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Home My WebLink About177873 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $131.39 CARMEL, INDIANA 46032 PO BOX 689020 DES MOINES IA 50368 -9020 CHECK NUMBER: 177873 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D 2201 4237000 STREET 131.39 6035301200050860 page 1 of 3 Tx 7 D 130000000 1Q 10FTRA Yi Vi BUSINESS ACCOUNT AGG�JUNT SUMMARY w....... w. 1..� X6035 30 00050860 r Previous Balance 306.98 Closing Date 09/18/09 Payments 374.58 Next Closing Date 10/20/09 CARMEL STREET DEPT Credits 0.00 Payment Due Date 10/13/09 CINDY Purchases 131.39 3400 W 131 ST ST Debits 0.00 Current Due 63.79 WESTFIELD, IN 46074 -8267 FINANCE CHARGES 0.00 Past Due Amount 0.00 Credit Line 5,250 Late Fees 0.00 Minimum Payment Due 63.79 Credit Available 5,186 New Balance 63.79 CURRENT ACTIVITY ransacti y on L ocatio nt Date pescnptian _e�� f SEP 2 GOODS AND SERVICES WESTFIELD IN 48.09 TOTAL 6035301200074803 $48.09 AUG 19 GOODS AND SERVICES WESTFIELD IN 14.58 TOTAL 6035301200074837 $14.58 AUG 28 GOODS AND SERVICES NOBLESVILLE IN 13.74 AUG 28 GOODS AND SERVICES NOBLESVILLE IN 54.98 TOTAL 6035301202895866 $68.72 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 9,11, g PERCENTAGE Finance Charge Rate Period RATE Finance Charge Rate Period RATE REGULAR REVOLVE CREDIT PLAN 0.00 .00000 so 0.00 0.00 .00000 29 0.00 -This-Account ttssued by Citibank Dakota -N.A: 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: a 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. o Send payment by courier or express mall 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. o. Full Balance S902TV 10/06 "'CT 3 y' III S{ page 2 of 3 TX 7 D 1 BUSINESS ACCOUNT CURRENT ACTIVITY Transaction' Location/ y w k Descn tfons Amaunt :r _.0�33�',,., �s PAYMENTS, CREDITS, FEES, and ADJUSTMENTS AUG 20 PAYMENT REF P9194007809NEDALX 89.61 SEP 11 PAYMENT REF P9194007Y09PLK7HN 284.97 This account is subject to the Alternate Balance Subject to Finance Charge Calculation Method. See back for details. Remit To: Bill To: page 3 of 3 1038 TRACTOR SUPPLY CREDIT PLAN ACCOUNT: 6035301200050860 DEPT.30 1200050860 JEFF STEWART ®SUMYC� PO BOX 689020 211 2ND ST SW BUSINESS ACCOUNT DES MOINES IA 50368 -9020 Payment Due Date: 10/13/09 Please make checks payable to TRACTOR SUPPLY CREDIT PLAN SHIP TO: INVOICE: SHIP TO: INVOICE: 431000960671010 431000957371010 Purchase Order: Purchase Order: SHOP PRESSURWASHER AMOUNT DUE: 48.09 AMOUNT DUE: 14.58 Store: 574000431 INVOICE DATE: 09/02 /09 Store: 574000431 INVOICE DATE: 08/19 /09 CHAIN 5/16 GR70 TRANSPO 3586411 8.00 3.79 30.32 SPRAY TIP 25DEG GN QD 3 3823790 1.00 7.29 7.29 21/2 COARSE DRYWALL SCR 4050382 1.00 4.79 4.79 SPRAY TIP 2SDEG GN QD 3 3823790 1.00 7.29 7.29 NAIL 160 COMMON SLB BOX 4049569 1.00 6.99 6.99 PUNCH 3/16 ALIGNMENT 4002397 1.00 5.99 5.99 SUBTOTAL 14.58 TAX 0.00 SUBTOTAL 48.09 SHIPPING 0.00 TAX 0.00 SHIPPING 0.00 TOTAL 14.58 TOTAL 48.09 SHIP TO: INVOICE: SHIP TO: INVOICE: 624001183791010 624001183610010 Purchase Order: Purchase Order: SHOP SHOP AMOUNT DUE: 54.98 AMOUNT DUE: 13.74 Store: 574000624 INVOICE DATE: 08/28 /09 Store: 574000624 INVOICE DATE: 08/28 /09 F8R TRIBALL BALL MNT 21 1890686 1.00 49.99 49.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.29 2.29 F8R PIN8CLIP 5 /8IN BKPV 1891137 1.00 4.99 4.99 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.29 2.29 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.29 2.29 SUBTOTAL 54.98 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.29 2.29 _TAX_. 0. 00 LOCKPIN SW 1/4 X 2 1/2 1853SS3_ 1.00 2. 29 _2 SHIPPING 0.00 LOCKPIN SW 1/4 X 2 1/2 1833553 1.00 2.29 2.29 TOTAL 54.98 SUBTOTAL 13.74 TAX 0.00 SHIPPING 0.00 TOTAL 13.74 Please Direct Inquiries to: Phone: 800 559 -8232 Fax: 801 779 -7425 REMIT TSC BUSINESS ACCOUNT NO TBACTOR® PAYMENTS ONLY TO: TRACTOR SUPPLY COMPANY CWT 0gJ FnyC® P.O. Box 689020 Tractor Supply Company Des Moines, IA 50368 18160 U.S, 31 North Westfield.IN 46074 TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number (317) 867 3505 6035 301 NAME CARMEL STREET DEF 3400 W 131ST ST WESTFIELD IN 460748267 ADDRESS (317) 733 -2001 CITY STATE ZIP PHONE 431 786000104 2 957371 08/19/2009 02:28Pm CUSTOMER TO COMPLETE 3823790 SPRAY TIP 25DEG GN 0 1,00 7.29 7.29 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Government Asencies 3823790 SPRAY TIP 25DEG GN 0 The undersigned certifies The undersigned party certifies their exemption from 1.00 7.29 7.29 NT compliance with the agricultural payment of sales and use tax on tangible personal Government Asencies 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 Subtotal 14.58 and agrees with the General food or fiber, horticulture, aquaculture of floriculture for 7,00% Tax 0.00 Exemption Statement at right and resale and /or uses the farm machinery, equipment or Total 14.58 the applicable statement of the other agricultural production items purchased free of TSC Card 14,58 respective state printed on the tax, as defined by state law, and as indicated below. Acct 2!333; ;4837 reverse side of this form. Autht:019347 Refs:1913281699 PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they PO :Pressor washer STATE: understand they may be liable for payment of all taxes Chanse 0,00 (REQUIRED) due on the purchase price for the goods as allowed by Cass1 Back (Exceptions: Georgia, New York Kentucky state law Should such goods be used Or Consumed In COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Buyer acknowledses the receipt of a cor„Ple PURCHASER IS ENGAGED IN: (REQUIRED) twd Resale Under penalty of perjury, signee swears the copy of this sales slip and the Purchase a Government information on this statement is true and correct iri Exempt organization every material manner. A willfully false representation the described merchandise shalt be in Agricultural Production of exemption will cause the purchaser to be subject to accordance with the Cardholder Asreeetent. Dairy Production penalty and /or other provisions as allowed under state Livestock Production Floriculture /Aquaculture Production law. 5isnature: Fl Other: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity Livestock Injestibles or Injectibles I] Exempt Organization (Entity Fertilizer /Agrichemicals NC: only DOT and US Government are exempt Consumed in Production (KS) Resale (Sales Tax Permit Call 800- 968 -0734 within 7 days to complete a survey and be entered in a Ingredient or Component Parts (KS) monthly drawins for a chance to win a Other: $2500 shuppins spree. (Awarded as Gift Card) NO PURCHASE CUSTOMER SIGNATURE: (REQUIRED) MGR. APPROVAL 2 �l X SHA USE AREA ONLY WI-ItN IS INOPERATIVE. CASH CHECK VISA M/C DISCOVER TSC CHARGE ACCOUNT NO. CHG. EXCH. DATE ITEM NUMBER DESCRIPTIO Form No. 99 -00401 (12/08) CUSTOMER ORIGINAL REKNIT TSC BUSINESS ACCOUNT PAYMENTS ONLY iliilV j 11 TRACTOR SUPP Y O COMPANY 7SUPPLYCOM P.O. Box 689020 Tractor 3uI=rir Company Des Moines, IA 50368 2375 East Pleasant St. TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Noblesvi i le IN 46060 6035 301 317) 776 -1 btt3 NAME CARMEL STREET DENT 3400 W 131ST ST ADDRESS WESTFIELD IN 460748267 (317) 733 -2001 CITY STATE ZIP PHONE 624 624000104 Z 1183610 08/28/2009 10:09am CUSTOMER TO COMPLETE 1833553 LOCKPIN SW 1/4 x 2 1 CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: 1100 Government A Agensen z•7.9 NT cies The undersigned certifies The undersigned party certifies their exemption from 1833553 LOCKPIN SW 1/4 X 2 1 compliance with the agricultural payment of sales and use tax on tangible personal 1.00 2.29 2.29 NT sales tax exemption law of the state Property as indicated below and/or purchaser is Government Agencies indicated below and understands engaged in the business of agricultural production of 1833553 LOCKPIN SW 114 k 2 T and agrees with the Genera! food or fiber, horticulture, aquaculture of floriculture for 1 •00 Z. 29 2.29 NT Exemption Statement at right and resale and /or uses the farm machinery, equipment or Government Agencies the applicable statement of the other agricultural production items purchased free of- 4 933553 LOCKPI14 SW 1/4 X 2 1 respective state printed on the tax, as defined by state law, and as indicated below. 1.00 2.29 2.29 NT reverse side of this form. Government ASencie5 PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they 1833553 LOCKPIN SW 114 X Z 1 STATE: understand they may be liable for payment of all taxes 1.00 2,29 2.29 N due on the purchase price for the goods as allowed by GQvernmen t 145ellc ies (Exceptions: Georgia, New York 8 Kentucky state law should such goods be Used or consumed In 1833553 LOCKPIN 5W 1/4 X 2 1 COMPLETE REVERSE SIDE) r a taxable manner as defined by state laws. 1100 2.2) 2.79 N'l' PURCHASER IS ENGAGED IN: (REQUIRED) Government A5encie5 Resale Under penalty of perjury, signee swears the Government information on this statement is true and correct in Subtotal 13.74 Exempt organization every material manner. A willfully false representation 7.00% 'fax 0.00 Agricultural Production of exemption will cause the purchaser to be subject Total 13.74 Dairy Production penalty and /or other provisions.as allowed under state TSC Card 13.74 Livestock Production law. Acct t t 4 s t J s t t t t: s 5r; 6 Floriculture /AquacultureProduction Auth* :028301 he ot:2809093703 Other: PO shup ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Chanse 0100 Farm Machinery /Repair Parts Government Agency (Entity 1 Cash Back Livestock Injesfibles or Injectibles Exempt Organization (Entity Buyer acknowled5es the receipt of a camp le Fertilizer /Agrichemicals INC: only DOT and US Government are exempt t,.0 Consumed in Production (KS) Resale (Sales Tax Permit copy or this sale/ sltr and the Purchase o 1 Ingredient or Component Parts (KS) rye diescr.ibed In r`iTd?di_e shall bP in Other: accardance with the C rdh )lder Agreement. U TOMER I NATURE: QUIRED) MGR. APPROVAL ttsp a t i o USE SHADED. AREA ONLY ASH CHECK VISA M/C DISCOVER TSC CHARGE ACCOUNT NO: CHU, EXCH. DATE QUANTITY ITEM NUMBER NON DESCRIPTION TAX Form No. 99 -00401 (12/08) CUSTOMER ORIGINAL REMITTS BUSINESS ACCOUNT PAYMENTS ONLY TO: TRACTOR SUPPLY COMPANY Su"LYCOM P.O. Box 689020 Tractor SUPp1Y COMPaDY Des Moines, IA 50368 2375 East Plewiant S t, TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number Ncoble5vil le. IN 46060 6035 301 .317) 776 1683 NAME CARMEL STREET DEFT 3400 W 131ST Sl' ADDRESS WlSTFIELD IN 460748267 13171 733 -2001 CITY STATE ZIP PHONE 624 624000103 1 11 63791 08/26/2009 02:57prn CUSTOMER TO COMPLETE 1690666 F&R IRIBALL BALL iFNT 1,00 8 49,99 49.:9 N'r CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: GDvernolent Asencies The undersigned certifies The undersigned party certifies their exemption from 1831137 F&R PIN&CLIP 5 8IN i:1 compliance with the agricultural 1 .00 R 4.99 4.99 NT sales tax exemption law of the state payment of sales and use tax on tangible personal Government Asencie:; indicated below and understands property as indicated below and/or purchaser is General engaged in the business of agricultural production of and agrees with the Subtotal S4,I8 Suhta Exemption Statement a right and food or fiber, horticulture, aquaculture of floriculture for 00*' bto Tax 0.00 resale and /or uses the farm machinery, equipment or the applicable statement of the Total 54.98 respective state printed on the other agricultural production items purchased free of TSC Card 54.98 reverse side of this form. tax, as defined by state law, and as indicated below. Ac-ctt.:Att#YtttYYt #5666 The undersigned art further certifies the Auth *:028982 Ref #:2813570636 PRODUCT IS TO BE USED IN THE FOLLOWING 9 p arty y PO a sh op STATE: understand they may be liable for payment of all taxes Chance 0.00 (REQUIRED) due on the purchase price for the goods as allowed by Cash Bac (Exceptions: Georgia, New York 8 Kentucky- state law should such goods be used or consumed In COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Buyer acknawled5e5 the receipt of a coriwle PURCHASER IS ENGAGED IN: (REQUIRED) Resale Under penalty of perjury, signee swears the copy of this sale;, slip and the purcyase r; F Government information on this statement is true and correct i Exempt organization,. every material manner. A willfully false representation E] Agricultural described merchandise sha ll Agricultural Production of exemption will cause the purchaser to be subject to in Dairy Production penalty and /or other provisions as allowed under state accordance with the ndise s steal l Ft in nt. Livestock Production law. Floriculture /Aquaculture Production Other: Signature: ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) Farm Machinery/Repair Parts Government Agency (Entity Livestock Iniestibles or Injectibles Exempt Organization (Entity 1 Fertlizer /Agrichemicals NC: only DOT and US Government are exempt tt3t333tt #tEtt #Lt##,tYtittt.tt Consumed in Production (KS) Resale (Sales Tax Permit 1 Call 800 968 0734 within 7 days to Complete a survey and be entered in a F] Ingredient or Component Parts (KS) monthly drawing for a chance to wi.n a Other: $7500 5huprio!3 spree. (Awarded as Gift Card) NO PURCHASE CUST9MEf1 SIGNATURE: EQUIRED) MGR. APPROVAL n �I X USE SHADED AREA ONLY CASH CHECK VISA M/C DISCOVER TSC CHARGE ACCOUNT N0. CHG. EXCH. DATE U. hE UUANIIIY ITEM NUMBER DESCRIPTIO Form No. 99 -00401 (12108) CUSTOMER ORIGINAL REMIT TSC BUSINESS ACCOUNT PAYMENTS ONLY TO: TRACTOR SUPPLY COMPANY low1 yco P.O.. Box 689020 Trac'ri3r allpf l.r Gantpany Des Moines, IA 50368 1 8160 U.S. 31 Nor Wesfffeldl IN 46074 TSC TEAM MEMBER TO COMPLETE Please include 16 Digit Account Number 1317) 867 3Si1S 6035 301 CARMEL STREET DEPT NAME 3400 W 1315T S'l _iL WESTF'IELD IN 460740167 ADDRESS (31 7) 7 33-•2001 CITY STATE ZIP PHONE 431000172 2 960671 09/OZ/2009 10 25a4it CUSTOMER TO COMPLETE 3566411 CHAIN 5/16 GR70 TRAM 8100 C 3.79 30,32 NT CERTIFICATE OF EXEMPTION: GENERAL EXEMPTION STATEMENT: Government Asencies ned certifies 4050382 21 /2 COARSE DRYWALL The undersigned The undersigned party certifies their exemption from 1 00 4.79 4 79 NT compliance with the agricultural payment of sales and use tax on tangible personal Government Aoencies sales tax exemption law of the state property as indicated below and /or purchaser is 4049569 NAIL 16D COMMON 5LB indicated below and understands engaged in the business of agricultural production of 1.00 Ca 6,99 6,99 NT and agrees with the General food or fiber, horticulture, aquaculture of floriculture for Government Asencie s Exemption Statement at right and resale and /or uses the farm machinery, equipment or 400235`7 PUNCH 3/16 ALIGNMENT the applicable statement of the other agricultural production items purchased free of 1.00 P 5.99 5.99 NT respective state printed on the tax, as defined by state law, and as indicated below. Governmell t Asencie5 reverse side of this form. PRODUCT IS TO BE USED IN THE FOLLOWING The undersigned party further certifies they Subtotal. 48.09 STATE: understand they may be liable for payment of all taxes 7. 00% T ,x 0,00 (REQUIRED) due on the purchase price for the goods as allowed by Total 48.09 (Exceptions: Geor Newyork Kentucky state law should such goods be used or consumed in TSC Card 40,09 COMPLETE REVERSE SIDE) a taxable manner as defined by state laws. Acc t' #f a i t it t t4803 PURCHASER IS ENGAGED IN: (REQUIRED) Au tho 002413 Ref to 02092 ;250 t Resale Under penalty of perjury, signee swears the ro t.: Shop Government information .on this statement is true and correct in Chanse 0,001 Exempt organization every material manner. A willfully false representation CBtsh $ack O Adricu)tural Production of exemption will cause the purchaser to be subject to 0 Dairy Production penalty and /or other provisions as allowed under state Buyer acknowledse,s the receipt of a comple Livestock Production law. t e J E]. Floriculture /Aquaculture Production copy of this sales ship and the Purchase o .,Other: f ITEMS PURCHASED WILL BE USED FOR: (REQUIRED) t17e described merchandise shall be ir1 Farm Machinery/Repair Parts E] Government Agency (Entity 1 accordance with the Cardholder Agreement, Livestock Injestibles or Injectibles Exempt Organization (Entity 1 Fertiliser /Agrichemicals NC: only DOT and US Government are exempt Si.snottn e Consumed in Production (KS} 0 Resale (Safes Tax Permit il i Q Ingredient or Component Parts (KS) Other; C uSTO S (REQUIRED) MGR. APPROVAL X USE SHADED AREA ONLY WHEN REGISTER IS INOPERATIVE. 7 A H CHECK VISA MX; DISCOVER TSC CHARGE ACCOUNT N0. CHG: EXCR. DATE DESCRIPTIO ITIEWINUMBEIR 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 note attached invoice(s) or bill(s)) 09/15/09 $131.39 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 20 Clerk- Treasurer VOUCHER NO.' W NO. ALLOWED 20 Tractor Supply IN SUM OF P. O. Box 9020 Des Moines, IA 50368 -9020 $131.39 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 42- 370.00 $131.39 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 Thursdely, Sep er 24, 2009 Street Commissro er tpe"e• 4•'lJi�llf fi.'3J1 I er Title Cost distribution ledger classification if claim paid motor vehicle highway fund