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227836 1/8/2014
CITY OF CARMEL, INDIANA VENDOR: 306840 Page 1 of 1 ONE CIVIC SQUARE TRACTOR SUPPLY CO r 0 CHECK AMOUNT: $353.43 CARMEL, INDIANA 46032 Po Box sssozo DEPT 30-1202854988 „oCHECK NUMBER: 227836 DES MOINES IA 50368-9020 CHECK DATE: 1/8/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 STREET 158 .45 6035-3012-0005-0860 2201 4356001 STREET 194 . 98 6035-3012-0005-0860 I Account Statement Commercial Account IrTRACTOR Account Inquiries: CARMEL STREET DEPT ® 1-800-559-8232 Fax 1-801-779-7425 AccountNumber:'6035 3012 00050860 Summary of Account Activity Payment Information Previous Balance $587.35 Current Due $353.43 Payments _ -$553.84 Past Due Amount + $0.00 Credits -$0.00 Minimum Payment Due — _ $353.43 Purchases +$319.92 Debits +$0.00 + Payment Due Date 01/14/14 FINANCE CHARGES _ — +$0.00 Credit Line $600 Late Fees +$0.00 -- — New Balance $353.43 Credit Available — $246 Closing Date _ _ _12/20/13 Send Notice of Billing Errors and Customer Service Inquiries to: Next CIOSIn Date ^� ~ T —01/21/14 TRACTOR SUPPLY CREDIT PLAN g Po Box 790449,St.Louis,Mo 63179-0449 Days in Billing Period 30 TRANSACTIONS Trans Date Location/Description Reference If Amount ACCOUNT 6035 3012 0007 4803 C3 12/09 GOODS AND SERVICES WESTFIELD IN —� $ 59.97 Cr TOTAL 6035 3012 0007 4803 $ 59.97 C3 _ACCOUNT 6035 3012 0289 5874 12/11 GOODS AND SERVICES WESTFIELD IN— -- L� $ 84.99_ __ TOTAL 6035 3012 0289 5874 � $ 84.99 ACCOUNT_ 6035 3012 0289 5999 12/02 GOODS AND SERVICES NOBLESVILLE INµ $ 109.99 TOTAL 6035 3012 0289 5999 $ ACCOUNT 6035 3012 0289 6161 12/09 GOODS AND SERVICES NOBLESVILLE IN $� 39.98 TOTAL 6035 3012 0289 6161 �--u-�$ Y 39.98 ACCOUNT 6035 3012 0338 6873 12/04 GOODS AND SERVICES WE FIELD IN $ 24.99 TOTAL 6035 3012 0338 6873 � — $ T 24.99 PAYMENTS,CREDITS,FEES AND ADJUSTMENTS 11/20 PAYMENT-THANK YOU P919400A509RR9GNY $ 221.92- 12/20 PAYMENT-THANK YOU —i P919400B209PKTK9A --� $ 331.92- NOTICE:.SEE REVERSE SIDE FOR IMPORTANT INFORMATION_._ _ Page 1 of 8 _ _ - This Account is,Issued.by Citibank,N.A. Other Account and Payment Information. This means that we will credit your account as of the calendar day, When Your Payment Will Be Credited.If we receive your payment in based on Eastern time,that we receive your payment request. proper form at our processing facility by 5 p.m.local time there,it will Express Mail.Send payment by courier or express mail to:Customer be credited as of that day.A payment received there in proper farm Service Center,Dept CCS.911,4740121st Street,Urbandale,IA 50323. after that time will be credited as of the next day.Allow 5 to 7 days for Payment must be received in proper form at the proper address by payments by regular mail to reach us.There may be a delay of up to 5 5 p.m.Central time to be credited as of that day.All payments received days in crediting a payment we receive that is not in proper form or is in proper form at the proper address after that time will be credited not sent to the correct address.The correct address for regular mail is as of the next day. the address on the front of the payment coupon.The correct address If you send an eligible check with this payment coupon,you authorize for courier or express mail is the Express Mail Address shown in the us to complete your payment by electronic debit.If we do,the checking Express Mail section. account will be debited in the amount on the check.We may do this as Proper Form.For a payment sent by mail or courier to be in proper form, soon as the day we receive the check.Also,the check will be destroyed. you must: Report a Lost or Stolen Card Immediately.You may call Customer Enclose a valid check or money order.No cash,gift cards, Service 24 hours a day,7 days a week. or foreign currency please. Notify Us in Case of Errors or Questions About Your Bill.If you think Include your name and the last four digits of your account number. your bill is wrong,or if you need more information about a transaction Copy Fee.We charge$5 for each copy of a billing statement that dates on your bill,write us(on a separate sheet)at the Billing Errors address back 3 months or more.We add the fee to the regular revolve credit plan on this statement as soon as possible.We must hear from you in writing balance.We waive the fee if your request for the copy relates to a billing no later than 60 days after we send you the first bill on which the error error or disputed purchase. or problem appeared.In your letter,give us the following information: Payment Other Than By Mail. Your name and account number. Phone.Call the phone number on Page 1 of your statement to make a The dollar amount of the suspected error. payment_.We may_process your payment electronically after we verify Describe the error and explain,if you can,why you believe there is your identity.You will be charged$14.95 to use this service.The an error.If you need more informati ,describe the item you are on payment cutoff time for Phone Payments is midnight Eastern time. unsure about. a- m 0 T03936-9194-1574-0002--0---09101/02-93-000-P--0--0-0-0--12/31/99-TS01-November 20,2013-0- N--- F-0 Tractor Supply Full Pay JUL13 Page 2 of 8 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 I � SEEN T ��y�� _ WITH OUR EXPANSIVE SELECTION OF 1 0-111111 1;AT I mr I= AF in_mr%'U NGR P R(m DO m Kmen T i F OSlmycro. ru asa i k Page 3 of 8 1-800-559-8232 Account: **** **** **** 0860 A� 7 77 O © T>''.-.g3}°�;;:.r' n `t;:: 'y:}=i.;`. r=` .` °" '_ ,, ', t• ;ova:. r- _ �. •y,,,:T -r ` ;y ".vJ•o R} �" iii- .;z �' { .. �. �7.°p,". �"��'an r 9 r"�#�w°�'.w',s✓, �n''S�• w.;r"v, _ ..ir.(� F "�r"rr K�r'�.e 'y - - "d`�4 7 � 4�.4:i"� � i.. •� „iit k�u r.,�' y,'; f�!f >` ' •. ��'-CL +�a�' •F:'S'yK c- ru .pao1: zQ:F rto. °U IM 'MN, !-. '•:"'.—c fit:9" _ - '��-y���� �rt•�.^ _� .,�:, ��;.°; £%fin j�� • ��,':z, "�,�r �; �� -.K�,r;. 3 _ _ . 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"�:",;Q_ .M1-�'.,5..:�` r•`";FSA:»--=�'. , _� �IC� G�OQC� ��� � Mil 4�]C�LM] � ° L� QOM_�Q�Il� ` �.:. =•=-�-�. .. Al - .. C ;GO[357 u pG�°a _ f Ilg( E000A '°" 9 0� � �^l�.�l UU{I�Ar\J �OD40 L�JIN�1:J1IY0' - _ �"•" - --�_' . : - " TFactorSupplycom ON Page 4 of 8 1-800-559-8232 Remit payment and make checks payable to: INVOICE ®ETA I L IVTBACTOR TRACTOR SUPPLY CREDIT PLAN DEPT.30-1200050860 SUpny PO BOX 689020 ® DES MOINES IA 50368-9020 BILL TO: SHIP TO: Acct: 6035 3012 0007 4803 JEFF STEWART Amount Due: Trans Date: Invoice#: / 211 2ND ST SW 200290524 V/ CARMEL,IN 46032-2014 $59.97 12/09/13 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE LIGHT TRAPEZOID 4X6 HALGE _ 28845001679 1.0000 EA _ $19.99 $19.99 WORK LIGHT TWIN 50OW HALO 449394012266 -- 1.0000 EA $19.99 $19.99 WORK LIGHT TWIN 50OW HALO 449394012266 v-� 1.0000 EA -� $19.99�w - $19.99 SUBTOTAL $59.97 TAX $0.00 SHIPPING $0.00 TOTAL $59.97 BILL TO: SHIP TO: Acct: 6035 3012 0289 5874 JAMES BENTLEY Amount Due: Trans Date: Invoice* 3400 W 131ST ST 200291105 CARMEL,IN 46032-0000 $84.99 12/11/13 PO: Store: 574000431,WESTFIELD p Cr PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE C3 CES 10 WELLINGTON 10.5M 749394045142 1.0000 EA $84.99 $84.99 W SUBTOTAL $84.99 TAX $0.00 SHIPPING $0.00 TOTAL $84.99 BILL TO: SHIP TO: Acct: 6035 3012 0289 5999 RICK ALDEN Amount Due:. Trans Date:. Invoice#: 3400 W 131ST ST 200328952 CARMEL,IN 46032-0000 $109.99 12/02/13 PO: Store: 574000624, NOBLESVILLE PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE CH CTN CAMO BIB 42X30 RT 886859189239 1.0000 EA $109.99 $109.99 SUBTOTAL $109.99 TAX $0.00 SHIPPING $0.00 TOTAL $109.99 BILL TO: SHIP TO: Acct: 6035 3012 0289 6161 SHAUN PRIVETT Amount Due: Trans Date: Invoice#: 3400 W 131ST ST 200331174 CARMEL,IN 46032-0000 $39.98 12/09/13 PO: Store: 574000624, NOBLESVILLE PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE LIGHT TRAPEZOID 4X6 HALGE 28845001679 1.0000 EA $19.99 $19.99 LIGHT TRAPEZOID 4X6 HALGE 28845001679 1.0000 EA $19.99 $19.99 SUBTOTAL $39.98 TAX $0.00 SHIPPING $0.00 TOTAL $39.98 Page 5 of 8 .1-800-559-8232 I Remit payment and make checks payable to: INVOICEDETAIL IVTBACTOR TRACTOR SUPPLY CREDIT PLAN DEPT.30-1200050860 SUMLY ® PO BOX 689020 ® DES MOINES IA 50368-9020 BILL TO: SHIP TO: Acct: 6035 3012 0338 6873 BRAD SCHERICH Amount Due: Trans Date: Invoice#: 3400 W 131 ST ST 200289321 CARMEL,IN 46074-8267 $24.99 12/04/13 PO: Store: 574000431,WESTFIELD PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE 60IN BUNGEE CARGO NET W24 875195001787 1.0000 EA $24.99 $24.99 SUBTOTAL $24.99 TAX $0.00 SHIPPING $0.00 TOTAL $24.99 C3 on 0-' C3 C3 Page 7 of 8 1-800-559-8232 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)) 12/26/13 200289321 $24.99 12/26/13 200331174 $39.98 12/26/13 200290524 $93.48 12/26/13 200291105 $84.99 12/26/13 200328952 $109.99 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Tractor Supply IN SUM OF $ P. O. Box 9020 Des Moines, IA 50368-9020 $353.43 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 200289321 42-370.00 $24.99 1 hereby certify that the attached invoice(s), or 2201 200331174 42-370.00 $39.98 bill(s) is (are) true and correct and that the 2201 200290524 42-370.00 $93.48 materials or services itemized thereon for 2201 200291105 43-560.01 $84.99 which charge is made were ordered and 2201 200328952 43-560.01 $109.99 received except A ! f a a!�uesday,JDece r 31, 2013 `' A-7t'�"�ffi Title Cost distribution ledger classification if claim paid motor vehicle highway fund