243325 3 /18/2015 a ut,CgF'1,
! CITY OF CARMEL, INDIANA VENDOR: 00351087
ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $*******209.86*
9 ,a� CARMEL, INDIANA 46032 DEPT 53-4007491408 CHECK NUMBER: 243325
MiroN' PO BOX 689131 CHECK DATE: 03/18/15
DES MOINES IA 50368-9131
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T309309 209.86' SMALL TOOLS & MINOR E
Account Statement
Commercial Account
CITY OF CARMEL STREET DEPT
sears,, . Account Inquiries:
Co m m e rc i a l O ne® 1-800-599-9712 Fax 1-800-599-9711 7
Account Number: 5405 5340 07491408
Summary of Account Activity Payment Information
Previous Balance — $353.47 Current Due I $209.86
Payments -$353.47 Past Due Amount + $0.00
Credits -$0.00 A� —
Minimum Payment Due = $209.86
_Purchases _ +$209.86 ---
Debits +$0.00 Payment Due Date 03/31/15
New Balance $209.86
Credit Line _ $5,000 _
Send Notice of Billing Errors and Customer Service Inquiries to: Credit Available �— _ T` $4,790
SEARS COMMERCIAL ONE CIOSIng Date 03/06/15
PO Box 6282,Sioux Falls,SD 57117-6282 Next Closing Date 04/05/15
TRANSACTIONS
Trans Date Location/Description Customer PO# Reference# Invoice# Amount
ACCOUNT_5405 5340 2161 0785 CITY OF CARMEL STREE
02/05 SALES ADJUSTMENT D_EERFIELD IL _ J� —� $ 209.86
V� TOTAL 1405 5340 2161 0785 �$ 209.86
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
02
02/05 CK241373 _ ~^ P9362001409DSDSLE _$ 130.68-
C3 3 03/06 CK242387 P93620 I210A1TRV3T $ 222.79-
I
N4-ICq:-SEE-REVERSESIDE-FOR WP_ORTANT INFORMATION. --Pagea---,ofd
= y =Please detach-and return lower onion with- our a meat-to-Insure-proper,credit. Retain ortlon for our records, 4
_ ------------------------------------------p-------�--p y----- ---- - ----------------P------- ----------------------------
I
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 Mall. letter,give us at least the following information:
• Phone.Call the phone number on Pagel 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 aescribe the error and explain,if you-can,"why you believe there is
is midnight Eastern time.This means-that we will credityouur account------- —an-error lf-you-need-more-information;descritre-thFiteSm you are
as of the calendar day,based on Eastern time,that we receive your unsure about.
payment request.
Send Notice of Billing Errors and Customer Service Inquiries to:
C3 Sears Commercial One
LH PO Box 6282
Sioux Falls,SD 57117-6282
T03931-RC-9355-5600-0000-Y-0-06/01/99-81-000-P-0-N--0-0--12/31/99-SC2B-February.3,2015
Sears CRC JUL13
Page 2 of 4
Sears® Remit payment and make checks payable to: INVOICE DETAIL
SEARS COMMERCIAL ONE
DEPT.11 4007491408
PO BOX 689131
Commercia101'1DES MOINES,IA5 368-9131
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 JAMES BENTLEY Amount Due: Trans Date: Invoice#:
CITY OF.CARMEL STREET. 3400 WEST 131 STREET T309309
DEPT WESTFIELD,IN 46074 $209.86 02/05/15
PO: SHOP Store: 5340,FISHERS'
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE .
REV GRWRNCH 8PC MM_ 00944004000 1.0000 $39.99 $39.99_
REV GRWRNCH 8PC SAE 00944003000 1.0000 I $39.99 $39.99
19.2V LI D CM RILL DRIV 00938595000 1.0000 $129.88 $129.88
SUBTOTAL $209.86
TAX $0.00
SHIPPING $0.00
TOTAL $209.86
r
C3
� I
C3
ru
i
WA
Page 3 of 4 1-800 599-9712
This page intentionally left blank.
!
0
C3
li ru
Page 4 of 4 1-800-599-9712
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears
i IN SUM OF$
P. O. Box 689131
Des Moines, IA 50368-9131
$209.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#IrITLE I AMOUNT Board Members
2201 I T309309 I 42-380.001 $209.86 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
i
which charge is made were ordered and
received except
rida ,Arch 3015
S�rr���� Is�A� r
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))
02/05/15 T309309 $209.86
it
I
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