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Home My WebLink About178426 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $70.96 CARIIAEL, INDIANA 46032 Po sox 6e9020 •ui� h �o` DES MOINES IA 50368 -9020 CHECK NUMBER: 178426 CHECK DATE: 10/14/2009 6EPARTMENT ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION 2201 4232100 70.96 6035301202510622 10/06/2009 15:31 3175712265 CARMEL UTILITIES PAGE 01/03 page 1 of 3 Tx 7 0 170000000 1) 5() ��S 6USIMESS A q 3 ti Previous Balance 9 Closing Date 09/18/09 Payments 99. 39 N" Closing Date 10/20/09 CARMEL UTILITIES Credits 59 99 Payment Due Date 10/13/09 TREASURER 0li Purchases 130 .95 700 3RD "S sw Debits q 0.00 Current Duo 70.96 CARMEL, IN 48032.2072 FINANCE CHARGES 4 0.00 Past Due Amauttt 0.00 Credit Line Soo Late Fees 11.00 Minimum Psymem Duo 70.96 Credit Available 429 Now Balance 70 .96 CURRENT ACTIVITY INS AUG 19 GO ODS AND SERVICES WESTFIEL IN 59.99 AUG 21 GOODS AND SERVICES WESTFIELD IN CREDIT 59.99 TOTAL 6035SSU1202515464 $0.00 AUG 26 GOODS AND SERVICES WESTFIELD IN 70.96 TOTAL 60353012OZ5154VS $70.96 PAYMENTS, CREDITS, FEES, and ADJUSTMENTS AUG 20 PAYMENT REF P9194007609NEOA13 99.99 FINANCE CHARGE SUMM IMY Currant Billing Period Previous Billing Period safance "ailf Daya In ANNUAL gal -Ama Daly 0 �.t'n ANNUM. 8uk{ectty P4flaxtc Billing PERCENTAGE "act to Pr.rladlc Blldnp PENCLNTA(#t F11 ciirargo Rata Pe+iod RATE Phenco 0harye Rate Porlad RATE RR(WLAR REVOLVE CREDIT PLAN 0.00 .00000 Ila e.aa 0.01 _00000 29 0.00 e- Y 44.an nh 1% rurn4�,1 N.A CUSTOMER SEFSVICE I =900- 559 -B232 FAX NLIM13ER 1 -801 .7,7.9.7A 1010612009 15:31 3175712265 CARMEL UTILITIES PAGE 03103 vspe w TRACTOR s u SUPPLY CREDIT PLAN ACCOUNT: 6035301202510622 DEPT.30 1202510622 CALVIN COOPER PO BOX 689020 ONE CIVIC SQUARE BUSINESS Ac DES MOINES IA 60369 -9020 E Payment Due Date: 10/13!09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP To: INVOICE SHIP rD INVOICE- 431000957286010 431000997788010 AMOUNT DUE: 59.a9 AMOUNT DUE: 59.139- Stars! 674000481 INVOICE DATE: 08/99109 stew: 576000431 INVO DATE: OV21 109 I HYDRANT WT BURY 51161d9 7.00 59.99 59.99 HYDRANT OFT BURY 9113169 L.DD 59199 59.99 SUBTOTAL 59.79 TAN O. DD sugiDTAL 59.97 TAX 9.DD SHIPPING 0.00 SHIPPINO 4.00 TOTAL 59.99 TOTAL 59.99 sH TA_ INVOICE: 4310DO$50919010 Purchase Order: SHOP AMOUNT DUE' 70.96 Store-- 374DO0433 INVOICE DATE: OB /2S !09 BIU itIU TAPE MEASURE B'3 4035601 1.00 6199 6 BLO RID TAPE MEASURE 39 4 1.00 6.99 6.99 BiD RIG TAPE KASURE 33 0SE6al 1.00 6.99 6.99 BOOSTER 20Fr 4GAU CABLE 0976303 1.60 49.99 49-99 SUBTOTAL 70.96 TAK 0.00 3HIPPIND 0.00 TOTAL 70.16 Please Direct Inquiries to: Phone: 800 -559 -9232 rax: 501- 779 -7425 7 V REMIT TSC BUSINESS ACCOUNT PAYMENTS ONLY TO: 7 TAT TUB TRACTOR SUPPLY COMPANY QW1 FnyC0 P.O. Box 689020 Tractor supply Conlp au Des Moines, 1A 50368 18160 U,S. 31 Narth we5tfield,IN 460?4 T TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number (317)1867-3505 6035 301 NAME U CARMEL UTILITIES I CIVIC Sw ADDRESS CARMEL IN 460322584 (317) 57 CITY STATE ZIP PHONE 431 ('86000104 2 958919 08/26/2009 10:56am CUSTOMER TO COMPLETE 4053601 BIG RIG TAPE MEASURE 1.00 &99 6.99 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Government Agencies 405 3681 BIG RIG TAPE MEASURE The undersigned certifies The undersigned party certifies their exemption from 1.00 63Y compliance with the agricultural ayment of sales and use tax on tangible personal 6. 99 N'r P sales tax exemption law of the state GOVePtiment Asencir,�5 Property as indicated below and/or purchaser is 405360I BIG RIG TAPE MEASURE indicated below and understands engaged in the business of agricultural production of 1.00 6.99 and agrees with the General food or fiber, horticulture, aquaculture of floriculture for 130 6.99 NT Exemption Statement at right and vernment Agencies the applicable statement of the resale and/or uses the farm machinery, equipment or 0476308 BCOSTER ZOFT 4GAU CA respective state printed on the other agricultural production items purchased free of 1.00 l? 49.99 44,99 NT reverse side of this form. tax, as defined by state law, and as indicated below. Government Asc PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they Subtotal, 70 96 STATE: understand they may be liable for payment of all taxes 7.00% Tax (REQUIRED) due on the purchase price for the goods as allowed by T.o t a. I (Exceptions: Georgia, New York Kentucky state law should such goods be used Or consumed in TS(„ Card 70.96 COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Ah:rt#:tttttjts*stt5498 70.96 PURCHASER IS ENGAGED IN: (REQUIRED) AL'th61026862 'Ref t:2609560600 F Resale Under penalty of perjury, signee swears the 1`6 0; slice E] Government information on this statement is true and correct in Ch I BC, 0100 Exempt organization every material manner. A willfully false representation Cash Back Agricultural Production of exemption will cause the purchaser to be subject to Dairy Production penalty and/or other. provisions as allowed under state Livestock Production Buyer acknowledges the receipt c-f a collIple F1 Floriculture/Aquaculture Production law. t?d Other: Copy 04 this sales slip and the purchase 0 ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) the described merchandise Shall be in Farm Machinery/Repair Parts Government Agency (Entity accordance wifh the Cardholder A3reement. Livestock Injestibles or Injectibles p Exempt Organization (Entity Fertilizer/Agrichomicais NC: only DOT and US Government are exempt SiSn(' tL Consumed in Production (KS) Resale (Sales Tax Permit.# Ingredient or Component Parts (KS) F Other: _CUM R OSIG TURE:(REQUIRIED) MGR. APPROVAL X USE SHADED AREA ONLY WHEN REGIStER IS INOPERATIVE. A CHECK VISA M/0 'DISCOVER' TSC,qHARGE ACCOUNTNO. b, CHG. EX01-1, DATE, J .1 Li 13, ITEM NUMBER NON DESCRIPTION UNIT PRICE TAX Form No. 99-00401 (12/08) CUSTOMER ORIGINAL 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or not attached inv oice(s) o r bill( 08/26/09 43100095891901C $70.96 1 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 20 Clerk- Treasurer VOU NO. WARRANT NO. ALLOWED 20 Tractor Supply IN SUM OF P. O. Box 9020 Des Moines, IA 50368 -9020 $70.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department [312 0z5 C1 PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board MemberE 2201 13100095891901C 42- 321.00 $70.96 1 hereby certify that the attached invoice(s), or 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 fidj 09, 2009 Street Com i ioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund