174524 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $15.00
DES MOINES IA 50368 -9020
CHECK NUMBER: 174524
CHECK DATE: 7/812009
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 02510622 15.00 6035301202510622
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BUSINESS ACCOUNT
I aCG4UtdTSUMMi4�RY� y 6p35 3012 0251 0622
Previous Balance 0.00 Closing Date 06/18/09
Payments 0.00 Next Closing Date 07/21/09 CARMEL UTILITIES
Credits 0.00 Payment Due Date 07/13/09 TREASURER OFFC
Purchases 15.00 760 3RD AVE SW
Debits 0.00 Current Due 15.00 CARMEL, IN 46032 -2072
FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 10,000
Late Fees 0.00 Minimum Payment Due 15.00 Credit Available 9,985
New Balance 15.00
CURRENT ACTIVITY
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JUN 15 GOODS AND SERVICES WESTFIELD IN 15.00
TOTAL 6035301202515498 $15.00
This account is subject to the Alternate Balance Subject to Finance
Charge Calculation Method. See back for details.
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Be sure to stop by to pickup your free Copy packed with
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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 Bilking PERCENTAGE
Finance Charge Rate Period RATE Finance Charge Rate Period RATE
REGULAR REVOLVE CREDIT PLAN 0.00 .00000 3o 0.00 0.00 .00000 0 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: e
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. 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
641
Remit To: Bill To: page 2 or 2
r TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301202510622 �70R
DEPT.30 1202510622 JEFF COOPER sumyCO
PO BOX 689020 1 CIVIC Sa BUSINESS ACCOUNT
DES MOINES IA 50368 -9020
Payment Due Date: 07/13/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN
SHIP TO: INVOICE:
431000940590010
Purchase Order:
JEFFCOOPER
AMOUNT DUE: 15.00
Stare: 574000431 INVOICE DATE: 06/15/09
SPECIAL ORDER PAYMENT 431052206 1.00 15.00 15.00
SUBTOTAL 15.00
TAX 0.00
SHIPPING 0100
TOTAL 15.00
I
Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801 779 -7425
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL k
An invoice or bill to be properly itemized must snow, 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 6/25/2009
DES MOINES, IA 50368
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/2572009 4310009405 $15.00
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 O i i er
r
VOUCHER 095893 WARRANT ALLOWED
306840 IN SUM OF
TRACTOR SUPPLY CO
PO BOX 689020
DES MOINES, IA 50368
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
t Board members
PO INV ACCT AMOUNT Audit Trail Code
43100094059 01- 7202 -05 $15.00
Voucher Total $15.00
Cost distribution ledger classification if
claim paid under vehicle highway fund