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214850 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ` ONE CIVIC SQUARE TRACTOR SUPPLY CO CHECK AMOUNT: $685.82 CARMEL,INDIANA 46032 PO Box 689020 DEPT 30-1202854988 CHECK NUMBER: 214850 DES MOINES IA 50368-9020 CHECK DATE: 11/20/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 UTILITIES 685 . 82 6035-3012-0334-1654 Account Statement Commercial Account: Account Inquiries: WATER OPERATIONS Anift IMSUMNOX 1-800-559-8232 Fax 1-801-779-7425 ;;Account Numtier: 6035, 12 03341654':, Summary of Account Activity Pa ment Information Previous Balance $0.00 Current Due $685.82 _ ayments -$0.00 Past Due Amount + $0.00 Credits $0.00 _ . ...._.. . ......... _._..... ......._...._. ... ....... Minimum Payment Due $685.82 Purchases +$685.82 _ ... _ ..... _..............__.. Debits °+$0.00 Payment Due Date 11/24/12 FINANCE CHARGES +$0.00 Late Fees $0 ` �" Credit Line + .00 .............. ... .......... ..... ....._.. $10,000 New Balance Credit Available $685.82 .. . ...... .... . ...... . ...... . ...... _ $9,314 Closing Date 10/30/12 Send Notice of Billing Errors and customer Service Inquiries to: Next Closing Date _..... TRACTOR SUPPLY CREDIT PLAN 9 11/29/12 PO Box 790449,St.Louis,MO 69179-0449 Days in Billing Period 32 s a TRANSACTIONS ® Trans Date Location/Description Reference# Amount SERVICES WESTFiELD IN e 10/09 ..,...GOODS ANDS ..,..._.._..,_ ., _. ., ,.... .. ...,. . . � 355.96 ® - $..._.. 219.90 0 10/17 GOODS AND SERVICES WESTFIELD IN ® 10/29 GOODS AND SERVICES WESTFIELD IN $ FINANCE CHARGE SUMMARY Your Annual Percentage Rate(APR)is the annual interest rate on your account. ® ... ..... ...... ... Annual e,...,. Daily Periodic . :.... .. .Balance Subject to of Balance Rate(APR) R Fiinnce Charge, Finance.C:.h.a.....r._ge' PURCHASES ® REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00 r z NOTICE:SEE REVERSE SIDE FOR IMPORT 1 FORMA IOM o i of 4 .. - — This Account is1ssued by Citib nk;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 flail. 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.rn.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 rnail or courier to be in proper form, 24 hours a day,7 days a week. YOU mr.rst: Enclose a valid check of money order.No cash, gift cards, or foreign currency please. Include your name and account number an the front of your check or money order. T02367-3194-1574-0002-0---04101!12-10-000-P--0-0-0-0--I 2/31/99-TS01-July 30,2012-0- N— F-0 Tractor Supply full Pay 07112 Remit payment and make checks payable to: INVOICE ®ETA I L TRACTOR SUPPLY CREDIT PLAN V �C0. DES MOINES A50 6B--9020 BILL TO: SHIP TO: Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans Date: Invoice#: 3450 W 131 ST ST 200195906 CARMEL,IN 46074-8267 $355.96 10/09/12 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE GATE WHEEL 87196161067 1;0000 EA $17.99 $17.99 CL GATE TUBE FT 16 1 5i6W 87196161067 1.0000 EA..... .17.99 $17.99 .. .. .. 7644§6378628'- .. 2.0000 EA $159.99 $319.98 SUBTOTAL $355.96 ® TAX $0.00 SHIPPING $0.00 ® TOTAL $355.96 o BILL TO: SHIP TO: e Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans Date:.:..:_; Invoice#: 3450 W 131ST ST 200197496 CARMEL,IN 46074-8267 $219.90 10/17/12 PO: Store: 574000431,WESTFIELD s_ a PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE STALL MAT 4X6X3X4 RUBBER 836091001523 2.0000 EA $39.99 $79.98 RATCHET STRAP 2X27 64383686275 6.0000 EA $14.99 $89.94 SPEED CHARGER MAINTAINER 26666707176 2.0000 EA $24.99 $49.98 SUBTOTAL $219.90 TAX $0.00 SHIPPING $0.00 TOTAL $219.90 0 BILL TO: SHIP TO: Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans Date: Invoice#: 3450 W 131ST ST 200199M CARMEL,IN 46074-8267 $109.96 10/29/12 PO: I Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE GLVZD PAIL 6GAL GARBAGE 85995001089 4.0000 EA $14.99 $59.96 SPECIAL.ORDER,ARTICLE � ..749394057145 _.._... . . _._.... 10.0000 EA_ $5.00,. _ $50.00" SUBTOTAL $109.96 iu z TAX -- -- $0.$0.00. S z- SHIPPING z TOTAL �z $109.96 °o? z m oz co Z C5 Z z Page 3 of 4 1-800-559-8232 i TOR B �SUP'PLYC® 5 ff-1yMi TractorSuppiy.com TractorS'upply om �r 31'NORTH,: ' ' 1$160 U,S. 31 NORTH WESTFIELD IN '16074,,, WESTFIELD TN 96079 r'nt . i + m k;r ` 317 867 3bOb 0 , , : +1; T;ifck'e+f c;, la'35906;':.,,.' Ticket: 19749'6`' ' Da`.f.e: 1:0/9712 7 t me. '1'0.; 16 qM` } Date: '10/17/12 Time; 10:48 RM Store. 931 Register: 2 Store: -131 Register: 2 Cashier: 00321954 Cashier: 06228'319 Brsiness Customer: WATFR OPFRATI'ONS Business Customer: WATER OPERATIONS 315:0 W 131ST ST 3450 W 131ST, ST Westfield, IN 46074-8267 Westfield, IN 46074-13267 317-733--2855 317,x,,733 2855 Jp�/ 3 ,`y9' � ty .BFI r Item:a; s ! Q1 y+ Prnce �? Amount-, Item t: Q 'g Price, Amount "- STALC''H'ATr�r4X6X3X9 1RUBBER It'r � at ��;. — GATE,,-WHEEL �. 4 3603522 1 17 99 1'7(9:9 F 2219063 =2 39.:99' 79'98 E RATCHET STRtRP'2X27SY,,' GATF W(If FI 3018109 6 14.99 89,91 E 3103522 1. 17 99 17 99 E eixvl EED GHARliER MAINTAINER 1 .5RHP Cl- GATE TUBE 16FT 15/8IN GALU 3603069 2 159.99 319 98 E 1030951 2 24.99 49.98 E Subtotal 355,96 $ub`fotal 219:90 .- Tai; . 0.00 Taz 0.00 _ .ter: :.• � r - _ To Total`, 219-,90 5:96 a _ .. TSC.Bus ,a: XXXXXX -- h4 TSC Business Account. 219.90 ss''Rccou-'nt 355 96 XXXXXXXXXXXX1651 XXX1659 AM h 4:009146 Auth 11:017843 PO q: GREG PO 4: greg' Change 0,00 Change 0.00 I agree lu paa the airuve amuunt ai:curd1119 lu I agree to Pay the above amount according to mi card issuer agreemeni . my,ca4l'issuer agreement. w.. f+ UI lJ't.'U Ln„, O -- n N ;3 .-� O •- , !: 7c' - t1' +ai,}' O7 i' N :£ O O �.-ti - '• ..,.� f0 rs.'fo !.- -a,c„ait X C �.� - ,N 'O4 — w C c3 tC Ci : o-t' - C.. H Q, 19 It, -t O1 X fr d L7Z -r N 00 X a CA' O 1iD N N .'TI - U0 X n ;! ..tZ 9 ;:' i— !O ..ta --i 3 N :n OC a:. x n It I iL` 1, Z --1 X'O tL• G7 ,(t O ,7 -J” w Tf Q 6, M. ro,, n sty,y >ET' s• ,s �- o a m ' ,� ;' � c a rc,a o a v4't R'' ;n !: c� N '--a c.• vt ,r �o M G Al C i - O I t O O L'ti L0 ;'3 1 �� ;C :' VOUCHER # 122728 WARRANT # ALLOWED 306840 IN SUM OF $ TRACTOR SUPPLY CO P.O. Box 689020 Des Moines, IA 50368-9020 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# II I'NV#Q/f ACCT# AMOUNT Audit Trail Code 200195906 01-6200-04 $355.96 tDg.`Z(Q Voucher Total Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 306840 TRACTOR SUPPLY CO Purchase Order No. P.O. Box 689020 Terms Des Moines, IA 50368-9020 Due Date 11/13/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/13/201; 200195906 $355.96 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 Date Officer