249421 09/09/15 oi.
CITY OF CARMIrL, INDIANA VENDOR: 00350177
ONE CIVIC SQUARE SEARS HARDWARE CHECK AMOUNT: $*****1,239.97*
CARMEL, INDIANA 46032 DEPT 53-000004369 CHECK NUMBER: 249421
PO BOX 689134 CHECK DATE: 09/09/15
DES MOINES IA 50368-9134
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 T854017 1,239.97 OTHER EXPENSES
INVOICE
seasears,C®11'19Y�et'ClaO n�® Invoice #: T854017
Please pay from this invoice.
SHIP TO: Account 5405 5300 0003 4369
CARMEL WATER AND SEWER ULIL CARMEL WWTP Amount Due $1,310.32
3450 W 131ST STREET 9609 HAZEL DELL PKWY
INDIANAPOLIS IN Transaction Date 08/14/15
Payment Due Date 09/13/15
'`,Customer# Purchased By.. _ Authorizdd By Purchase Order/Job Name Sears Order#
S75371
Store/Register#: 1600,INDIANAPOLIS, IN/142
PRODUCT SKU# QUANTITY UNIT UNIT PRICE TOTAL PRICE
KAD DISH 02214373000 1.0000 $1,299.99 $1,299.99
3Y HOMEMPA 07012326292 1.0000 $219.99 $219.99
PREMIUM AM DELIVERY FEE V 116046 000 1.0000 $14.99 $14.99
DISCOUNT - 000000000 -� 1.0000 $295.00- $295.00-
r SUBTOTAL $1,239.97
w TAX \
SHIPPING $0.00
TOTAL $1,310.32 "C
Please pay from this Invoice.
Questions ACCT MGR SEARS COMMERCIAL ONE PHONE 1-800-599-9712
About Your
Account FAX 1-800-599-9711
NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 2 This Account Is Issued-by Citibank,N.A..
y Please detach and return lower portion with your payment to insure proper credit.-Retain-upper portion-for your records. y
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 5 p.m.Eastern time.Payments received after 5 p.m.Eastern time an error.If you need more information,describe the item you are
will be credited as of the next day. unsure about.
r
w Send Notice of Billing Errors and Customer Service Inquiries to:
Q'
..0 Sears Commercial One
O PO Box 6282
Sioux Falls,SD 57117-6282
T03932-RI-5200-01 NV-0000---0------P-0--0.0----
Sears PROX JUL13
Paae 2 of 2
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
350177
SEARS HARDWARE Purchase Order No.
P O BOX 689134 Terms
DES MOINES, IA 50368-9134 Due Date 9/2/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/2/2015 T854017 $1,239.97
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
Date Officer
VOUCHER # 156214 WARRANT # ALLOWED
350177 IN SUM OF $
SEARS HARDWARE
P O BOX 689134
DES MOINES, IA 50368-9134
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
T854017 02-2308-00 $1,239.97
Depreciation
Voucher Total $1,239.97 .
Cost distribution ledger classification if
claim paid under vehicle highway fund