215430 12/11/2012 *F CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1
ONE CIVIC SQUARE TRACTOR SUPPLY CO
CARMEL, INDIANA 46032 PO BOX 689020 CHECK AMOUNT: $17.03
DEPT 30-1202854988
CHECK NUMBER: 215430
DES MOINES IA 50368-9020
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 WATER 17 . 03 6035-3012-0334-1654
Account Statement
Commercial Account:
t
Account Inquiries: WATER OPERATIONS
SUMNATM 1-800-559-8232 Fax 1-801-779-7425
& Ac�cotr`t IVu"mbe"r`'.6Q35''30i'2:Q334'1654'..
Summary of Account Activity Payment Information
Previous Balance $685.82 Current Due $17.03
._... -$_... .. ...... .5.812 ._..
Payments 0.00 Past Due Amount + $685.82
Credits
-$0'00
Minimum Payment Due = $702.85
Purchases „_.. . .*$17.03
–4."'""""""" Payment Due Date 12/24/12
Debits . _..... 0.00. .. Y
FINANCE CHARGES +$0.00 11.
Late Fees 40' "" Credit Line $800
New Balance $702.85 Credit Available $97
® Closing Date 11/29/12
® Send Notice of BOrng Errors and customer Service Inquiries to: Next Closin1 Date _._..._..._ 12/3 O/1,,2
® TRACTOR SUPPLY CREDIT PLAN g...
PO Box 790449,St,Louis,MO 63179-0449 Days in Billing Period 30
Did you overlook your payment to us?If so,please send the amount due today.If payment is in the mail thank youi
Due to your credit performance, we have decreased your credit line. Credit lines are reviewed regularly. Your prompt and
regular payments of the"Minimum Payment Due" will improve your credit standing.
`s
® TRANSACTIONS
e= Trans Date Location/Description Reference# Amount
11/01 _." GOODS AND SERVICES WESTFIELD IN $ 17.03
0
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 Marge
PURCHASES _ ...._... ........_. .._............... ...........:..
REGULAR REVOLVING CREDIT PLAN 0.00%
— 0.00000/° $0.00 $0.00
I ®_
e
e
- ---
_^Z-- 'NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION "- Page'1 of 4' - 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 rnore 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 staternent 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 ba,ance.
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. It you need more information,describe the item you are unsure the Pay by Phone Service. You will be charged 51495 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, 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 rnail 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.
1
T02367-9194-1574-0002-4)-D--04/01/12-1 IDOO-P01-802-327-12/31/99-TS01-October 30,2012-0- N--- F-0 Tlactor Supply Full Pay 0'/12
Remit payment and make checks payable to: INVOICE D ETA I L
TRACTOR SUPPLY CREDIT PLAN C
DEPT.30-1203341654
ro PO BOX 689020
DES MOINES iAA 50368-9020
BILL TO: SHIP TO:
Acct: 6035 3012 0334 1654 WATER OPERATIONS Amount Due: Trans.Date: Invoice#:
3450 W 131 ST ST 100029215
CARMEL,IN 46074-8267 $17.03 11/01/12
PO: Store: 574000431,WESTFIELD
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
TSC HITCH PIN 3/8X41N 3PT 87196070109 1.0000 EA $3.29 $3.29
TSC PIN'S/16X2-1/41N PTO _. .. ...._... '87196079409
SUBTOTAL $17.03
TAX $0.00
SHIPPING $0.00
® TOTAL $17.03
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Page 3 of 4 1-800=559-8232
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Page 4 of 4 1-804-559-8232 I
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Tractortuppty com
.181.60,�:U' S , X31 ,NORTH
WEST;FIE'LllIN {"g6079'
317-867--350�i
Ticket: 29215
Date: 11/1/1? Time: 3:33 PM
j Store: 431 Register: 1
Cashier: 00210537
1
Business Customer: WATER OPERATIONS
3450 W 131ST ST
Wes•tf�,eld.;;; IN,;96074-8.26,.3
317 733 2855
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Item,. „Q try ,Y, "Pr:,Pce;,'��'. , Amount',;.,
t _ ..� __..._,.- -----..-- -
TSC HITCH PIN 3/8XIIN• 3PT
2686581 3.29 3.29 E
6 TSC PIN 5/16X2-1/4IN PTO 3PT
"268755' 6 2.29 13.74... E
s
bt�Jtal 17, 03
A"
Tax " pppv _t
03__
' TSC B'usi`ness Account' 17`03
XXXXXXXXXXXX1651 .
., Auth #:001658
PO #
`! Change 0.00
I agree to pay the above amount according to
ma card issuer agreement.
VOUCHER # 122968 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
-36) 0-33 z4,---(,4)SY Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
100029215 01-6200-06 $17.03
Voucher Total $17.03
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 12/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2012 100029215 $17.03
hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer