214442 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $499.33
DEPT 30-1202854988 CHECK NUMBER: 214442
DES MOINES IA 50368-9020
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 STREET 51 . 98 6035-3012-0005-0860
2201 4237000 STREET 208 . 92 6035-3012-0005-0860
2201 4356001 STREET 238 .43 6035-3012-0005-0860
Account z)iaxerneni
Commercial Account:
c, CARMEL STREET DEPT
tip# Account Inquiries:
1-800-559 8232 Fax i-801-779 7425 ;-Z
SUMVP
,•.:,,i3: ,5'':, ;
urtt-tdurri x:::6035`3012"0005MW;
® 2`:!.".o'("R;t�'.��'*° w¢<rrS✓','^ins;+..M..„ '`, ttd:,,'�•.a:C• si;'�.
•n..
Summary of Account Activity Payment Information
Previous Balance $485.70 Current Due $451.76
Payments .-$533.27 Past Due Amount + $0.00
Credits -$0.00 Minimum Pay'm—e'n't Due = $451.76
_.....-._ . . .. ..Y . ....._ ...._........_-._... ...-._
33 Payment Due Date 11/15/12
_Purchases +$499
Debits +$0.00 Y 15/12
FINANCE
ees CHARGES.............. ... ...,,... .,. ,...,..
+$0.00 Credit Line $1,700
+$0.00 _......_................._..._....• _ .,........ .._,.... _....._ __..._....._..... ....,__ ..........__.___..... .
New Balance $451.76 Credit Available $1,248
Closing Date 10/21!12
Send Notice of BDlingErrorsandCus tomerServiceInquiriesto: _.... . ._.......... ........._. -..._, _..,__.._._...
® TRACTOR SUPPLY CREDIT PLAN Neal Closing Date 11(20/12
® PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 31
TRAIN$ACTIOMS
® Trans Date Location/Description Reference q Amount
ACCOUNT 6035 3012 0007 4795
10/12 GOODS AND SERVICES WESTFIELD IN 238.43
TOTAL 6035 3012 0007 4795 $ 238.43
ACCOUNT 6035 3012 0.28.9159.3?
® 10/119 vy GOODS AND SERVICES WESTFIELD IN'_.._.. g 51.98
- ....,_._..................
......._.,_._...._.._......_.__.................,,r_.._... ._..,. ._ ... ........-. _. _._..... .....-
TOTAL 6035 3012 0289 5932 $ 51.98
ACCOUNT 6035 3012 0289 5965
_.... ...... .. . ......__..... .. .........
® 09/20 GOODS AND SERVICES WESTFIELD IN $ 48.99
® 10/03 GOODS AND SERVICES WESTFIELD IN $ 85.95
= 10/12 GOODS AND SERVICES WESTFIELD IN $ 73.98
TOTAL 6035 3012 0289 5965 $ 208.92
t® PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
10/18 PAYMENT-THANK YOU P91 MMMM09RKS33X $ 533.27-
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account.
Annual Percentage Daily:Periodic." Balaoe isu6jectto .
Type of t3at�tce Rate(APR) Rate Finance Charge Finance Charge,,'
PURCHASES
REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00
z NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Pane 1 of 6 rtiv e. ... .n - -:---•- -•-
WRemit payment and make checks payable to: ®� ®� ��DEPT 3008-1200050860EDiT PLAN
PO BOX 689020
SUMYCO. DES MOINES IA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0007 4795 RON WILLIAMS Amountbue: Tfans.Date, _ Invoice#:
211 2ND ST SW 2M 96W5
CARMEL,IN 46032-2014 $238.43 10(12/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
JKT CES JRSY LS XL ING FP 884516129122 1.0000 EA $31.49 $31.49
JK. CE.S RS.Y LS XL . .... ..... ......8..8.......6...16._1.._29.._1"-2-.2
JKT CES RSY LS.XL NG.FP. ......
1„0000 EA $31:49 31.49
884616129122 1.0000 EA $31.49 $31.49
CES JK>-JRSY LS 2X ING FP 884616169883 - 1;0000 EA $35.99 - $35.99
CES JKf JRSY LS 2X ING FP 884616169883 •1.0000 EA - -.......$35.9 9 99
® CES JKf JRSY LS 2X INGFl-P 884616169883 ._ _... . _.. �:��_EA $35.99 $35.99
CES JKT JRSY LS 3X ING i P -884616169890 1.0000 EA $35.99 $35.99
® SUBTOTAL $238.43
® TAX $0.00
SHIPPING $0.00
®® TOTAL $238-43
v�
®®
BILL TO: SHIP-TO: „•.:
Acct: 6035 3012 0289 593^JASON.FORCE'' `" Amount D1ie:; :,';TrenS;DatL:. . IPIVOICB#:
® 3400_W 131ST ST--'' "" r�20019D-7.934
CARMEL;IN'46092-0000 s t$51-9_8 ,'� � 10/19/12
® P0; Store: 574000431,WESTFIELD
® P-RODUCT _ SKU# -QUANTITY--`-UNIT PRICE T( PRICE
CSTRAP 2X20 18000LB RECOVE --`""64383595003==:= 1'.0000=EA ';' ''$26.99 $26:99
$24-99 OUPLER'LO 363 5 1.0000 F&R_UNIVERSAL-C
,..._.___,..,,_.....,_._.
SUBTOTAL $51.98
® TAX '$0.00
SHIPPING $0.00
TOTAL l $51.98
® BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURICE Amount Due:,' ,Trans Dat1b2 :: - Invoice#:
3400 W 131ST ST $48.99 09/20/12 ?Q0192151
CARMEL,IN 46032-0000
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU 38005909011 -.1.0000-EA., $36.99 $36:99
z
BIODEGR SPHERE 1000 GAL 3" 642185511171 _. ..._ .- 1.0000 E $•12.00 $12.00
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X-4
TAX $0.00
SHIPPING $0.00
N z TOTAL $48.99
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BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due:` Trans Date:' Invoice#:
3400 W 131 ST ST 200194734
CARMEL,IN 46032-0000 $85.95 10/03/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU 38005909011 1.0000 EA $36.99 $36.99
BIUEBAYOU 3800590901.1. .-.....__..._.._. 1.0000EA $36.99 _ _$3fi.99.
WASP%HORNET%1'ELLOINJAcKET 891549110042 3:0000 EA $3.99 $11.97
SUBTOTAL $85.95
TAX $0.00
SHIPPING $0.00
TOTAL $85.95
Page 3 of 6 1-800-559-8232
`ti`?; Remit payment and make checks pay able to:
!,i �,� � TRACTOR SUPPLY CREDIT PLAN V I C EDETAIL
a a}{ DEPT.30-1200050860
PO BOX 689020
SUMYCO. DES MOINES IA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due: Trans,Date: Invoice#:
3400 W 131 ST ST ,Z�1
CARMEL,IN 46032-0000 $73.98 10/12/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE---,.... _. .__-... $36.99
BLUE BAYOU 38005909011 1.0000 EA.....-- -. -':;-. . . ........... ......._....
38005909011 1.0000 EA $36.99
SUBTOTAL $73.98
TAX $0.00
SHIPPING $0,00
TOTAL $73,98
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Page 5 of 6 1-800-559-8232
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
IN SUM OF $
P.O. Box 9020
Des Moines, IA 50368-9020
$51.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 200197934 I 42-370.00 I $51.98 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
A
Fire Chief
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
4n 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))
200197934 $51.98
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
Account Statement
Commercial Account:
C
Account Inquiries: ARMEL STREET DEPT
1-WO-559-8232 Fax 1-801-779-7425
Accaiunt=N mIJ6'6035``30120005'(7860'
Summa of Account Activity Pa ment Information
Previous Balance $485.70 Current Due $451.76
__..........._. 1..1............11....
..1111.. ... 1111.. ..... ._.1111.......
... 1111.. 1111..." ........ ..
ayments _ 1111_.. -$533.27 past Due Amount + $0.00
Credits - 0.00 ........._ . 1111._ ....... .. .... ..�.1111 ...
..redi.._......_....... .... .. _.�. _. 1111. Minimum Payment Due = $451.76
Debits ses
_1111 ...±$499.33 1111.....
1111_..........._.. ...1111...
0 00 Payment Due Date
_.1111._......._1111 . +$ :.... ..... 11/15/12
__._... . ... _1111.
FINNCE CHARGES +$0.00
A
Late Fees ... ... .. 1111.. Credit Line
+$0.00 _.. .. . .. $1,700...
1111 .
New Balance $451.76 Credit Available $1,248
® Closing Date 10/21/12
® Send Notice of Bilmg Errors and Customer Service I
Next Closing ......... .... ........ ........ . ... ....__..._ 1111.._ ...... .1._.__....
ncµ,mes to: Date 11/20/12
® TRACTOR SUPPLY CREDIT PLAN g
..". .,�. .. ... . .._... ......... . ......1111... . . ._......_ ....____...... ...._.._._..._...
® PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 31
TRANSACTIONS
° Trans Date Location/Description Reference# Amount
ACCOUNT 6035 3012 0007 4795
1111.. . .. ,1111. 1111.., "....,......,......._..._....
;0 10/12 GOODS A1VD SERVICES 1NESTFIELD IN $ 238.43
® _................_.._...... . .."1111.. ".......... . ._ ...,... .......... ..., _1111 .. .. .._. _,. .,........ .. ., .. _........... .1111....... .... ..
TOTAL 6035 3012 0007 4795 238.43
ACCOUNT 6035 3012 0289 5932
v 10/19 GOODS AND S
1111..1111,.
ERVICES wESTFIELD IN..... . .... ..... ..,... 1111.,.. 1111. ., 1111_....,......_1111... ... ... ..
....._.... 1111. 1111. ..1111.._. ........... ........_ _........ .....1111.
$ 51 98
. 1111,. 1111.. .„ 1111„ _..... ............... .. ...............,,............ ...... ..._.. . ..._.,.._.....
TOTAL 6035 3012 0289 5932 $ 51.98
o ACCOUNT 6035 3012 0289 5965
_.. ........._.......
09/20 GOODS AND SERVICES WESTFIELD IN S 48.99
1111...
® 10/03 GOODS AND SERVICES 1NESTFIELD IN $ 85 95_.
1.X./12, _. GOODS AND SERV.CS
WESTFIELD IN
$1111 ...73.
98
1111.. ............_,. ,,1111, . .._...,.... _.......... 1111.
v. ._ ._ .. -1111 1111..- ,1111-,.."....._.... ._.. .. .,.,... ._.................. _........
TOTAL 6035 3012 0289 5965 $ 208.92
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
1111.__11.11 .. "... .. .. . ...
.._....
10/18 PAYMENT-THANK YOU P9194MMM09RKS33X $ 533,27-
FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account.
Annual Percentage Daily Periodic Balance Subject to
Type of Balance Rate(APR) Rate Finance Charge Finance Charge
. ....... ............w..., , 11.11... .. . -.�..,..,.., _,._.�....,..,",.., . .. .. .
PURCHASES
...�._.._.. .....___.......... ...._..._... ............_..._.... .....".._..... _....,..,1111. ,_... .. .....,....._...._.. . ..�.... .._...... ... ., 1111."................_..,.....,,... _. ........,. ......_.... ........._..�._ .
REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00
R z NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 6 This Account is Issued by Citibank,N.A.
R? -------------------------------------------------
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.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
payment received at the processing facility n proper form after that time will Express Payments. Send payment courier or express mail to the
g y i p p Express Payments address.Customer Service Center,Dept CCS.911,4740
be credited as of the next day.Please allow -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.
T02367-91941574-0002-8--09/01/02-93-000-P--0--0-0-0-1 213 1/99-TSOISeptember 20,20124)- N-- F-0 Traclor Supply FUII Pay OV12
a MRemit AC payment R SUPPLY and make checks payable to: INVOICE ®ETA I L
TRACTOR SUPPLY CREDIT PLAN
DEPT.30-1200050860
S Y� DOE BOX MOINNES2A 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0007 4795 RON WILLIAMS Amount Due: Trans Date:, Invoice#:
211 2ND ST SW 200196565
CARMEL,IN 46032-2014 $238.43 10/12/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
JKT CES JRSY LS XL ING FP 884616129122 1.0000 EA $31.49 $31.49
JKT CES JRSY LSXL ING"FP 88461 8129 1 22..._.. . .. ...... _.....1.0000'EA $31.49 .. $31.49
JKT CES JRSY LS XL ING'FP .884616129122 1.0000 EA_.
CES MKT JRSY LS 2X ING FP 884616169883...... 1.0000 EA $35.99 _"$35.99
CES JKTJRSYLSf2X ING FP .884616169883... .. _.. .1.0000 EA_. . .,... .. $35.99 ._.., .... ..._$35.99
® CES JKT JRSY LS 2X ING FP 884616169883....... .. 1.0000 EA $35.99 $35.99
CES JKT JRSY LS 3X ING FP 88461 6169890 1.0000 EA $35.99 ....... _•. .....
SUBTOTAL $238.43
TAX $0.00
® SHIPPING $0.00
® TOTAL $238.43
® BILL TO: SHIP TO:
Acct: 6035 3012 0289 5932 JASON FORCE Amount Due: Trans Date: Invoice#:
® 3400 W 131 ST ST 2001979M
°- CARMEL,IN 46032-0000 $51.98 10/19/12
PO: Store: 574000431,WESTFIELD
® PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
STRAP 2X20 18000LB RECOVE 64383595003 1.0000 EA $26.99 $26.99
F&R UNIVERSAL COUPLER LOC 42899727835 ._...... .._................ 1.0000 EA $24.99 $24.99
° SUBTOTAL $51.98
TAX $0.00
SHIPPING $0.00
TOTAL $51.98
o BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due:, Trans Date: Invoice#:
3400 W 131 ST ST 200192151
CARMEL,IN 46032-0000 $48.99 09/20/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU_ 38005909011 1.0000 EA $36.99 $36.99
BIODEGRr SPHERE 1000 GAL 3 642185511171 1.0000 EA $12.00 $12.00-
N Z
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zz SUBTOTAL $48.99
z TAX $om
SHIPPING $0.00
E Z TOTAL $48.99
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BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due: Trans Date: Invoice#'
3400 W 131 ST ST 200194734
CARMEL,IN 46032-0000 $85.95 10/03/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU ---38005909011 1.0000 EA $36.99 $36.99
BLU"EBAYOU. 38005909011 1.0000 EA. $36.99._,,..
WASP/HORNET/YELLOW JACKET .. ...891549110042..•.. 3.0000 EA $3.99 $11.97
SUBTOTAL $85.95
TAX $0.00
SHIPPING $0.00
TOTAL $85.95
Page 3 of 6 1-800-559-8232
m TRACTOR SUPPLY CREDIT PLAN gable to: INVOICE ®ETA I L
Remit payment and make checks
DEPT.30-1200050860
irrLyPO BOX 689020
CO. DES MOINES IA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5965 RALPH BURKE Amount Due: Trans Date: Invoice#:
3400 W 131ST ST 200196M6
CARMEL,IN 46032-0000 $73.98 10/12/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BLUE BAYOU _.._.. _ .. ... $36.99
BLUE BAYOU 8005909011 ..._. _...1.0000 EA„
__... . ....... ........ .. $36.99
SUBTOTAL $73.98
TAX $0.00
SHIPPING $0.00
TOTAL $73.98
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Page 5 of 6 1-800-559-8232
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
IN SUM OF $
P. O. Box 9020
Des Moines, IA 50368-9020
$447.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 200119251 42-370.00 $48.99 1 hereby certify that the attached invoice(s), or
2201 200194734 42-370.00 $85.95 bill(s) is (are) true and correct and that the
2201 200196546 42-370.00 $73.98
2201 200196565 43-560.01 $238.43 materials or services itemized thereon for
which charge is made were ordered and
received except
/ Thursday, November 01, 2012
Street Commissl vier
I u
Strc ,Co^�� ner
•Title�"�•C
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 200119251 $48.99
10/03/12 200194734 $85.95
10/12/12 200196546 $73.98
11/15/12 200196565 $238.43
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
120
Clerk-Treasurer