242387 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 00351087
ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: S*******222.79*
CARMEL, INDIANA 46032 DEPT 53-4007491408 CHECK NUMBER: 242387
PO BOX 689131 CHECK DATE: 02/17/15
DES MOINES IA 50368-9131
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 STREET -106.99 T000216
2201 4238000 STREET -146.02 T1000165
2201 4238000 STREET 99.99 T109211
2201 4238000 STREET 146.01 T468153
2201 4238000 STREET 106.99 T608220
2201 4238000 STREET 122.81 T925158
Account statement
a Commercial Account
sears® Account Inquiries: CITY OF CARMEL STREET DEPT
Commercial nW 1-800-599-9712 Fax 1-800-599-9711
Account Number: 5405.5340=07491408
11 Summary of Account Activity Payment Information
Previous Balance _ $130.68 Current Due $222.79
Payments —�� _ _ _$0.00 Past Due Amount ~� — + $130.68
Credits_ _ -$253.01 - j�jlinimum Payment Due — �— - $353.47
Purchases +$475.80 -- --- --
Debits v +$0.00 Payment Due Date 02/28/15
New Balance $353.47 Credit Line _ $5_,000 _
_
Send Notice of Billing Errors and Customer Service Inquiries to: Credi $4,646
t t Available-- --------- — _—
SEARS COMMERCIAL ONE Closing Date 02/03/15
PO Box 6282,Sioux Falls,SD 57117-6282 Next Closing Date — 03/06/15
--j
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TRANSACTIONS
Trans Date Location/Description Customer PO# Reference# Invoice# Amount
X, ACCOUNT 5405 5340 2161 0785 CITY OF CARMEL STREE
O 01/12 SEARS HARDWARE 5340 FISHERS IN �SHOPBENTLEY — T109211 ~$ 99.99
Oz
E3 01/12 SEARS HARDWARE 5340 FISHERS IN CREDIT SHOPBENTLEY T000216 $ 106.99-
01/12^ SEARS HARDWARE 5340 FISHERS IN SHOPBENTLEY -- T608220 _ $ 106.99
02162 SEARS HARDWARE 5340 FISHERS IN — 241—� ^T468153 $ —146.01!
02/02 SEARS HARDWARE 5340 FISHERS IN —�— 241 �— T925158 $ 122.81
02/02 SEARS HARDWARE 5340 FISHERS IN CREDIT 241 T000165 $— 146.02-
-✓ TOTAL 5405 5340 2161 0785 $ 222.79
9 Jo Z abed
Other Account and Payment Information. Express Mail.Send payment by courier or express rnail 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.
.c
Send Notice of Billing Errors and Customer Service Inquiries to:
p Sears Commercial One
L✓ PO Box 6282
Sioux Fails,SD 57117-6282
T03931-RC-9355-5600-0000-Y--0-D--06/01/99-81-000-P-0-N--1-401--12/31/99-SC2B-January 6,2015
Sears CRC JUL13� ""
.. -ti..$•�-- _.,. `.:,�s,a, _ .:� .... a_. r?.5�. .sr _.s a�,�. ._. +R,..«�:-� - .., ... ,.e-1, ..�F ..- _.kM_ �.a.. s.rs.,.h.t +�z ,�'-- - �n _ �:l'o,
sears
SEA payment and make checks payable to: INVOICE DETAIL ETA I L
GGQ I V\ SEARS COMMERCIAL ONE
DEPT.53-4007491408
PC BOX 689131
Commercial �® DES MOINES, A50368-9131
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 T000165
DEPT WESTFIELD,IN 46074 -$146.02 02/02/15
PO: 241 Store: 5340, FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CR 19.2V 2PK BATTERIES _ 009113760001.0000 $66.49- $66.49-
CR 19.2V BTRY 2PC CHARGER 00911377000 - 1.0000 $69.97- $69.97-
SUBTOTAL $136.46-
TAX $9.56-
SHIPPING $0.00
TOTAL $146.02-
PURCHASE CARD: SHIP TO:
Acct:'5405 5340 2161 0785 CITY OF CARMEL STREET DEPT Amount DUer Trans Date: .; Invoice#:
CITY OF CARMEL STREET 3400 W 131ST ST 'T'000216
DEPT CARMEL,IN 46032-0000 -$106.99 01/12/15
PO: SHOPBENTLEY Store: 5340,FISHERS
L✓
r PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
23OPC MECHANIC TOOL SET 00950230000 1.0000 $99.99- $99.99-
nj SUBTOTAL $99.99-
TAX $7.00-
SHIPPING $0.00
TOTAL $106.99-
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 JAMES BENTLEY 'Amount Due: Trans Date: Invoice#:
CITY OF CARMEL STREET 3400 WEST 131 STREET T109211
DEPT WESTFIELD,IN 46074 $99.99 01/12/15
PO: SHOPBENTLEY Store: 5340, FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
23OPC MECHANIC TOOL SET 00950230000 1.0000 $99.99 $99.99
SUBTOTAL $99.99
TAX $0.00
SHIPPING $0.00
TOTAL $99.99
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 CITY OF CARMEL STREET DEPT Amount Due: Trans Date: Invoice#: /
CITY OF CARMEL STREET 3400 W 131ST ST T'468153
DEPT CARMEL,IN 46032-0000 $146.01 02/02/15
PO: 241 Store: 5340,FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CR 19.2V 2PK BATTERIES 00911376000 1.0000 $66.49 $66.49
CR 19.2V BTRY 2PC CHARGER 00911377000 - - 1.0000 _. $69.97 $69.97
SUBTOTAL $136.46
TAX $9.55
SHIPPING $0.00
TOTAL $146.01
Page 3 of 6 1-800-599-9712
Sed rS® Remit payment and make checks payable to INVOICE ®ETA I L
G SEARS COMMERCIAL ONE
Commercial �® DEPT 5491408
689131
PO BOX 689131
DES MOINES,IA 50368-9131
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 CITY OF CARMEL STREET DEPT Amount Due:. Trans Date: Invoice#:
CITY OF CARMEL STREET 3400 W 131ST ST T608220
DEPT CARMEL,IN 46032-0000 $106.99 01/12/15
PO: SHOPBENTLEY Store: 5340, FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
230PC MECHANIC TOOL SET 00950230000 1.0000 $99.99 $99.99
SUBTOTAL $99.99
TAX $7.00
SHIPPING $0.00
TOTAL $106.99
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 JAMES BENTLEY Amount Due:' Trans Date: Invoice#:
CITY OF CARMEL STREET 3400 WEST 131 STREET T925158
DEPT WESTFIELD,IN 46074 $122.81 02/02/15
PO: 241 Store: 5340, FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
r CR 19.2V 2PK BATTERIES 00911376000 1.0000 $66.49 $66.49
to CR 19.2V BTRY 2PC CHARGER _00911377000_ 1.0000 $69.97 $69.97
03 DISCOUNT 000000000 ��— —� 1.0000 $13.65-- $13.65-
17-1W
SUBTOTAL $122.81
TAX $0.00
SHIPPING $0.00
TOTAL $122.81
Page 5 of 6 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))
01/12/15 T109211 $99.99
01/12/15 T608220 $106.99
01/12/15 T000216 ($106.99)
02/02/15 T468153 $146.01
02/02/15 T925158 $122.81
02/02/15 T1000165 ($146.02)
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
Sears
W{-- S 3-- IN SUM OF $
P. O. Box 689131
Des Moines, IA 50368-9131
$222.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
5Ko S 5 3�4c) 0"N? l YQ8
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 T109211 42-380.00 $99.99 1 hereby certify that the attached invoice(s), or
2201 T608220 42-380.00 $106.99 bill(s) is (are)true and correct and that the
2201 7000216 42-380.00 ($106.99)
materials or services itemized thereon for
2201 T468153 42-380.00 $146.01
2201 7925158 42-380.00 $122.81 which charge is made were ordered and
2201 T1000165 42-380.00 ($146.02) received except
x Thupr ay, 2015
S'Sfr-46P C61ii m FssWe r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund