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Home My WebLink About212031 08/15/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $239.94 CARMEL, INDIANA 46032 PO BOX 689020 DEPT 30-1202854988 CHECK NUMBER: 212031 DES MOINES IA 50368-9020 CHECK DATE: 8/15/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4237000 PARKS 239 . 94 XXXXXXXXXX4988 ' !!S31-lLYC® pply.com NORTH WESTFIELD, IN 46074 317-867-3505 Tick : 823 Date: /30/12 Time: 11 :57 AM Store: 431 Register-: 1 Cashier,- 00204218 Business Customer: CARMEL CLAY PARKS REC 1427 E 116TH-ST CARMEL, IN 46032-3455 317-571-2695 Ifemx,� Qty Price Amount STALL MAT 4X6 RUBBER 2219003 6 39:99 239.94 E Subtotal 239.94 Tax 0.00 ;Total —23994 TSC Business Account 239.94 XXXXXXXXXXXXI988 Auth #:030042 PO #: m000734 Change 0.00 I agree 16 flay the above amourrl acaird i ng to my card issuer agreement. �rtxrE>Ek k>tu*�r!#x�*rtrt��t��rtrE*�rtsE**�*it*ttxxixzxn��x Tax Exempt Information Name: CARMEL CLAY PARKS REC , Address: 1427 E 116TH ST City/St: CARMEL, IN Zip Code': 46032-3455 Phone: 317--571 -2695 Tax Exempt Reason: Government Agencies Expiration Date: Tax Exempt Holder: Under Penalty of perjury, siynee declares the items he/site has Purchased the applicable Products exempt from sales and use tax, has been done so with the understanding that under state law he/she is attesting to having a valid exemption for "the"Purchased items. Additionat-ly, the - customer attests that all information he/she has provided is accurate. Any willfully false representation of exemption or customer information is subject to penalty under stale law. This transaction consists of one or more items exempt from state sales or use tax. BeJL,r_ .uririrtijg chit: transact ion you attested that the informal ion Provided, :uding name: address, and sales iax exemption number ( if necessary), is accurate. In addition 'you have declared that you legally have a right ,to purchase the above items exempt from sales and use tax fur the reason indicated t�s defined by this State's lawn, and regulations. �rt�t�trt'>Ert*x'x��:tit##�#*�iritirrt�tiE*�t�#rt•�#>f*it#**�**�� Call 1-877-789-1443 within 7 days to complete a survey and be entered in a monthly drawing for a chance to win a $2500 shopping spree. (Award, Gift Cards) Ends 12/31/2012 ;a *�M*##'xiP ;if###rf rF iF lfrf of�f if#rE#af�f 3E�f1FiE'k of 3E aE#af#rf For-complete details or to participate without Purchase or survey, so to. Tractor•Suppla.com/customersurveg Enter Store #: 0431 Enter Reference #: 0126823 SOLD ITEM COUNT _ 6 ��IIII I I ! I III � i III III TILK313IMMIAL-944 Please. call 877-872-7721 for- Customer- Service. Sign LIP now for ads, news, and more at TractorSupply.com Customer Copa Trac$®rSupplyac®m o p 0 D ®I TractorSupplyocom D p (1 D TractorSupplyoc®m TrractorSupply.c®m ` ractorSupplyoc®m D p O D Tract orSupplyoc®m o p (} D TractorSupplyoc®m TractorSupplyacom TractorSu:plyocom ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Dept. 30 - 1202854988 Purchase Order No. 306840 Tractor Supply Credit Plan Terms P.O. Box 689020 Date Due Des Moines, IA 50368-9020 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO # Amount 7/30/12 100011861 Playground cusions $ 239.94 Total $ 239.94 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 Voucher No. Warrant No. Dept. 30 - 1202854988 306840 Tractor Supply Credit Plan Allowed 20 P.O. Box 689020 Des Moines, IA 50368-9020 In Sum of$ $ 239.94 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members Dept# 1125 100011861 4237000 $ 239.94 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 9-Aug 2012 Signature $ 239.94 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund