Loading...
213677 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 0 ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $533.27 CARMEL, INDIANA 46032 PO BOX 689020 roN�o DEPT 30-1202854988 CHECK NUMBER: 213677 DES MOINES IA 50368-9020 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 STREET 533 . 27 6035-3012-0005-0860 Account Statement Commercial Account: Account Inquiries: CARMEL STREET DEPT 14 00-559-8232 Fax 1-801-779-7425 Y Account Number 6035 3012 0005 O8 SUPS ,„ .,.. ...,....��.��... ... 111,1;.,,�n;;•,�rs•,:.. Summary of Account Activity Payment Information Previous Balance $1,311.20 Current Due $485.70 .__ ..............11.11.. ---...-- . . 1111.-1111. .._.. .. . ........_... .. .......-.. 1111.- .. ... ,Payments........ -$1,358'77 ... . ..... 1111..... ......... 1111 ._.._ _. Past Due Amount + $0.00 Credits -$0.00 _.. ..... .. ... .._1111. .-_1111. .. ._.._11.11... .........._...... ....._. _.. _.......... ...... _. Minimum Payment Due = $485.70 Purchases +$533.27 __..._ Payment Due Date 10/15/12 Debit............_.,._.,...... . .. _ _1111 Late Fees +$0.00 New Balance $485.70 Credit......Line.. $1.,.700 .-_. .. _ ....._......_... _............ ... ......._.... ... ._._...._... ..--.. . .....-111_1__._ Credit Available $1,166 ........ . ....... .. ........ .............. . ....-1111-_11.11.. .__..........._. „.... .........__. Closing Date 09/20/12 Send Notice of Billing Errors and Customer Service inquiries to: Next_C...lo_.-._s i.ng Date 10/21/12 TRACTOR SUPPLY CREDIT PLAN PO Box 790449,St.Louis,MO 63179-0449 Days....... . . __ _ .. ....... .. . .. . ....___.. i= in Billing Period 30 tl o Everything you need to know about your account is here: account number, payments,fees,contact information and more. now bi'ling Please see enclosed sample for additional information on how to statement? read your statement. s TRANSACTIONS v Trans Date Location/Description Reference# Amount CHILD ACCOUNT 6035 30120007 4803 � _._.-_..._.....•_..._.,__............. _._.......-_1111...-.._._. _..... .. . „ .. 1111..,-........, 1111.._ 1111_. ,1111. .-...__..... .._.._..._ ._ 11.1,1 ....,... .. � 09110 GOODS AND SERVICES wESTFIELD IIV $ 19.99 - .__.. __.. ..,.._._..,_.._.............<-._ ............._.,._.- ......... ... .........._.,................. .......°° $ 6.48 e 09112 GOODS AND SERVICES WESTFIELD IN ._ _.. _._.........._._........_.-_.W,._....•_._.....__,....- .._.-..._,...._....,.__._......_w..•.. ......_._.�........__......_.........e._...._,....._.-..._.........�._.M._..-,•__..,..._.._._................_.__.... ....._._._..... 1.111.._-__..._....._•_.._._._. 09/13 GOODS AND SERVICES WESTFIELD IN $ 340.97 __. ._.,. ...,,..,__.....,......�,__._._.,,.....--._,._._1,_111.___._-- .. ._....__..._._ ..-._...._...-11__11.-._.. � 367.44 CHILDTOTAL _,...._._..,-... ...._._..---..-... . ._.._._._. ,111_1..1.111._.-.......-_...._.._...�. 1111.,._._ ....___.....,�.. oRMATION NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFO Pagel of 14 This Account is Issued by Citibank,N.A. 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. 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.Cali 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,fA 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 he 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. T02367-9194-1574-0002-0--09/01!02-93-000-P-.rO-O:r-12/311WTS01-August 21,2012-0- N— F-0 tractor Supply full Pav 07112 t,ttx ,r,tx* **** I Account: 0860 TRANSACT IONS(cont.) Trans Date LocationMescription Reference# Amount CHILD NT 6035 3012 0289 5874 09/07 GOODS AND SERVICES" _.•._,_.-..-....._._..._.".,.,,, _" WESTFIELD IN _._......... .... .. .. ...._-....... ....-..... ....... $ 82.86. - CHILD TOTAL $ 82^86 CHILD ACCOUNT 6035 3012 0289 5973 09/19 GOODS AND SERVICES WESTFIELD IN 49.99 CHILD TOTAL $ 49.99 CHILD ACCOUNT 6035 3012 0289 6013 08/21 GOODS AND SERVICES WESTFIELD IN $ 4.99 CHILD TOTAL $ 4^99 CHILD ACCOUNT 6035 3012 0289 6120 09117 '27-.4-9- CHILD TOTAL $ 27^99 0 PAYMENTS,CREDITS,FEES ARID ADJUSTMENT_S 0 08Y23....."...._..PAYMENT-THANK YOU........_.... .... P91940OKW09YPPA08 _,..... ....._$._. . .284.16- ,. 0 09/20 PAYMENT THANK YOU P,9-1-9, 919400LR09V8QOJ6 Vi 1 $ 1,074.61- ® m � k�•TM'�c �'F t 1+i��� o yF E Ai ° 0 1 - Now _ v OTT' each bag ®f 50 Pb futlestock feed © when you buy 20 or more. ry5 m p -: s ® Discount applies to Purina ,Nutrena®,Producer's Pride®,DuMORO and Blue Sear(at select stores). ro ® J3* 4M ' a .�.P Z # �1 yf- 1 z ZZ SAVE �� �� rnZ ? z "Z CO Z Z .. '• - ri M nMOMI'MR&CIl Mf�c��� ea. and Ilaffift ff booms s . The more you buy, the more youT save. 5-15 pieces/pairs 16-25 pieces/pairs 26 or more SAVE 10% SAVE 93% sAVr� ®°� r Mp "�'-.�r�":'Savings apply to bulk purchases of insulated bibs,covera�s,jackets,high viability clothing&leather footwear Excludes rubber&insulated footwear;.:' �,>�:��;- ;� �, Page 3 of 14 1-840-559-8232 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,alf;highlighted in color.' „ Concise. The information is"bucketed"into sections'that;make,it simple to,.find what you're looking for and is written in normal,everyday language. Simple to read. Not only are the words themselves clear and concise,they're in large and simple to read_type'face: r3 Account Statement i ira' ,, ® 4rxr " AWWMt OmEw,MriAemmC Aoea�itldm�998i91989699l�999. Summary of Account Activity $Ori°'°":« O A quick, comp) your T^ ,W;1 cases 0WrWd complete view of ;. ;"' o� � account-all in one place ' " �et0ua�"°°�` a rye ., y,: Pft 0 Asa Payment Information Cremuro Shows what you owe, due dates "''` " " `raft' '' aa eeamvrr , couo a nd minimum payment information l r {1 nwp hHag Pon i so la Account Number and m eri. -;s=° �M1�'I•i1��"al�' Contact Information- This number identifies your 714UYRACIPdOP 4 YI, a"�,ej.7:::,1%'i'�.:'i(';9;,.. .Y•`fi nirY�r account, and Contact Information ?, T. aft tells you where to g et fast answers P �4,t;lfi,?.(' `• F rNxk. , oc mum - am MMMMI oM WAeHorilc% ,;aac•t�" • aaoa�o Transactions MMm FMMP1a07MBE _.. _.... _:. _: : , .Yu, • ®,. MWm �Spells ou t our purchase W= PO 11"M 0""W0. A4A .�� activity, including dates "°°° "�"° '•ns,:ti locations and amounts `°� " P8�4CR011$R�AApAO/Ail®00 ;'•�i;?{�G�t +E,.!,,nir;' w4 °'1' PMWVW /Bi�RBBBYB®Cm[ "i''a�"T.' ®OAMW M" WfiWA0AJffrMW'MVMARACCMW Payments, Credits, Fees ` , WNW TW"dWT_7 . and Adjustments =00 W&M - tM FEE AS A record of payments you've M" �FMICECHMM made, credit adjustments, M" ` "KfflW0NP`F'"= fees and finance charges affecting your account FNK= SLINK" Y° A" N'P FW%(AM 1.ft WW000,,NO- ®" . ;•.. TMraannw ;•,;;,;,,,,,, ,,,, nsbpagq;;,,-..;".; :,'. ., -.w.".:,:':!. '"°.rbadMa�, - ,' ''n...a.cn.%. M CHAM PROMOWN&VALARCE I OWN%M nano fMBOO. a.0 x.89 PROMOIOULBAUL CER B00.BB'% 0-00000% SAP - waYaeGOSe "M..r%me Rase @/-Or,-.Pq•wa,eA, . y, m,. P�•►a INVOICE DETAIL = rsfi$'' ::,2=S f d�iX��� rii�'�;L+ ^"•OtiBOiOli+%; y�plpe/:M3M tVyEpmOMy6 0A0WgCAMOR - ��'`��eAwaon �bA�wRrn WE70000��a Invoice retail „194M- Displays products purchased ,1E,w-.PIIROfY�'° 1SfA6.Pt -.:.. ±:': '.aa� ,.� in this billing period, quantities, PAnw> rn:,,• u `wocpoppdot�oec soao prices and invoices oYrmr 'ooc ,d4,�.. ai 1fEOIQB< y 2m3 ylliie.O+s`::• f60 ?'�jK,,•. R0 P„ OI%01Mt'- ,W.W �yy''..,`3 kir ,g ',l"9�Yrr?„ ]0000000000,000[L'.irysil� 3t1a1 715;;2 k�r�fA ,?�n`?"•+K* i11AI .,. F34t VMS— SAM lea....... . � � Pmrws .,,a�000ma000cp°°°m�%p`p0000�oocacna .xy �� ___ ° CRG JULI2 — R 100000m0a . .....,."e" Page 4 of 14 1-800-559-8232 Co TRACTOR payment and make checks payable to: INVOICE DETAIL TRACTOR SUPPLY CREDIT PLAN sY DES MOINES IAA 50368-9020 BILL TO: SHIP TO: Acct: 60%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 10/15/12 200125M PO: I Store: 574000220,LEBANON PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE PAINT T&1 GRAY PRIMER G 52752298617 1.0000 EA $29.99 $29.99 PAINT T&(,CATERPILLAR Y 52752296217 1.0000 EA .. _..... ......$29.99.,... ..... $29.99 _... LAR Y 52752296217 1.0000 EA $ . _... 29 99 MAJIC CATALYST HARDENER 52752095049 1.0000 EA $14.99 $14.99 MAJIC CATALYST HARDENER 52752095049 1.0000 EA $14.99 $14.99 SUBTOTAL $119.95 TAX $0,00 SHIPPING $0.00 TOTAL $119.95 e BILL TO: SHIP TO: Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: ' Trans Date: DUE DATE:, Invoice#: e 211 2ND ST SW s CARMEL,IN 46032-2014 $42.98 08/14/12 10/15/12 200184391 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE TLBX TRAY 19023003844 1.0000 EA $14.99 $14.99 MACHINE BUSHING KT 87196175828 1.0000 EA $27.99 $27.99 SUBTOTAL $42.98 TAX $0,00 SHIPPING $0.00 TOTAL $42.98 e s BILL TO: SHIP TO: Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: DUE DATE: Invoice#: C 211 2ND ST SW CARMEL,IN 46032-2014 $29.99 08/17/12 10/15/12 20027493 PO: Store: 574000624,NOBLESVILLE PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE MH 1/21N DR SAE IMPCT 11 .. .. ..... ... 28907293592 :0=EA $29.99 $29.99 SUBTOTAL $29.99 Z TAX $0.00 z SHIPPING z $0.00 m Z TOTAL $29.98 S? "Z �z ? BILL TO: SHIP TO: C,3 z Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due:, Trans,Date: DUE DATE: Invoice#: z 211 2ND ST SW CARMEL,IN 46032-2014 $19.99 09/10/12 10/15/12 200180218 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE STROKE CONTROL 1-1/8 1-1/ µ 87196391303 1.0000 PK $19.99 $19.99 SUBTOTAL $19.99 TAX $0.00 SHIPPING $0.00 TOTAL $19.99 Page 7 of 14 1-800-559-8232 Remit ment and make checks payable to: I TRACTOR SUPPLY CREDIT PLAN Y INVOICE DETAIL � �� DES MOINES IAA 5036&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 $6.48 09/12/12 10/15/12 1 200190529 PO: I Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE NIPPLE MALE TPT 1 1/4 23537094502 1.0000 EA $249 . ... $2.49 REDUCER'BUSHING 2X 11/4 1.0000 EA $3.99 .., $3.99 SUBTOTAL $6.48 TAX $0.00 SHIPPING $0.00 =s TOTAL $6.48 a C BILL TO: SHIP TO: Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans'pate: ':DUE'DATE: Invoice#: 211 2ND ST SW CARMEL,IN 46032-2014 $340.97 09/13/12 10/15/12 200190770 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE GUN&WAND NOZZLE KT 2600 725559723537 1.0000 EA $47.99 $47.99 PUMP PACER SERIES 525 21N ..,.._ 95616820449 ..._.._.... ........_.............. 1.0000 EA $279.99 $279.99 GLOVE XL GLTHR PAT PALM G 662909840035 1.0000 EA $12.99 $12.99 SUBTOTAL $340.97 TAX $0.00 SHIPPING $0.00 TOTAL $340.97 BILL TO: SHIP TO: Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: ' Trans Date: DUE DATE: Invoice#: 3400 W 131ST ST C CARMEL,IN 46032-0000 $145.90 08/09/12 10/15/12 100140827 ® PO: I Store: 574000624,NOBLESVILLE PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE PAINT BRUSH 4PK VALU 652270006840 1.0000 EA $7.99 $7.99 WASH BRUSHN101N ALL PURPO 71736005607 1.0000 EA $17.99 $17.99 IUTAJ C CATALYST HARDENER 52752095049..... .... 1.0000 EA..., "''-,-$14.99 .._. ..._... .-$17.99 .. .. ...........__._._...,._ ..�..........._...-._.__.._..........,.._._._. .......,....�. .. _........__.�.� .........._.... �. ...'.__... ......._$14.99_..,._........,..._$14.x.. N z 91N RGH 3l41N 652270001029..._.. __ 1.0000 EA $3.99.. _ ' z ROLLER CVR ST HARDENER 52752095049 1.0000 EA $14.99 $14.99 MAJIC CATALY �.. _..- . ..._._ .. z 652270001029 1.0000 EA $3.99 $3.99 z ROLLER CVR 91N RGH 3/41N__....._.._..._. ._.._.....,._.---................_-. .. . ._. .._...""'f.'0-0"00"'E'.. . ... ._...._.. . 652270001029 A $3.99 $3.99 N z PAINT T&I/CA.........._..., R.Y._....... ..____.5275229621 ......_..,..., . ...._--____.. ..___._._.00_.._,..._....... _........_. PAINT T&I CATERPILLAR Y 5275229621 ----- . 1-0000 EA $29.99 $29.99 9 3/41N TERPIL _ N z �......,..._ 1.0000 EA -,$--29.99 .......-$29.99.. i z SUBTOTAL $145.90 z TAX $0.00 SHIPPING $0.00 TOTAL $145.90 BILL TO: SHIP TO: Acct: 6035 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 10/15/12 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_... $2.29.99 SB GRIP MAT ... ...39564073946......-.. 1. O..EA~._.. _.. .. :.00........ ....... . .$5.00 _. .... continued C�> Page 9 of 14 1-800-559-8232 I Remit payment and make checks payable to: TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL �Y DES MOINES IA 5W680 8 9020 Invoice#: 200184807 continued PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE SB GRIP MAT 39564073946 1.0000 EA SUBTOTAL $387-95 TAX $0-00 SHIPPING $0.00 TOTAL $387.95 BILL TO: SHIP TO: Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: Trans.Date: DUE DATE: Invoice#: 3400 W 131ST ST CARMEL,IN 46032-0000 $229.99 08/17/12 10/15/12 20207491 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.. 0 SUBTOTAL $229.99 TAX $0.00 SHIPPING $0.00 TOTAL $229.99 BILL TO: SHIP TO: Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: Trans Date. DUE DATE: Invoice#: 3400 W 131 ST ST CARMEL,IN 46032-0000 $82.86 09/07/12 10/15/12 200189567 PO; I Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE F&R TRIBALL BALL MNT 2151 42899215127 1-0000 EA $49.99 $49.99 STRAP RATCP 5l81N'BKPVC 42899010265 1.0000 EA ..... ........_..$4-89.. 89 STRAP RATCHET 1X15 2000 B u."-'-'--'64383'5'1-3'335' y- _.._...._.-.._....._._1'-0000 EA _._..._ $1399 _ _ 3 ,... 9 SUBTOTAL $82-86 TAX $0.00 SHIPPING $0.00 TOTAL $82.86 z Fo z �z z Zg z BILL TO: SHIP TO: o z Acct: 6035 3012 0289 5973 BRAD HENDERSON Amount Due: - Trans:Date: _ DUE DATE: Invoice#: 3400 W 131ST ST z CARMEL,IN 46032-0000 $49-99 09/19/12 10/15/12 200191982 R Z PO: Store: 574000431,WESTFIELD z z PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE JACK MO 42899097778 ., 1.0000 EA $49.99 $49.99 -.48 N FARM PRO.- _....... SUBTOTAL $49.99 TAX $0.00 SHIPPING $0.00 TOTAL $49.99 Page 11 of 14 1-800-559-8232 I NISH Remit payment and make checks a able to: TRACTOR SUPPLY CREDIT PLAN Y INVOICE DETAIL lwbupnyqf-x DES MOINNESS2AA 50368-9020 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 $9.98 08/20/12 10/15/12 2001 W37 PO: I Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE TIP 2PK TP8002 VP 733029101389 1.0000 EA $4.99 $4.99 _..=...._....._...._._.. .........._._.,.- ..._. . ,., ........-- .33029101433. _.. . .... ._....... ...........-...... .._.,.._.......__... ..__._. . 1.0000 EA $4.99 $4.99 SUBTOTAL $9.98 TAX $0.00 SHIPPING $0.00 TOTAL $9.98 C BILL TO: SHIP TO: Acct: 6035 3012 0289 6013 MATT HIGGINBOTHAM Amount Due: 1 Trans Date. ` DUE DATE: Invoice#: 3400 W 131ST ST ' CARMEL,IN 46032-0000 $4.99 08/21/12 10/15/12 2001M76 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE HANDGUN TIP NYLONW 733029101433 1.0000 EA $4.99 $4.99 SUBTOTAL $4.99 TAX $0.00 SHIPPING $0.00 TOTAL $4.99 BILL TO: SHIP TO: o Acct: 6035 3012 0289 6120 MIKE HENRICKS Amount Due: Trans Date: DUE'DATE:, Invoice#: 3400 W 131ST ST CARMEL,IN 46032-0000 $27.99 09/17/12 10/15/12 200216418 PO: Store: 574000624,NOBLESVILLE 0 PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE MACHINERY KEY KT 87196175767 1.0000 EA $27.99 $27.99 SUBTOTAL $27.99 TAX $0.00 SHIPPING $0.00 TOTAL $27.99 rz �z z A z z N z a z []z 2Z P z z z Page 13 of 14 1-800-550-8232 VOUCHER NO. WARRANT NO. ALLOWED 20 Tractor Supply IN SUM OF $ P. O. Box 9020 Des Moines, IA 50368-9020 — $533.27 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I ( 42-370.001 $533.27 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 ri ay, ber 05, 2012 Street Commislicger Ctraat r"nmmmSioner Title 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)) 09/20/12 $533.27 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