215202 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
t' ONE CIVIC SQUARE TRACTOR SUPPLY CO
CHECK AMOUNT: $1,380.77
CARMEL, INDIANA 46032 PO BOX 689020
DEPT 30-1202854988 CHECK NUMBER: 215202
DES MOINES IA 50368-9020
CHECK DATE: 12/412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 STREET 760 . 84 6035-3012-0005-0860
2201 4356001 STREET 619 . 93 6035-3012-0005-0860
Account Statement
Commercial Account:
U17 Account Inquiries: CARMEL STREET DEPT
01110h 1-800-55941232 Fax 1-801-779-7425
Accoutf i�umter ,+ 5'301'2 0005''08G '.
19 FrL V Gy
Summary of Account Activity Payment Information
Previous Balance $451.76 Current Due $1,380.77
-Pay -$0.00 Pasibu'e' Amount + $45 1 1.76
Payments
Credits _8...00
Minimum' " ,'Pay''re nt D ue $1,832.53
Purchases 30.77
Debits Payment Due Date 12115/12
FINANCE CHARGES +$0.00
Credit Line $1,700
Late Fees .00
New Balance $1,832.53 Credit.Available,_,,_
Closing Date 11/20/12
Send Notice of Billing Errors and Customer Service Inquiries to: Next I , _dlosin,g,Date "1 1 1 2 1/2 1 1 11/1 1 2
TRACTOR SUPPLY CREDIT PLAN
PO Box 790449,St.Louis,MO 63179-0449 Days in Billing Period 30
Don't lose your charging privileges. Your account is currently past due and unless we hear from you,your charge privileges may be suspended.We want
to help you avoid this.We have a number of solutions to help you,but we must hear from you.Call us today at 1-8645-518-6157.
Did you overlook your payment to us?If so,please send the amount due today.If payment is in the mail thank youl
TRANSACTIONS
Trans Date Location/Description Reference# Amount
ACCOUNT 6035 3012 0007 4=1
11/19 GOODS AND SERVICES WESTFIELD IN
$ '60,00
o TOTAL 6035 3012 0007 4803 $ 724.87
LINT 6035 3012 0289 5874
11/02 GOODS AND SERVICES NOBLESVILLE IN $ 199.97
.............
11/16 GOODS AND SERVICES N6IJIEtSViLLCiN_' $ 209.98
TOTAL 6035 3012 0289 5874 $ 409.95
ACCOUNT 6035 3012 0289 6039
10/26 GOODS_AND SERVICES WtSfFitCb IN $ 20.98
® 11/07 GOODS AND SERVICES WESTFIELD IN $ 14.99
...........
TOTAL 6035 3012 0289 6039 S 35.97
ACCOUNT 6035 3012 0289 6146
10/31 GOObs'4b SERVICES WESTFft[D IN 109.99
10/31 GOODS AND SERVICES NOBLESVILLE
$ 99.99
... ......... ------
TOTAL 6035 3012 0289 6146 $ 209.98
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page lot10 This Account 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, 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 Pa b Phone Service.You rna make our
Pay y y y 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
T02367-5194-1574-0002--0-X-09101)02-93.000-P--0–i-802-0-12f31/99-TS01-October 21,2012-0- N— F-0 TI"actor Supply Full PLty 07/12
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Account: **** **** **** 0860
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
PURCHASES
_.._.. ............. .._........., .....,.,. ......... .... .. ....... . _. . , .....,.. .._..................... . ...,........ ......__ ....... ..._..
REGULAR REVOLVING CREDIT PLAN 0.00% 0.00000% $0.00 $0.00
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Account: **** **** **** 0860
Page 4 of 10 1-800-559-8232 I
P"
TRRemit ACTOR payment and make checks payable to:
TRAC INVOICE DETAIL
TOR SUPPLY CREDIT PLAN
5 �UZ DES MOINES 503
268-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date_: Invoice#:
211 2ND ST SW 200204111
CARMEL,IN 46032-2014 $60.00 11/19/12
PO: 77771Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
RATCHET BINDER 5/16-3/8fN 81767483152 1.0000 EA $54.99- $54.99-
$54.99-
RATCHET BINDER 5/16 3/81N 81767483152 1.0000 EA $54.99 $54.99-
RATCHET BINDER 5/16-3/SIN 81767483152 1.0000 EA $54.99 $54.99
RATCHET BINDER 3/8-1/21N 719961404900 4.0000 EA $69.99 $279.96
SUBTOTAL $60.00
TAX $0.00
SHIPPING $0.00
TOTAL $60.00
BILL TO: SHIP TO: .
_® Acct: 6035 30120007 4803 JEFF STEWART Amount Due: Trans Date: Invoice#:
® 211 2ND ST SW 20104M
® CARMEL,IN 46032-2014 $664.87 11/19/12
PO: I Store: 574000431,WESTFIELD
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PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BINDER CHAIN 5/16X20FT G7 719961458453 1.0000 EA $64.99 $64.99
BINDER CHAIN 3/8X20 GR70 719961458477 4.0000 EA $79.99 $319.96
RATCHET STRAP 2X27 64383686275 .......... .. ....._... 1.0000 EA_.. ....,.._. $14.99 $14.99
o RATCHET STRAP 2X27 64383686275 1.0000 EA $14.99 $14.99
RATCHET STRAP 2X27 64383686275 ._ 1.0000 EA _ $14:99 $,14.99
RATCHET STRAP 2_X27 64383686275 1.0000 EA $14.99 $14.99
RATCHET BINDER 3%81N ..... 719961404801 1.0000 EA $54.99.......... .._.. $54.99
5/16-
= RATCHET BINDER 5/16-3/81N .. .. ..,. ...'719961404801"._...... .. ._ ..._... 1.0000 EA $54.99 $54.99
RATCHET BINDER 5/16-3/81N 719961404801 _... .. 1.0000 EA $54.99...._..._.. . .. x.99
® RATCHET BINDER 5/16-3/81N 719961404801 _ .. 1.0000 EA $54.99 -$54.99
SUBTOTAL $664.87
TAX $0.00
® SHIPPING $0.00
® TOTAL $664.87
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: Trans Date. It1VOICe#:
3400 W 131 ST ST 200228525
ii z CARMEL,IN 46032-0000 $199.97 11/02/12
$z PO: Store: 574000624,NOBLESVILLE
.z
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8? PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
SHOE CHRE MID BK 11 SN62 664911300088 1.0000 PR $99.99 $99.99
m Z
o Z SUBTOTAL $199.97
Z TAX $0.00
SHIPPING $0.00
TOTAL $199.97
BILL TO: SHIP TO:
Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: Trans Date: Invoice#:
3400 W 131 ST ST 20232973
CARMEL,IN 46032-0000 $209.98 11/19/12
PO: Store: 574000624,NOBLESVILLE
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CES WTPF NYLN INSL BIB BK 92021251295 1.0000 EA $89.99 $89.99
continued c=�>
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Remit payment and make checks payable to:
TRACTOR SUPPLY CREDIT PLAN INVOICE DETAIL
Aftft 1200050860
PO BOX 6SN20
IR8io 10-Y DES MOINES IA 5036&9020
Invoice#:
200232973
continued
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BIB INS 40X32 EX BK CT62 35481194436 1.0000 EA $119.99 $119.99
SUBTOTAL $209.98
TAX $0.00
SHIPPING $0.00
TOTAL $209.98
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6039 FRED MARTZ Amount btiia:: jianslpate:' Invoice#:
3400 W 131ST ST
CARMEL,IN 46032-0000 $20.98 10/26/12 200199232
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BRUSH 31N 2PC POLY 652270006802 1.0000 EA $5.99 $5.99
EZ SLIDE OT 82095512040 1.0000 EA $14.99 $14.99
SUBTOTAL $20.98
TAX $0.00
SHIPPING $0.00
TOTAL $20.98
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6039 FRED MARTZ AmountDte: ,Trans a te
Invoice#:
3400 W 131ST ST 200201748
CARMEL,IN 46032-0000 $14.99 11/07/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
EZ SLIDE OT 82095512040 1.0000 EA $14.99 $14.99
SUBTOTAL $14.99
TAX $0.00
SHIPPING $0.00
TOTAL $14.99
Z
BILL TO: SHIP TO:
z z Am'' bltie�' bate: Invoice#:
Acct: 6035 3012 0289 6146 MARK OTTINGER
3400 W 131ST ST
wz 200200297 co
CARMEL,IN 46032-0000 $109.99 10/31/12
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�>- O: I Store: 574000431,WESTFIELD
N
CO Z PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
Pz
z BIB SNDSTN LND 44X32 OL C 35481188565 1.0000 EA $109.99 $109.99
SUBTOTAL $109.99
TAX $0.00
SHIPPING $0.00
TOTAL $109.99
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Remit payment and make checks payable to:
TRACTOR INVOICE ®ETA I L
TRACTOR SUPPLY CREDIT PLAN
PO BOX 00
DES MOINBES?A50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0289 6146 MARK OTTINGER Amount Due: Trans Date: Invoice#k:
3400 W 131ST ST 2ar�7
CARMEL,IN 46032-0000 $99.99 10/31/12
PO: Store: 574000624,NOBLESVILLE
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
BIB INS HIP ZIP 40X32 BN 35481492259 1.0000 EA $99.99 $99.99
SUBTOTAL $99.99
TAX $0.00
SHIPPING $0.00
TOTAL $99.99
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Page 10 of 10 1-800-55-0-8232
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tractor Supply
IN SUM OF $
P. O. Box 9020
Des Moines, IA 50368-9020
$1,380.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
�0-35-a)a- 6pos- 69616
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 42-370.00 $760.84 1 hereby certify that the attached invoice(s), or
2201 43-560.01 $619.93 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
Thursday, Nouember29;'2012
Street Commissioner
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))
11/20/12 $760.84
11/20/12 $619.93
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