241373 01/22/15 olil-,
CITY OF CARMEL, INDIANA VENDOR: 00350177
ONE CIVIC SQUARE SEARS CHECK AMOUNT: $*******130.68*
CARMEL, INDIANA 46032 DEPT 53-4007491408 CHECK NUMBER: 241373
PO BOX 689131 CHECK DATE: 01/22/15
DES MOINES IA 50368-9131
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T002134 -96.17 SMALL TOOLS & MINOR E
2201 4238000 T811436 130.68 SMALL TOOLS & MINOR E
2201 4238000 T833431 96.17 SMALL TOOLS & MINOR E
Account Statement
Commercial Account
Searsa CITY OF CARMEL STREET DEPT
mm p Account Inquiries:
Co
1 1 11 1 1 i C I ��® 1-800-599-9712 Fax 1-800-599-9711 -
Account Number:.,5405 5340 0749-1 408..
Summary of Account Activity Payment Information
Previous Balance _ $0.00 Current Due $130.68
Payments -$0.00 Past Due Amount T-_ + $0.00
Credits _ -$96.17 Minimum Payment Due _ _ $130.68
Purchases +$226.85 --- ---
Debits !� +$0.00 Payment Due Date 01/31/15
New Balance $130.68 Credit Line $5,000 _
S
end Notice of Billing Errors and Customer Service Inquiries to: Credit Available $_4,869
------ — --- -- -
EARS COMMERCIAL ONE Closing Date _01/06/15
O Box 6282,Sioux Falls,SD 57117-6282 Next Closing Date 02/03/15
TRANSACTIONS
Trans Date Location/Description Customer PO# Reference# Invoice# Amount
ACCOUNT 5405 5340 2161 0785 CITY OF CARMEL STREE
12/08 SEARS HARDWARE 5340 FISHERS IN SHOP T833431 $ 96.17
12/08 SEARS HARDWARE 5340 FISHERS—INSHOP T811436 $ 130.68
12/08 SEARS.COM 093003927584 T002134 $ 96.17-
(32 �� TOTAL 5405 5340 2161 0785 _ $ _ 130.68
O
12-1
-c RTANT INF RM TION P e..1_of 4_
This Account.is Issued by Citiban�
Other Account and Payment Information. Express Mail.Send payment by courier or express mail to:Customer
When Your Payment Will Be Credited.If we receive your payment in Service Center,Dept.CCS 911,4740121st Street,Urbandale,IA 50323.
proper form at our processing facility by 5 p.m.local time there,it will Payment must be received in proper form at the proper address by
be credited as of that day.A payment received there in proper form 5 p.m.Central time to be credited as of that day.All payments received
after that time will be credited as of the next day.Allow 5 to 7 days for in proper form at the proper address after that time will be credited
payments by regular mail to reach us.There may be a delay of up to 5 as of the next day.
days in crediting a payment we receive that is not in proper form or is If you send an eligible check with this payment coupon,you authorize
not sent to the correct address.The correct address for regular mail is us to complete your payment by electronic debit.if we do,the checking
the address on the front of the payment coupon.The correct address account will be debited In the amount on the check.We may do this as
for courier or express mail is the Express Mail Address shown in the soon as the day we receive the check.Also,the check will be destroyed.
Express Mail section. Report a Lost or Stolen Card Immediately.You may call Customer
Proper Form.For a payment sent by mail or courier to be in proper form, Service 24 hours a day,7 days a week.
you must: In Case of Errors or Questions About Your Bill.
Enclose a valid check or money order.No cash,gift cards, If you think your invoice or billing statement is wrong,or if you need more
or foreign currency please. information about a transaction thereon,write us on a separate sheet at
Include your name and the last four digits of your account number. the inquiry address listed below as soon as possible.We must hear from
You agree not to send us partial payments marked"paid in full", you no later than 30 days after we first sent you the invoice or billing
"without recourse",or similar language unless such payments are statement on which the error or problem appeared.
marked for special handling and sent to the inquiry address below. You must contact us in writing in order to preserve your rights.In your
Payment Other Than By Mail. letter,give us at least the following information:
Phone.Call the phone number on Page 1 of your statement to make Your name and account number.
a payment.We may process your payment electronically after we The dollar amount of the suspected error.
verify your identity.The payment cutoff time for Phone Payments Describe the error and explain,if you can,why you believe there is
is midnight Eastern time.This means that we will credit your account an error.If you need more information,describe the item you are
as of the calendar day,based on Eastern time,that we receive your unsure about.
payment request.
X7
03 Send Notice of Billing Errors and Customer Service Inquiries to:
ED Sears Commercial One
E' PO Box 6282
Sioux Falls,SD 57117-6282
T03931-RC-9355-5600-0000-Y--0---06/01/99-81-000-P-0--0-0--12/31/99-SC2 B-December 5,2014
Sears CRC JUL13
S8Ga I^y�® Remit payment and make checks payable to: INVOICE
N V®I C E ®ETA I L
SEARS COMMERCIAL ONE
DEPT.53-4007491408
CPC BOX 689131
ommercial n�® DES MOINES,IA50368-9131
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 CARMEL STREET DEPT Amount Due: Trans Date:., Invoice#:
CITY OF CARMEL STREET 3400 W 131ST STREET TW2134
DEPT WESTFIELD,IN 46074 -$96.17 12/08/14
PO: 093003927584 Store: 9300,W DES MOINES
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
220 PC MTS SET _ 00936220000 1.0000 $89.88- $89.88-
SUBTOTAL $89.88-
TAX $6.29-
SHIPPING $0.00
TOTAL $96.17-
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 JAMES BENTLEY Amount Due: Trans Date:.. Invoice#:
CITY OF CARMEL STREET 3400 WEST 131 STREET T811436
DEPT WESTFIELD,IN 46074 $130.68 12/08/14
PO: SHOP Store: 5340,FISHERS
E✓ PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
r SC100PC,CM SPEED-LOKSET 00947625000 1.0000 $19.99 $19.99
C3 12PC NUT,DRIVER W/POUCH 00934555000 _ 1.0000 _ $19.99 $19.99
M 17PC,CM S/D SET 00931794000 _ _ 1.0000 _ $19.99 $19.99
C3
f'l.l 42PC,CRFTSMN MSTR BT SCKT 00934845000 ^ 1.0000 $29.99 $29.99_
GEARWRENCH,20PC 00935720000 _ 1.0000 l� $49.99 $49.99
DISCOUNT 000000000000 1.0000 $9.27- $9.27-
SUBTOTAL $130.68
TAX $0.00
SHIPPING $0.00
TOTAL $130.68
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 CARMEL STREET DEPT Amount Due:. Trans Date: Invoice#:
CITY OF CARMEL STREET 3400 W 131ST STREET T833431
DEPT WESTFIELD,IN 46074 $96.17 12/08/14
PO: SHOP Store: 5340,FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
220 PC MTS,SET 00936220000 1.0000 $89.88 $89.88
SUBTOTAL $89.88
TAX $6.29
SHIPPING - _ - $O.00-- -I
TOTAL $96.17
Page 3 of 4 1-800-599-9712
I
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))
12/08/14 T002134 ($96.17)
12/08/14 T811436 $130.68
12/08/14 T833431 $96.17
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears
IN SUM OF $
P. O. Box 689131
Des Moines, IA 50368-9131
$130.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 T002134 42-380.00 ($96.17) 1 hereby certify that the attached invoice(s), or
2201 T811436 42-380.00 $130.68 bill(s) is (are) true and correct and that the
2201 T833431 42-380.00 $96.17
materials or services itemized thereon for
which charge is made were ordered and
received except
e
UW4F&id a , 2015 41
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Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund