0 00 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 Total 99.99 and agrees with the General food or fiber, horticulture, a uaculture of floriculture for TSC Card 99.99 Exemption Statement at right and a Acct3: ##3 #t# #x5496 the applicable statement of the resale and uses the farm machinery, equipment or AutW010249 Ref *:1013002862 respective state printed on the other agricultural production items purchased free of PQ 0.071009 reverse side of this form. tax, as defined by state law, and as indicated below. Chao-:se 0.00 The under art further certifies the Cash Back PRODUCT ISTO BE USED IN THE FOLLOWING 9 p arty Y STATE: understand they may be liable for payment of all taxes Buyer acknowled5e5 the receir t of a comet (REQUIRED) due on the purchase price for the goods as allowed q� (Exceptions: Georgia, New York &Kentucky state law should such goods be used or consumed In COPY O this sales 51ip anf the Purchase 0 COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. f PURCHASER IS ENGAGED IN: (REQUIRED) the de5cribed merchandise shall be in Resale Under penalty of perjury, signee swears the accordance with the Cardholder A5reement. 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 519tttiture: F7 Livestock Production penalty and /or other provisions as allowed under state Floriculture /Aquaculture Production law. Other: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) 3333333ixx #xi ##33 #3333Y32x33E3 Farm. Machinery/Repair Parts Government Agency (Entity #:axxxixsxxx :x :3x3 #xxxx#:# Livestock Injestibles or Injectibles 11 Exempt Organization (Entity Call 800-968 -0734 within 7 days to NC: onIyDOTandUSGovernmentareexempt cnntPie #e a Survey and be entered in a Fertilizer /Agrichemicals IiionthlY drawins for a chance to win a Consumed in Production (KS) Resale (Sales Tax Permit $2500 shopp i ns sp ree ingredient or Component Parts (KS) (Awarded a5 Gift Card) NO PURCHASE OR SURVEY NECESSARY, Ends 9130/09. Other: CU ST MFR SIGNATURE: MGR.APPROVAL X C USE SHADED AREA O NLY WHEN IS INOPERATIVE. CASH CHECK VISA M/C DISCOVER TSC CHARGE ACCOUNT NO. CHG. EXCH. DATE O ITEM NUMBER DESCRIPTIO Form No. 99 -00401 (12105). CUSTOMER ORIGINAL ARKA.NSAS', The customer, as indicated by their signature on the+ ­arse. certifies that h. /she is engaged in the business of fauming and the farm mach and equfpm.m purchased will by used exclusively and diractiy in It— aguoUlt Kral production of food or fiber as a buses ass. The reverse signed is aware that any false representation mad by them Fn an attempt to purehase I machinery and equipment free t-. n Arkansas ,Sales Tax is a misdemeanor: GEORGIA� The reverse signed hereby certifies that all tangible personal property purchased or leased after the reverse indicated date will rte purchasuil cr leased 1nr the purpose indicated below, t,,Ie s gtho- ?,wise spc,.fied on a partiCUlar order, arid that the purchases are used as a part of a pursuit engaged 11 for profit'. This ce shall r main i r elfect until revoked t. writing- Any tangible persunai property obtained under this certifcate .f exemption is subject to the sales and use tax if it is used or ­­u-cal by the purchaser in any manner other than indicated on this ce rN ficata, (Cf proper box.) -FARM MACHINERY AND EOUIPMENT- I Rutio.,ti—d! farm tractors and attachments which will be used exctuslvely in tilling, planting, cultivating or harvesting Perm crops for sale Such crops will he planted aria harve Sled within a twelve -month period. O.C.G.A. 48- 8- 3(29)(1) 2. Machinery andior equipment which will be used on the lann directly in the production of poultry or eggs for sale. O.C.G -A_ 48- 8- 3(29)(A) 3, Machinery and'or equipmen: which will be used on the farm directly in the production, processing or Storage of fluid milk for sale. O.0 -G.A. 48 8- 3(29)(C) 4. Machinery andior equip rise rtt whi.ih will be used on the farm directly in the production of livestock for sale. O.C.G.A. 48- 8- 3(29)(D) S. Machinery and equipment which will be used on the farm directly in harvestirip fan, crops grown and used on the farm, as lead for poultry or livestock by a producer falling undo, the catagories 2, 3. cr 4 above Q- C.G.A. 46- 8- 3(29)(E) 6. Machfnery arid;., equipment which will be used in the hatching and breeding of poultry and livestock for sale. O- C -G.A_ 48 -8- 3(29)(8) 7. Machinery and/or equipment which will be used in tilling the soil or in animal husbandry. O- C.G -A. 48- 8- 3(29)(F).(G) (H) 8. Machinery and /or equipment which will Be used exclusivaly for irrigation of farm crops grown for sale including, but not limited to fruit, vegetable and nut crops. O_C.G.A 48 -8 -3(26) 9. Pecan sprayers, pecan shakers and /or other equipment used in harvesting pecans. O.C,G -A. 48- 8- 3(29)(J) 10. Equipment which will be used on the faun exclusively in processing onions. O.C.G.A- 48- 8- 3(29)(4) TIMBER EQUIPMENT AND RELATED ATTACHMENTS- 11. Ott -road equipment and related attachments which will be used exclusively in the site preparation, planting, cultivation, or harvesting of timber. This shelf include all oll -road equipment and related attachments used in every forestry procedure starting with the severing ol,a tree from the ground unlit and including the point al which the free or its parts in any farm has been loaded in the field in or on a truck or other vehicle for transport to the place of use. O.C.G.A_ 48-8- 3(29)-I) LIVESTOCK, SEED, FERTILIZER, FEED, PACKAGING, ETC 12. Cattle, hogs, sheep, horses, poultry, and bees when sold for breeding purposes. O.C.G -A. 48 -8 -3(28) 13. Sued, seedlings, fertiliaors. in Secticides, fungicides, rodenticides, herbicides, defoliants. soil fumigants, plant growth regulating chemicals. destocants (including shavings and sawdust from wood, peanut hulls, fuller's earth, straw and hay) and feed for livestock, fist, or poultry when used either directly in tilling the soil or in animal, fish or poultry husbandry; andior, nonreturnable materials used for packing farm products for shipment or sale. O,C.G.A. 48- 8- 3(25) 8• (35) (A) (ill) -FUELS USED IN POULTRY STRUCTURES ELECTRICITY USED IN IRRIGATION OF FARM CROPS- 14. The Salo of electricity for the operation of on rrigation system which is used on a farm exclusively for irrigation of farm crops when separately metered. O.C.G.A_ 46 -8 -3(64) 1 15. Liquefied petroleum gas or other Fuel used in r structur a in which broilers. pullets. or other poultry are raised when separately motored. O.C,G.A- 48 -8 -3(49) ILLIII The signed hereby certifies that the property purchased will be used primarily in production agriculture or in State OF Federal agriculture programs. Any farm chemicals purchased as exevnpf at. such pursuant-to Section 130.1955. KENTUCKY: The reverse signed hereby certifies that they are a farmer regularly engaged in the occupation of: (farmer must initial appropriate line( tilling and cultivating the soil for the production of crops; and feeding livestock or poultry the products of which ordinarily constitute food for human consumption; or raising and teeding lla roes, alpacas, ratites, buffalo, or aquatic organisms. The reverse signed also certifies that the tangible personal property purchased as indicated below will be used for the exempt purposes) provided for under KRS 139.480. Farmer must INITIAL appropriate Ilne(s). Baling twine and wire Farm el cats J riiachioieiy, attachments and repair /replacement parts therefor arm work stock Feed and feed additives Gasoline, special fuels, natural gas or liquefied petroleum gas I t,,f Livestock or poultry the products of which ordinarily constitute food for human consumption 1 Ratites, llamas, alpacas, buffalo, or aquatic organisms Machinery, equipment, attachments and repair /replacement parts therefor to be incorporated into an axisfA'r_q on.- farm grai leayla.,vi acility tend poultry,t iivestdck,:Yatite,- itlama, alpaca. or aquacuiture laci €ities' $.act or fedilizar jri, i s r I y, r. Materials in be incorporated into the renovation or repair of an axisting on -farm grain /soybean facilities and poultry, livestock ratite. I lama, for aquaculture facility.., Water used in the production of crops as a business or in the raising of livestock /poultry, ratites. llamas. alpacas, buffalo,'aquatic'organisms' and dairy cattle.' SEE REVERSE SIDE SEE RF_VERSE 51f7F_�� Signature Elate t° •vI ?3e MICHIGAN: The revers. signed thereby certifies that all items, except as indicated. are purchased for use or consumption in connection with the production of horticultural or agricultural products as a business enterprise. and agrees to reimburse the seller the sales tax it used or consumed otherwise. Unlawful use of this certificate subjocts persons to the penalties of the sales tax act. NORTH DAKOTA, SOUTH DAKOTA: The purchases made herein are subject to the reduced rate of sales tax and are not exempt from such tax. NEBRASKA: The reverse signed certifies the intended use of the items purchased renders it exempt under Reg. I -060. 1 -061 or 1 -063. TEXAS CERTIFICATION OF EXEMPTION Purchaser's name SFF RF-VERSE SIDE Street Address SEE REVERSE SIDE City, state, zip code SEE REVFRSE SIDE.- I claim an exemption from payment Of Sales arid use taxes for file purchase of taxable items describod below or on the attached order or invoice: SEE REVERSE SIDE Description of items (or an attached order or invoice) to be purchased: SEE REVERSE SIDE ii•' I claim this exemption for the following reason: i SEE REVERSE SIDE I understand that I will be liable for payment of sales tax which may become duo for failure to comply with the provisions at the Tax Code: Limited Sales, Excise, and Use Tax Act, Municipal Sales and Use Tax Act, Set.. and Use Taxes for Special Purpose Taxing Authorities. County Sales and Use Tax Act, County Health Services Sales and Use Tax and the Texas Health and Safety Cods: Special Previsions Relating to Hospital Districts, Emergency Services Districts, and Emergency'Services Districts n counties with .'population of 125, 000 or less. Liability for the tax will be determined by the price paid for true taxable items purchased or the fair market rental value for the period of time used. I understand that it is a criminal offense to give an exemption Certificate to the seller for taxable Items which I know, st ithe time of purchase, will be used in a manner other than that expressed in this certificate- Seller: SEE REVERSE SIDE Street address: SEE REVERSE SIDE City, state, zip code: SEE REVERSE SIDE Furohaser's signature: SEE REVERSE-. SIDF Date: phdnei f' Tiile: SEF REV FR�yE SIDE This certificate does not ,squire a number to b© valid. Sales and use tax exemption numbers or tax oxeinpl numbers do not exist. This certificate should be furnished to the Supplier. Do not send the completed certificate to the Comptroller Of Public Account$. I Etlective Date: September 10, 1991 L s: if Rule 3.287 NEW YORK STATE DEPARTMENT OF TAXATION AND FINANCE NEW YORK STATE AND LOCAL.SALES AND,LISETAX FARMER'S EXEMPTION CERTIFICATE 1 T In purchasers and sellers: To be completed by the fa urn tar, 'given to and retained by It, a seller, To have a valid certificate, all entr;e. —IUSt be completed. Read all instntctions carefully before completing or accepting this certificate. 'to Setle rs: You may not accept this certificate as the basis lot selling exempt from tax the properly or services listed below. Tax must be collected on such sales. This certificate may not be used to claim e.uemption for the following: h 1. utilities, fuel oil, motor fuel or diesel Fuel; 2. tabor charges in connection with repair, maintenance of or Service to real properly: 3 t[ hgible personal property incorporated into a'building, structure, silo foundation of other capital improvements to real property (excluding grape trellises and the remaining portions of a. silo); 4, motor vehicles; or _5. property listed as (fixable. Nam. of seller TRACTOR SUPPLY_ CO MPANY &,AFFILIATES Attn: Tax Name of farmer SEE REV ERSE SIDE Street address 200 Powell Place Street address SEE HEVERSC- SIDE City F3rentwood______ __State. TN LIP Gode 370 27 city REV Sk DF_ Slate ZIP Code_ Check applicable box: f=1 Single Purchase Certificate 0 Blanket Certificate ��i'• ",1 %1 I, the reverse signed hereby certify Thar I am exempt tror, payment of the sales and use tax on tangible personal property purchased fro rn you because tho property is to be used for an exempt purpose and that certain services are also exempt when performed on an exempt properly- (Check applicable box or boxes.) i_7 (a) Tangible personal properly, except property incorporated into a building or structure, for use or consumption directlytand predominately in the production of tangible personal property for sale by farming, Including stock, dairy, poultry, fruit, fur bearing animal, and truck farming:The term farming also includes r4riching, operating nurserles, greenhouses or other similar structures used primarily for the raising of agricultural, horticultural or floricultural commodities, and operating orchards or vineyards. r (b) Tangible personal property for use In erecting, adding to, altering or Improving a silo used in farming to makQ -and store silage on a farm, provided such tangible personal property is to become an Integral component part of such silo. (This exemption doss not apply to lk nn Ebfe .personal property used in constructing a silo foundation_) a I; CI (c) Posts and wire for use in constructing or maintaining vineyard trellises used In growing grapes for sale I_} (d) Services of installing, repairing, maintaining and servicing exempt tangible personal property. (This exemption Is provided for both slate and local sales and use tax with the exception of the tax imposed by air for Now York City.) "f "hes statements arc made with the knowledge that willfully issuing a false or fraudulent certificate with the intent to evade lax" is a misdemeanor under section 1817(m) of the New York State Tax Law and section 210.45 of the penal taw punishable by a fine of not more than $1,000, or imprisonment for not mor'e,tkan a yea"., both. Signature Of farmer or farmer's representative (state title and relationship) SCE REVERSE SIDE I Dale Seller The tax exemption for farmers is limited to the purchases of (1) tangible personal properly used directly and predominantly in the production phase at farming and (2) the services described in (d) related to that property. Purchases for use in administration, storage or marketing or purchases of tangible pots. sal properly used indirectly in farming would not qualify. (See Publication 644, Sales lax Informalion for plw n ers, for a complete explanalion of the tax treatment of farmers purchases and sales.) For your protection, a farmer must give you this certificate riot W., than 90 days attar delivery of the property sold or services rendered. If you have not received. this certificate within 90 days of the date of sale, the Sala wit] be deemed to have been taxable at the tune the transaction took piece and the burden of proving it was not „shall bo upon both you and the purchaser If the blanket certificate box is checked, you May consider this certificate part of any order received hem the purchaser. A blanket certificate remains in force until Tile purchaser gives you written notice of revocation, or until the Tax Department notifies you that the purchaser may riot make exemptpurchases. 1 Purchaser You must pay tax on utilities (telephone, telegraph, electricity or gas service) heating oil, motor fuel slid diesel motor fuel al the time of purchase and claim a refund for any exempt use. (If you are purchasing diesel motor fuel for exclusive consumption in farm machinery used to prodyce tangible personal property for sale, you may use Eon, F1 -1004. Farmers l=xanipfien Certificate for llwcha"s of Diesel Motor Fuel to puroh... that fuel exempt.) If the blanket certificate box I. checked, you may consider this certificate part of any order received from the purchaser. A blanket certificate remains In fare. until the purchaser gives you wr'itfurl notice of revocation, or unlit the Tax Department notifies you that the purchaser may not make exempt purchases- 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. Terms PO BOX 689020 Due Date 7/28/2009 DES MOINES, IA 50368 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/28/2009 4310009473( $99.99 1) ,g 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 Officer VOUCHER 096127 WARRANT ALLOWED 306840 IN SUM OF TRACTOR SUPPLY CO PO BOX 689020 DES MOINES, IA 50368 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 43100094730 01- 7202 -06 $99.99 Voucher Total $99.99 Cost distribution ledger classification if claim paid under vehicle highway fund