HomeMy WebLinkAbout212790 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
`. CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $1,074.61
DEPT 30-1202854988 CHECK NUMBER: 212790
DES MOINES IA 50368-9020
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 STREET 1, 074 . 61 6035-3012-0005-0860
Account Statement
Commercial Account:
IFTBACM
Account Inquiries:
CARMEL STREET DEPT
1-800-559-8232 Fax 1-801-779-7425
',,"Atxourit Number:.6035 3012.0005?;086Q:.
SV i i iai ;:.
Summary of Account Activity Payment Information
Previous Balance $236.59
. ._..._. ..............__........ _... _ ......... , . . . Current Due $1,074.61
Payments...._.... . -$0.00
Pas Due Amount + $236.59
P edhases 00 t ...... _...
61 Mini mum Payment Due $1,311.20"
Debits +$0,00 Payment Due Date 09/15112
Late Fees +$0.00
New Balance $1,311.20 Credit Line $1,700 Cr edit Available $384
Closing Date 08/21/12
Send Notice of Billing Errors and Customer Service Inquiries to: Ne xt Closin g ._
TRACTOR SUPPLY CREDIT PLAN 0/12
Date 09/2
PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 32
o
Everything you need to know about your account is here:
a
hait9e on youir account number, payments,fees,contact information and more.
new balling Please see enclosed sample for additional information on how to
statement? read your statement.
v
e
Did you overlook your payment to us?If so,please send the amount due today.If payment is in the mail thank you! I
TRANSACTIONS
® Trans Date Location/Description Reference# Amount
CHILD ACCOUNT 6035 3012 0007 4803
...._..._...
Q 07120 GOODS AND SERVICES WESTFIELD IN "" ""
_ 3� o � 1i.ee j
IN _ h C.... _......._. .............24.99 f
08/13 GOODS AND SERVICES LEBANON.IN " $ 119.95
._"_... .. ..... ............._.......__ ...., .. .__....... .,......,_. .,....._..........,.....4298
08117 GOODS AND SERVICES NOBLESVILLE IN "'
$ 29.99
-_z• NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 14 Tfiis'A66iuriii is Issued by Citibank,N.A.
i
Notify Us in Case of Errors or Questions About Your Bill. If you send an eligible check, you authorize us to complete your payment
If you think your billing statement is wrong,or if you need more information by electronic debit. if we do,the checking account will be debited in the
about a transaction on your billing statement,write to us(on a separate amount on the check.We may do this as soon as the day we receive the
sheet)as soon as possible at the billing error address on the front of your check.Also,the check will be destroyed.
statement.We must hear from you in writing no later than 60 days after we Copy Fee.On any matter unrelated to a billing error or disputed purchase,
sent you the first statement on which the error or problem appeared.In your we charge a$5.00 fee for each duplicate statement for a billing period that
letter,give us the following information: is more than 3 months prior to your request.We add this fee to your regular,
Your name and account number r. revolve credit plan balance.
The dollar amount of the suspected error. Payment Options Other Than Regular Mail.
Describe the error and explain,if you can,why you believe there is an Pay by Phone Service.You may make your payment by phone by using
error. If you need more information,describe the item you are unsure the Pay by Phone Service.You will be charged $14.95 to use this payment
about. service.Call by 5 p.m. Eastern time to have your payment credited as of
Important Payment Instructions. that day.If you call after that time,your payment will be credited as of the
next day.We may process your payment electronically after we verify your
Crediting Payments.Payment must be received in proper form at our identity.
processing facility by 5 p.m.local time there to be credited as of that day.A Express Payments. Send payment by courier or express mail to the
payment received at the processing facility in proper form after that time will Express Payments address:Customer Service Center, Dept CCS.911,4740
be credited as of the next day.Please allow 5-7 days for payments by regular 121st St, Urbandale, IA 50323. Payment must be received in proper form,
mail to reach us.There may be a delay of up to 5 days In crediting a payment at the proper address, by.5 p.m.local time in order to be credited as of
sent by mail if it is not in proper form or is addressed to a location other that day.All payments received in proper form, at the proper address,
than the address listed on the return envelope or on the front of the after that time will be credited as of the next day.
payment coupon,or,for courier or express mail payments, to the Express
Payments Address set forth below. Report a Lost or Stolen Card Immediately.You may call Customer Service
Proper Form.For a payment sent by mail or courier to be in proper form, 24 hours a day,7 days a week.
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.
I
T02367-9194-1574-0002--0-D-09M1jU2-93000-P-0--1-802-0--12/31199-TS01-July 20,2012-0- N— F-0 Tractor Supply full Pay 07112
Account: **'* **"' '*** 0860
TRANSACTIONS (cont.)
Trans Date Location/Description Reference# Amount
CHILD TOTAL S 229.79
CHILD ACCOUNT 6035 3012 0289 5874
08/02 GOODS AND SERVICES WESTFIELD IN 10.98 f
0869 GOODS AND SERVICES NOBLESVILLE IN $ 145.90 f
08!16 GOODS AND SERVICES WESTFIELD IN $ 387.95 /
08117 GOODS AND SERVICES NOBLESVILLE IN
229.99
CHILD TOTAL S 774.82
CHILD ACCOUNT 6035 3012 0289 6013
08/20 GOODS AND SERVICES WESTFIELD IN S 9M./
CHILD TOTAL S 9.98
CHILD ACCOUNT 6035 3012 0289 6120
08102 GOODS AND SERVICES WESTFIELD IN
$ 60.02
CHILD TOTAL ...._
$ 60.02
0
a
0
v
I
a
s_
Z
N Z
O Z
O Z
�Z
O Z
O Z.
Z
N Z
l7 Z
N Z
p Z
Z
Page 3 of 14 1-800-559-8232
Account: 0860
clear.
Statements show you exactly how much you've spent,how much you owe,when you owe it and your available credit,,Plus our new format
provides you with more offers and product information,all highlighted in color.
Conclse..
The information is"bucketed"into sections that make itsimple to find what you're looking for and is written in normal,everyday language,
Simple Wread.
Not only are the words themselves clear and concise,they're in large and simple to read type face.
Account Statement
3����'�•' '��.if';,�;'a. /�: $41tlICl: Ome�mlAaoame
�AccauMp OAoealCWWbv:' 89999,8�999�
14004984M FM I
y
Summary of Account Activity Or &wimi j,w O PAY.+e►n A
,• F A quick, complete view f our IN6 r
aAMD
A
OMM ,?,' PW oIR Mond + �$589.$980.,�989
account-all in one place MMnn Pertrt ne PaC0. s^ }K "TTa k ' •gg
o�'
X99999 tae wl�mrr
Payment Information — ' f `'_;'
..:.`.::_ _ aOM LbW 59,999,899
Shows what you owe, due dates i` — ""` ` 1°ra10b MMDW
and minimum �
payment information ,'s;,,,; .;. :h: g' jc„' caeMOM r9uoom
Poeox999A arrsr ssseseasa,=, %<'' 'S in env i
go-
0"S Account Number and "`r
Contact Information-
This number identifies your
account, n .,;;
and Contact Information n•-� . }.s »fir''
tells you where to get fast answers Y~' ar=`'i ''
11111111311) CIFFICIESUPPUM WASIMMINI DC
$; r m MnAmmonal� V#AHNM=OC
Transactions MWM RM& ”` YOM
,u
101100 FMTALPUFDVM
Spells out your purchase WhM PD 1111190 OM„YrWM VA
activity, including dates,
locations and amounts "
Payments, Credits, Fees
®'°,c ,, °®` =. r
and �aeoa�as-
Adjustments – O ,N„ RETURN
A record of payments you've 1 � _
made, credit adjustments, T
fees and finance charges
nrAn®e .e.Anfsl P.�aoYn.Y.uww a ti wYm Ymm�.,on P..osa¢
affecting your account ``
lypeaPURCHASER
l AlAYOm,' xrawo- IaYY Y..�o.oms' w�.o�.
REMAM REWLYM CREDIT KM MAB% 0,000110% S,BBs.,IS11"
^i PROLWTKWYLL90lANCE I 9 AM M 0.00000% A119A0 MAS_ $9.099"iAB
:t Pp0A10110NM.811W/CEA 29990'% 00000011 3H,809,9BO.A0 OA,BBB.AWAA
,;� M.vw�esl� PA�DrO 90�►Iaab
;4
y
,r
r,
€ . YrM INVOICE
DETAIL
;,''`. is
m" Y 9msM
MA
Tl, 1,,v{s: u�xsr f n±�■oeei?''.wioueEOoe' ti uArolaef
�r::. :;,,M„�' smr« ,w .y.�� ►aAOOivr .... seoR Ae1a rx�ID►1
��O➢P i06YYMY YIYY �,�,� � ui00000��pp0°a 1000DOODDDDD°°I
,;,•'',,:: :...,.. ,,;.,,,,; �,.-..... . .... �'�” >�
Displays products purchased
"`° .... -,; 2°°°°S' in this billing period, quantities,
°`°+'^ > °�'°°` ,o« prices and invoices
pj
10000000,90' G
i000000000ca
{d"°dlAr�« l0°°'°°0°°i7f'°°` .r.";i"<•` ylYOlEd;sotsrsd
� m°G,s+ ,; g�,aAaAauAA aoK a9w.
Alt 9ABY
AaiO:■0P®YOM ys{SM7R1H .L.slt;��(��F ,,,A.•IAL�C �__:�:,'i,
p%D1YW6 RIM �I1ntif„Y>011w"^^,'_ N;:;.ii2:iia 1MA1
01MMi.kf<<:,• Mtn
EA
Apya,�pt6;;, ap 4�70FA ,
�1y,Y.Plli AOiD01�;�;jy":' '.1✓I��p�M9.o99.0A ..
I¢IBY.PIA071 ..,„ s✓+ ,...: ��5 '^'t' .al:s3? F i
64.90
k y1 CRC JUL12
IPage 4 of 14 1-800-559-8232
Remit payment and make checks payable to: I
TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
PO BOX 689020
5 � 00
DES MOINNES2A50368--9020
BILL TO: SHIP TO:
Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: DUE DATE: Invoice#:
211 2ND ST SW
CARMEL,IN 46032-2014 $89.99 07/09/12 09/15/12 200177055
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BATTERY 22NF-6 17724496194 1.0000 EA $89.99 $89.99
BATTERY CORE EXCHANGE 500 749394057121 1.0000 EA $10.00 $10.00
BATTERY CORE EXCHANGE 500 749394057121 1.0000 EA $10.00- $10.00-
SUBTOTAL $89.99
TAX $0.00
SHIPPING $0.00
TOTAL $89.99
BILL TO: SHIP TO: '
C acct: 6035 3012 0007 4803 JEFF STEWART ' Amount Due:` Trans Date: DUE DATE: Invoice#:
211 2ND ST SW
o CARMEL,IN 46032-2014 $7.57 07/10/12 09/15/12 200177254
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
®_ ADAPTER MALE TPT HB 1 1 23537041506 2.0000 EA $1.79 $3.58
ELBOW FEMALE TPT 1 _......23537070506 1.0000 EA -. $3.99 $3.99
s
SUBTOTAL $7.57
TAX $0.00
0
SHIPPING $0.00
TOTAL
BILL TO: SHIP TO:
I
= Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: DUE DATE:
Invoice#:
211 2ND ST SW
CARMEL,IN 46032-2014 $4.28 07/18/12 09/15/12 200178843
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
COLD SHUT ZINC 1/21N 38613240384 1.0000 EA $2.29 $229
COLD SHUT bNC 7l161N 38613240377 1.0000 EA $1.§6"". ... ............._.._$1.99
SUBTOTAL $428
TAX $0.00
SHIPPING $0.00
z TOTAL $4.28
oZ
8?
z BILL TO: SHIP TO:
z Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: - ._"DUE DATE: Invoice#:
a z 211 2ND ST SW
z CARMEL,IN 46032-2014 $11.88 07/20/12 09/15/12 200179342
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
HAIRPIN COTTER.148 5/8 3 87196175880 1.0000 EA $0.99 $0.99
_. . - ..-...._... .. ,$'0". ...
HAIRPIN COTTER.1 8 7/8 1 87196170 1 A000 EA $0.99 $0.99
_ 897 ..... .. . 1".0000 EA..,._........ .. .$0.99. .$0.99
HAIRPIN GOITER".1787/8 1 11.1 87196175897 1.0000 EA $0.99. $0.99
HAIRPIN g 718 1„„„ 87196175897 1.0000 EA $0
. .. 99.... $0.99
HAIRPIN COTTER.178 7%8 1 87196175897 1.0000 EA $0
.... .. ............ . _. _. .. . ...$ 99
_..... .. . 99..... $0.99
......... - ER�,178 7/8 1 87196175897 1.0000 EA
HAIRPIN OTTER.178 7/8 1 $0.99 $0.99
1961. ...9 1.0000 . ... ....
_... .5... A .....,.
HAIRPIN COTTER.148 5/8 3 87196175880 1.0000 EA $0,.9,9,99 $0.99
HAIRPIN COTTER.148 5!8 3 .. 87196175880 1 ..EA....... $0 99 „$0.99
,..._ . .. ............ $0.99
continued t�
Page 5 of 14 1-800-559-8232
Remit payment and make checks payable to: I
TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
S �
O 2�W. DS MOINESA50368-9020
Invoice#:
200179342
continued
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
HAIRPIN COTTER.148 5/8 3 87196175880 1.0000 EA $0.99 $0.99
SUBTOTAL $11.88
TAX $0.00
SHIPPING $0.00
TOTAL $11.88
® BILL TO: SHIP TO:
Acct: 6035 3012 0007 4603 JEFF STEWART Amount Due: Trans Date: DUE DATE: Invoice#:
211 2ND ST SW
CARMEL,IN 46032-2014 $24.99 07/23/12 09/15/12 200179926
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
._ .. ............ ..... .. ...24.99
TSC HITCH PIN TSC KT 85 87196079812
.. ..... . ....
1.0000 EA 24.99 $
SUBTOTAL $24.99
e
TAX $0.00
SHIPPING $0.00
TOTAL $24.99
0
BILL TO: SHIP TO:
Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: DUE DATE: Invoice#:
211 2ND ST SW
CARMEL,IN 46032-2014 $119.95 08/13/12 09/15/12 2001255939 I
® PO: Store: 574000220,LEBANON
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
. .. . .. .. RAY PRIMER G 52752298617 1.:0000 EA -$.29.99....... $29.1199-
PAINTT&1 G
PAINT T&I CATERPILLAR Y 52752296217 1.0000 EA 29.99 $29.99
® PAINTT&I CATERPILLAR Y _ 5275229621,7 . .,.. 1.,0000 EA $29.99. „- $29.99
.,. -..._._... _...�_..-...... .-.__-_ ..... ......................... ..... ....4,9
_..._ . .. _... ......_....,..-...00 . .... 99 $14.99
® HARDENER 52752095049 1.0000 EA $14 99 $14.99
-_ MAJIC CAT_ALYST HARDE
52752095049 1.0000 EA $14.
MAJIC CATALYST HARDE
SUBTOTAL $119.95
TAX $0.00
SHIPPING $0.00
Z TOTAL $119.95
02
oZ
W Z
oZ BILL TO: SHIP TO:
y Acct: 6035 3012 0007 4603 JEFF STEWART 'Am:o6nt Due: Trans Date: DUE DATE: _ Invoice#:
�
z 211 2ND ST SW
co Z CARMEL,IN 46032-2014 $42.98 08/14/12 09/15/12 200184391
P z PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
TLBX __0. „1.0000 EA $,14.99 $14.99
AY. .. ..... ......... 17�1961�75828....
4
1.0000 EA $27.99 $27.99
MACHINE BUSHING KT 8 .....
SUBTOTAL $42.98
TAX $0.00
SHIPPING $0.00
TOTAL $42.98
Page 7 of 14 1-800-559-8232 '
Remit payment and make checks payable to: I
TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
BOX 689020
5 � IAA DOES MOINES I0503 68 9020
BILL TO: SHIP TO:
Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: DUE DATE: Invoice#:
211 2ND ST SW
CARMEL,IN 46032-2014 $29.99 08/17/12 09/15/12 200207493
PO: Store: 574000624,NOBLESVILLE
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
MH 1/2IN DR SAE IMPCT 11 28907293592 1.0000 EA $29.99 $29.99
SUBTOTAL $29.99
TAX $0.00
SHIPPING $0.00
TOTAL $29.99
a
BILL TO: SHIP TO:
a Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount.Due: Trans Date: DUE DATE: Invoice#:
3400 W 131ST ST
CARMEL,IN 4632-0000 $10.98 08/02/12 09/15/12 200181928
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
5 PK LATEX COATED STRING 662909305176 1.0000 EA $5.00 $5.00
ADAPTOR2IIN 3%8 DRIVE 66366439151 1.0000 EA.,........._- $2.99 ..... $2.9§
ADAPTOR 2 I 3%8 DRIVE - 66366439151 _ .. .. 1.0000 EA $2.99
SUBTOTAL $10.98
TAX $0.00
SHIPPING $0.00
TOTAL $10.98
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: Trans Date: DUE DATE: Invoice#: I
a
CAR EL IN 46032-0000 $145.90 08/09/12 09/15/12 100140827
PO: I Store: 574000624,NOBLESVILLE
a
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
PAINT BRUSH 4PK VALU 6.52270006840 1.0000 EA $7.99 $7.99
......_............. .. __IN_.. ._. _,_. ........._ . ........ ... .. .99
- ._. _ ,. ._. . $17.99
EA $17
OIN ALL PURPO..... .. _ 71736005607 1.0000 . ..
MAJIC CATALY _. .... .. .. EA $14.99 $17.99..
WASH BRUSH 8T HARDENER ........._. 52752095049 . .... ............... ... . ..1.0000 .4.9
0 71736005.. _.................................
0 EA $17.99 $1
9
11AA.11C CATALYST HARDENER 52752095049 1.0000 EA $14.99 $14.99
ROLLER'CVR'91NRGH'3%41N - _...-.-652270001029 1.0000EA_..... .. . "-$_ .s9 '°...°$3.99.
z
ROLLER CVR 91N RGH 3%41N 652270001029 1:OOOO EA $3.99...... .... ... .. 9
8z _. .,......1029 1.0000 EA. ...... .......$3.99......
z
PAINT I/C . _, 2... . ._ _._._. _..__..29 ......._. .. .......$29.99.
m z CATERPILLAR Y 52752296217 1.0000 EA $29.99 $29.99
N H 3/41N _ .,�.._65227000...., ._..... . ............._,..... ..__._._........_.
°z T&I CAT-._'•..........
AT
_...�...
$z ERPILLAR Y_ 52752296217 1.0000 EA $29 ........ .............r.._... ......
PAINT,..._............. _.__....
zSUBTOTAL $145.90
a z TAX $0.00
z SHIPPING $0.00
TOTAL $145.90
BILL TO: SHIP TO:
Acct: 635 3012 0289 5874 JAMES BENTLEY Amount Due: Trans Date: DUE DATE: Invoice
#:
3400 W 131ST ST
CARMEL,IN 46032-0000 $387.95 08/16/12 09/15/12 200184807
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU 38005909011 4_.0000 EA $36.99 $147.96
TSC TBX SPEC STL BK 481N 43419941458 1.0000 EA _.... $229.99. $229.99
SB GRIP MAT 39564073946 1.0000 EA $5.00 $5.00
continued
Page 9 of 14 1-800-559-8232
CMIK Remit payment and make checks payable to: I
TRACTOR SUPPLY CREDIT PLAN INVOICE ®ETA 1 L
4 DES MOINES[A 50368-9020
Invoice#:
200184807
continued
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
SB GRIP MAT 39564073946 1.0000 EA $5.00 $5A0
SUBTOTAL $387.95
TAX $0.00
SHIPPING $0.00
TOTAL $387.95
0
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: TransDate: DUE DATE: 1►iVOlce#:
3400 W 131ST ST
CARMEL,IN 46032-0000 $229.99 08/17/12 09/15/12 200207491
PO: Store: 574000624,NOBLESVILLE
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
TSC TBX SPEC STL BK 48IN 43419941458 1.0000 EA $229.99 $229.99
SUBTOTAL $229.99
TAX $0.00
SHIPPING $0.00
TOTAL $229.99
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due: Trans Date: DUE DATE: Invoice#:
3400 W 131ST ST
CARMEL,IN 46032-0000 $5.98 07/10/12 09115/12 200177185 I
PO: I Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
ELBOW MALE TPT HB 1 1 23537023007 1.0000 EA $1.99 $1.99
ELBOW THREAD BARB 2 2 23537025001 .. ... ........._....... 1.0000 EA _ .$3.99 $3.99
SUBTOTAL $5.98
TAX $0.00
SHIPPING $0.00
TOTAL $5.98
z BILLTO.. SHIP TO:
g z Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due: Trans Date: DUE DATE: Invoice#:
coo Z 3400 W 131ST ST
T z CARMEL,IN 46032-0000 $9.98 08/20/12 09/15112 200185737
z PO: Store: 574000431,WESTFIELD
N Z
aZ
Z PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
Z TIP 2PK TP8002 VP 733029101389 1.0000 EA $4.99 $4.99
HANDGUN TIP NYLONIN 733029101433 1.0000 EA $4.99 ..... $4.99
SUBTOTAL $9.98
TAX $0.00
SHIPPING $0.00
TOTAL $9.98
Page 11 of 14 1-800-559-8232 ,
WTRAMR Remit payment and make checks payable to:
TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
� � DEPT.30- 0050860
PO BOX 689029020
y DES MOINES IA 50368-9020
BILL T
AW: 035 3012 0289 6120 MI O
KE HENRICKS Amount Due: Trans Date: DUE DATE: Invoice#:
3400 W 131ST ST
CARMEL,IN 46032-0000 $60.02 08/02/12 09/15/12 100026890
PO: I Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CNL NOZZLE 1/21N TEE QUIC 23537470016 1.0000 PK $9.99 $9.99
CNL NOZZLE 1/21N TEE QUIC 23537470016 1.0000 Pk- $9.99 $9.99
CNL'WINGED OUICK CAPS'LU 23537470764 1.0000 EA $8.99 $8.99
CNL FLAT SPRAY TIP 80 DEG 23537474014 1.0000 EA $7.49 $7.49
5/8 IN FEMALE HOSE ADO 847259081226 1.0000 EA $2.99 $2.99
FLAT SEAT HOSE BARB 1/2 23537053004 1.0000 EA $1 29 $1.29
HOSE 1Y2X25FT'EVA 708289111805 1.0000 EA ........ . $17.99.... $17.99
SWIVEL NUT FEMALE 3/4 23537108506 1.0000 EA $1.29 $1.29
SUBTOTAL $60.02
TAX $0.00
SHIPPING $0.00
TOTAL $60.02
v
v
v
v
v
v
v
0
v
I
v
v
v
v
v
v
v
Ztp
O Z
O Z
Z
Z
Z
o?
r Z
Z
m Z
S5
Z
Z
Page 13 of 14 1-800-559-8232 I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
IN SUM OF $
P. O. Box 9020
Des Moines, IA 50368-9020
$1,074.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
&(W -36o o �.5y f-6D
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I I 42-370.00 $1,074.61 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
Friday, September 07, 2012
A�
~� Street Comm,is�tiner
�
St�eef Cornrr%tFeionv e,
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/04/12 $1,074.61
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