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180341 12/09/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $23.96 DES MOINES IA 50368 -9020 CHECK NUMBER: 180341 CHECK DATE: 12/9/2009 '6EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 WATER 23.96 6035301200182572 ,E page 1 of 2 Tx 7 D 13 00000000 VSU BUSINESS ACCOUNT FACCUUNT�S�.l8 K IARY`s fio3a 3472 OQ1f8�2572 x f a4r_ Previous Balance 0.00 Closing Date 11/18/09 Payments 0.00 Next Closing Date 12/18/09 CARMEL UTILITIES Credits 0.00 Payment Due Date 12/13/09 ACCOUNTS PAYABLE Purchases 23.96 3450 W 131ST ST Debits 0.00 Current Due 23.96 WESTFIELD, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 750 Late Fees 0.00 Minimum Payment Due 23.96 Credit Available 726 New Balance 23.96 CURRENT ACTIVITY f far ^q �3J'S z�4KC TratiSBCt}Ort �s y Locationi �r� 3� °AmaUnt� Qa18 QBSCtIpllQlt �3 I OCT 23 GOODS AND SERVICES WESTFIELD IN 23.96 TOTAL _.6.035301203045040 $23.96 This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. FINANCE CHARGE SU MMARY Current Billing Period Previous Billing Period Balance Daily Days in ANNUAL Balance Daily Days in ANNUAL Subject to Periodic Billing PERCENTAGE Subject to Periodic Bills g PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PUN 0.00 .00000 29 0.00 0.00 .00000 32 0.00 sued by Citibank (South Dakota), N.A. CUSTOM Ip 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: 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 io 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. Ali 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 10105 902TV5741006 PCT A6011110 777z= Remit To: Bill To: page 2 or 2 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200182572 +L\iiVR� [fEPT.30- 1200182572 JAMES ALFORD ®SY� PO BOX 689020 3450 W 131ST ST BUSINESS ACCOUNT DES MOINES IA 50368 -9020 -a Payment Due Date: 12/13/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: 431000973015010 AMOUNT DUE: 23.96 Store: .574000431 INVOICE DATE: 10/23/09 19.49 1 5/8 PIPE GATE H 3505944 2.00 4.99 9.98 PINTLE ZINC 5/81N 3549663 1.00 6.99 4.99 PINTLE ZINC 5/81N 3549663 1.00 6.99 6.99 SUBTOTAL 23.96 TAX 0.00 SHIPPING 0.00 TOTAL 23.96 Please Direct Inquiries to: Phone: 800- 559 -8232 Fax: 801 -779 -7425 'ar.,. rya. •'J` t ll l S.i rr.., a l �M. r' P-MF ''R t :7 e rl s jai �d t,° ,Pq t I:l rclr' ,ryr5 sa,'r'•i "r. H. A REIiT YS USIN SSA ,r 7wfi r R a •�jl v.r,j II r In G CC m PAY'fVBENTS .Ota1V TO, t Via,, x l I l �a•`0 -11; �.W'12!'�;k! �^s "I n w 'it t p ,y, a q,, h�-Q r a Ml r TRACTOR SUP:P IPANY a^ l..tf 4 rraasr a� f r-1 C k r'i'#,P;A 3,e R1 a; rhr '�",c� Sr d, t ?'^'c a' 1 Md ,t n ''1 1♦' r, Hrds 6 rC ,fir i s i P O'r;BOX6$8a20� >i �1 iC tt]1 7L(P Pt d�11P i�Y{ r u` r.„ .l lz r'YJ y ti. t yr J t{I t kz. ¢€,�#'•1 t y Des?Moines, IA 50368 f o, u ;S iyi� R fi(�� Wts,t f i��Icf,��IN��6'074��� ��r"I� TSCrTEAIVI MEMBER TO CQMPLETE a please Include 16 )i it�Accci Nurnberr,,i r har f,� s M 9 Q q, c k�6 r5 v s l 1t'SyA' �i 1 P, a9�a1!`• `301 ft tt�ittt.'T���ilftYF 1 r�.pry�'�N' *ME Lrrfttl! 1 ilt 1 "I tt r; N �r�,5 `t �t) #d 1,5 I !��i a i• n�a,,b� t Ur_'al l'3 LLU IN 440740267 w i ADDRESS ,GITY STATE ZIP PHONE 4 jq 7h?Ot ?1r34 2 9701 a 3505144 t ,h, wk I �CUSTQMER TO rr OMPLETE �f F 1,0� T 2,00 2 4,90 76 N -i} CG£RT {i~ICATEIQFEXf41PTl'ON `'aGENER{ILEX�IVIPTI JnRk a �,�w r '>7'� Y y 3541663 PIi TLEE=- The u de s�tg,ned r c4ertaffes The u�nde slg party ?ce,rtifles theirrexerr.ption from 1100 i d. 9V 6,.S', N J CO rnpince Wltil agliCUU i g pertsonal� Salesttax exempt o aw,of the�state payment of sales and use tax on tan Ible" t indicatedcklbelow and understands,;; P P, Y i low and/or purchaser ds a ,ui3gy N -71 t C[NL' ;fE;ty x� laJ ro ert as Indicated be ,i.� ;y ,rr engaged In fhe£ busmess agricultur w of and "a tees withthex General] P J R m,i B 1 ';IJq b. y g �i food or fiber, horticuiture� 0ac l lture�of florzculture'fo�r xelnption Statement at right and rrtachinery,'equlprrient or resale and /or uses the'farma' i�h ppli�cable sfatement of ,the 011101 agricultural production items purchased free of .sit 1,,t;41 2 r. es� ectr� a «state�a rented on ~the' g b 3 P p tax, as defined state law, and as 'indicated, below.? 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P fYRiB y {Yl�a'h,r m>Trii#"ikL�w .I+ 7 tfi l ,�y ik i 1 r' t� k i?4y1 I' _._6. *,5r_„,l�.,m,l "ylh a.: V:.., �.3, i. t4' MA Y jtV 5 ]P✓S� 1 TYV 'V'� hYk ��'�YrIN dln�Pcs�hl "!"D' udh S, tt�w. rF�laom ,rr:enr�^ ma. �IS:V '1J �,ry ,�xDJ18 i IIAA';pN Ii 7 a1''4}x, k�nPr.) �i r }P,d�`W t f 11✓a 11o.lyJ,K J�kf S'J.t�a5999b T r r �,i ri n 'IV nl'!4s �71,� r�un -'t�r ky i ?.:tktr'',�v�`t�.rvw,N� "d',J'. rd t i #ti afi tijtr t i l a K V 7w f 9 �a k ,t?''ren�hur 50 Iy h+ M 1 ,f� 1 a ti�5 "Y¢ J ia 111 'r P� ^t "C. Mu �a }niye,t b lI,v U �J k"' i rh'+. 3� pM n la f yl r'✓y. "rat a Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER r 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 11/30/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11 /30 /2005 4310009730' $23.96 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 Officer VOUCHER 093696 WARRANT ALLOWED 306840 IN SUM OF TRACTOR SUPPLY CO P.O. Box 689020 Cn i es Moines, IA 60368 -9020 0� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR a P C1b g Board members PO INV ACCT AMOUNT Audit Trail Code 43100097301 01- 6200 -04 $23.96 Voucher Total $23.96 Cost distribution ledger classification if claim paid under vehicle highway fund