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319870 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 00351087 ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $*******109.98* a CARMEL, INDIANA 46032 DEPT 53-4007491408 CHECK NUMBER: 319870 PO BOX 78037 CHECK DATE: 12/21/17 PHOENIX AZ 85062-8037 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238000 0 109.98 SMALL TOOLS & MINOR E i VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00351087 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER SEARS COMMERCIAL ONE IN SUM OF$ CITY OF CARMEL DEPT 53-4007491408 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PO BOX$$9439 78&37 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. vV v Payee $109.98 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 42-380.00 $109.98 1 hereby certify that the attached invoice(s),or 12/13/17 0 $109.98 2201 2201 2201 2201 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 Wednesday, December 13,2017 Huffman, Dave Director 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Account Statement Commercial Account SE co(wercialone- STS Account Inquiries: CITYOFCARMELSTREETDEPT CommercialOne® 1-800-599-9712 Fax 1-800-599-9711 Account Number=54055340 07491408 Summary of Account Activity Payment Information Previous Balance $0.00_ Current Due__ $109.98 moments _$0.00 Past Due Amount + $0.00 Credits -Minimum Payment Due _ $109.98 Purchases +$109.98 Debits +$0.00Payment Due Date 12/31/17 New Balance $109.98 _ _ Credit Line $5,000 �SEAFIS nd Notice of Billing Errors and Customer Service Inquiries to: ACredlt AVallable Y $4,890 COMMERCIAL ONE Closing Date 12/06/17 Box 6282,Sioux Falls,sD 57117-6262 Next Closing Date 01/05/1L8 TRANSACTIONS Trans Date Locatlon/Description Customer PO# Reference# Invoice# Amount ACCOUNT 5405 5340 2161 0785 CITY OF CARMEL STREE 11/09 SEARS 1600 031201550020 T958005 $ 109.98 12-1 TOTAL 5405 5340 2161 0785 $ 109.98 C3 Do O L� NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 4 This Account-is Issued by Citibank,N.A. ^" �Ic SeRemit payment and make checks payable to: INVOICE DETAIL , , sears\7 SEARS COMMERCIAL ONE 1�34,58 7840 DEPT.53-4007491408 Commercial0nee PO BOX 78037 PHOENIX,AZ 85062-8037 PURCHASE CARD: SHIP TO: Acct::5405 5340 2161 0785 JAMES BENTLEY Amount Due: Trans'Date I11VOICe#: CITY OF CARMEL STREET 3400 W 131ST ST T95=5 DEPT WESTFIELD,IN 46074 $109.98 11/09/17 PO: 031201550020 Store: 1600,INDIANAPOLIS,.IN PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE IMPACT DRI 00936557000 _ 1.0000 199.99 _ $99.99 SCREWDRIVER SET 5PC 00941809000 1.0000 $9.99__ $9.99 SUBTOTAL $109.98 TAX $0.00 SHIPPING $0.00 TOTAL $109.98 L✓ .r E3 C3 ru Page 3 of 4 1-800-599-9712