249889 09/23/1 5 CITY OF CARMEL, INDIANA VENDOR: 00350177
® cl ONE CIVIC SQUARE SEARS HARDWARE CHECK AMOUNT: $""""""*146.47"
Q CARMEL, INDIANA 46032 DEPT 53-000004369 CHECK NUMBER: 249889
�- PO BOX 689134
CHECK DATE: 09/23/15
DES MOINES IA 50368-9134
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T832414 146.47 SMALL TOOLS & MINOR E
Account Statement
Commercial Account
SearsCommresa9l ne Account Inquiries: CITY OF CARMEL STREET DEPT
m m 1-800-599-9712 Fax 1-800-599 9711
Account Number: 5405 53400749 1408.
Summary of Account Activity Payment Information
Previous Balance $0.00 Current Due $146.47
Payments -$0.00 Past Due Amount + $0.00
Credits -$0.00 Minimum Payment Due _ $146.47
Purchases +$146.47
Debits +$0.00 Payment Due Date 09/29/15
New Balance $146.47 Credit Line $5,000
853
Send Notice of Billing Errors and Customer Service Inquiries to: Credit Available $4, —
SEARS COMMERCIAL ONE Closing Date 09/04/15
PO Box 6282,Sioux Falls,SD 57117-6282 Next Closing Date 10/06/15
TRANSACTIONS
Trans Date Location/Description Customer PO# Reference# Invoice# Amount
ACCOUNT 5405 5340 2161 0785 CITY OF CARMEL STREE
08/12 SALES ADJUSTMENT DEERFIELD IL $ 146.47
E, TOTAL 5405 5340 2161 0785 S 146.47
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NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 This Account is Issued by Citibank,N.A.
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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.
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[):3 Send Notice of Billing Errors and Customer Service Inquiries to:
ED Sears Commercial One
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-SC2&Apel 5,2015
Sears CRG JUL13
sears® Remit payment and make checks payable to: INVOICE
�a�e V®I C E ® TA I L
SEARS COMMERCIAL ONE
91408
CommercialOne® DPO ES MO68911
4
INES3A50368-9131
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 2161 0785 JAMES BENTLEY Amount Due: Trans Date: Invoice#:
CITY OF CARMEL STREET 3400 WEST 131 STREET T832414
DEPT WESTFIELD,IN 46074 $146.47 08/12/15
PO: SHOPBENTLEY Store: 5340, FISHERS,IN
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
CR COMBO KIT 00955233000 1.0000 $142.49 $142.49
BLDS RZR 00994861000 2.0000 $1.99 $3.98
SUBTOTAL $146.47
TAX $0.00
SHIPPING $0.00
TOTAL $146.47
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Page 3 of 4 1-800-599-9712
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))
08/12/15 T832414 $146.47
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
'4
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears
IN SUM OF $
P. O. Box 689131
Des Moines, IA 50368-9131
$146.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 I T832414 I 42-380.001 $146.47 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
which charge is made were ordered and
received except
/Thur y, S 2015
1,-ri-I 7 Ll
St PUMM iOI e r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund