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Home My WebLink About175926 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $54.99 CARMEL, INDIANA 46032 PO Box 689020 DES MOINES IA 50368 -9020 CHECK NUMBER: 175926 CHECK DATE: 8/6/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A DESCRIPTION 601 5023990 43100094695 54.99 6035301200182572 page 1 of 3 TX 7 D11300 f rsumyc BUSINESS ACCOUNT 0 ACGQ,U�NT SUNIA�AR�Y MTV ff fiQ35 3012fO.018 2572 Previous Balance 94.97 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 ACCOUNTS PAYABLE i Purchases 54.99 3450 W 131ST ST Debits 0.00 Current Due 54.99 WESTFIELD, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 94.97 Credit Line 5,000 Late Fees 0.00 Minimum Payment Due 149.96 Credit Available 4,850 New Balance 149.96 CURRENT ACTIVITY JUL 9 GOODS AND SERVICES WESTFIELD IN 54.99 TOTAL 6035301200201083 $54.99 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 Daily Days in ANNUAL Balance Daily Days in ANNUAL Sut�ject to Periodic Blhrg PERCENTAGE SuLiject [0 Periodic Billing PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 33 0.00 0.00 .00000 30 0.00 This Account Issued by Citibank (South Dakota), N.A. CUSTOMER SERVICE 1- 800 -559 -8232 FAX NUMBER 1- 801 779 -7425 R 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: 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 page 2 of 3 Tx 7 D113000 V BUSINESS ACCOUNT CURRENT ACTIVITY TrartsaCtlan= Locatiaa! r dlate !a ri�tton aunt 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. I 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 sonn as possihte 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 10/06 902TV5741006 PCT 29"& O BUSINESS ACCOUNT Remit To: Bill To: Page 3 or 3 yb4 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572 R DFPT.30 -.1200182572 SEAN WHITLOW wsumyco— PO BOX 689020 130 1 ST AVE SW 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: 431000946950010 AMOUNT DUE: 54.99 Store: 574000431 INVOICE DATE: 07/09 /09 GM SOLB NORTH BG OUICK 6854009 1.00 54.99 54.99 SUBTOTAL 54.99 TAX 0.00 SHIPPING 0.00 TOTAL 54.99 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801 779 -7425 I REMIT TSC BUSINESS ACC0UNT MCTOR PAYMENTS TO: TRACTOR SUPPLY COMPANY P.O. Box 9020 Tractor Supply Company Wsu"Lycl Des Moines, IA 50368 -9020 18160 U.S. 31 North TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Mestf ield. IN 46074 6035 301 (3)7) 867 -3505 NAME CARKEL UTILITIES 3450 U 131ST ST 61ESTFIELD IN 460748267 AooRtss (317) 733 -2855 CITY STATE ZIP PHONE 431 431000182 2 946950 0710912009 10 :12ap1 CUSTOMER TO COMPLETE 6854009 Gu S OLE NORTH BG 9UI 1 .00 P 54.99 54.99 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Utility The undersigned certifies The undersigned party certifies their exemption from compliance with the agricultural payment -of sales and use tax on tangible personal Subtotal 54.99 sales tax exemption law of the state 7.00% Tax O, pQ property .'as indicated below and /or purchaser is indicated below and understands Total 54 qq engaged in the business of agricultural production of TSC Card and agrees with the General 54,99 Exemption Statement at right and food orfiber, horticulture, aquaculture of floriculture for Accto: EYtttaatitta1083 the applicable statement of the resale and /or uses the farm machinery, equipment or Autha :009823 Refa:0909122387 respective state printed on the other agricultural production items purchased free of Chanse 0 reverse side of this form. tax, as defined by state law, and as indicated below. Cash Back PRODUCT IS TO BE USED IN THE FOLLOWING. The undersigned. party' further. certifies they Buyer a the receipt of tn STATE: understand they may be liable for payment of all taxed d (REQUIRED) due on the purchase price for the. goods as allowed by COP of this sales slip and the Purchase (Exceptions: Georgia Now -York a Kentucky state law should such goods be used or consumed iq COMPLETE REVERSE SIDE)' a taxable manner as defined by state laws. i the described merchandise shall be in PURCHASER ISfNGAGEDEN:(REQUIR> accordance With the Cardholder Asreement. Resale_ Under, penalty of perjury' signee swears the covemmerit` information on this statement -is ..true and correct in Ezempt organization every, material manner. A willfully false, i tur representation Agricultural Production.- of exe will cause the purchaser to be 'subject #o: sna e Dairy Production penalty'and/or.other provisions aS allowed under state,' p Livestock Production law- Floncu[ture /Aquaculture Production r. Other: 8EE88E8a8t8$IIa88888IIEIIEEE it$E$EaaEaB ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) ESaE88 $8a888tE88Y$Ei88taE8tYYEaEtaYEE i Farm Machinery /Repair Pails Govemment Agency (Entity Cell 800 within 7 days to Livestock Iniestiblesor Injectibies Exempt Organization (Entity complete a survey and be entered in a NC: only DOT and US Government are exempt monthly drawing for a chance t0 aifl a f fertilizeriAgricherhical§ $2500 shappins spree. i Consumed.in Production (KS) Resale (Sales Tax Permit (Awarded as Gift Card) NO PURCHASE Ingredient or Component Parts (KS) OR SURVEY NECESSARY. Ends 9/30/09. I tEEaa$ asasaEYEEEEasaaaaxasaasatEE$EEE Other: Enter Store b 0431 CUSTOMER SIGNATURE: (Ap dCRAED) i MGR. APPROVAL I r n� X m o 0 0• 'TSC'CHARGE ACCOUNT NOc:.: r CHG.. "EXCH. DATE CASH -r. CHECK VISA .;WC DISCOVER n DES IPT!9N 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 p) 306840 TRACTOR SUPPLY CO Purchase Order No. P.O. Box 689020 Terms Des Moines, IA 50368 -9020 Due Date 7/29/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/29/2009 4310009469: $54.99 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 7 13 ZZ- '5 14, Date Officer VOUCHER 09 WARRANT ALLOWED 306840 IN SUM OF TRACTOR SUPPLY CO WO. Box 689020 Des Moines, IA 50368 -9020 �R�O I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 43100094695 01- 6200 -06 $54.99 Voucher Total $54.99 Cost distribution ledger classification if claim paid under vehicle highway fund