329508 08/30/18 CITY OF CARMEL, INDIANA VENDOR: 00350177
ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $*********5.75*
® � CARMEL, INDIANA 46032 DEPT 53-0000034369 CHECK NUMBER: 329508
PO BOX 78042 CHECK DATE: 08/30/18
PHOENIX AZ 85062-8042
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 T258217 5.75 OTHER EXPENSES
VOUCHER NO. 186279 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 350177 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
SEARS HARDWARE CITY OF CARMEL
DEPT. 53-0000034369 An invoice or bill to be properly itemized must show: kind of service,where performed,
P 0 BOX 78042 dates service rendered, by whom, rates per day,number of hours, rate per hour,
PHOENIX, AZ 85062-8042 numbers of units, price per unit,etc.
Payee
5.75 350177 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR SEARS HARDWARE Terms
Carmel Wasterwater Utility DEPT. 53-0000034369 Due Date
BOARD MEMBERS P O BOX 78042
I hereby certify that that attached invoice PHOENIX,AZ 85062-8042
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT,
T258217 01-720T-06 $5.75 and received except 8/22/2018 T258217 $5.75
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
INVOICE
searsse���
ercial nes Invoice #: T258217
Please pay from this invoice.
'SHIP TO: Account 5405.5300.0003 4369,
CARMEL"WATER.AND`SEWERULIL JEFF COOPER Amount Due $6.15
3450 W'131_ST STREET 9609 HAZEL DELL PARKWAY
INDIANAPOLIS IN Transaction Date 68109/18
payment Due Date 0.9/08/18
Customer# Purchased By Authorized By Purchase Order/Job Name Sears Order#
093880749202
Store .Register M 9388,HOFFMAN ESTAT,IL 1001
PRODUCT SKU 4 QUANTITY UNIT UNIT PRICE TOTAL PRICE
A BIT SOCKET 732'3 8DR,HEX 60946662600 1.0000 $5.75 $5;75
SUBTOTAL $5
TAX p<
SHIPPING $0.00. ��AQ
TOTAL $6.15`
LU`
Er Please pay from this Invoice.
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Questions. ACCTT;MGR SEARS COMMERCIAL ONE PHONE 1-800-599-971'2
About Your
Account FAX 1-800-699-9711
NOTICEi.SEE REVERSEiSIDE FOR IMPORTANT INFORMATION Page 1 of 2 This Account Is issuedby Citibank,N.A.
y_- Please detach and returnaower portion withyourpayment_to insure proper credit Retain upper portion.for your records.
seaIrs - Your Account Number is 5405 5300 0003 4369
Amount Due
PO 130X-6282
SIOUX FALLO,SD 57117.0282 Due'Date' September 8,2018
For proper credit,please write
5405 5300 0003 4369
on your check and enclose Invoice Number T258217
Invoice Enclosed with.this payment ooupon. =
Amount Enclosed 5-7.5
PrInt'address changes on the reverse side.
PH0o444191.1 AB 0:408 MQ210362 THIN 006258'2076 Make Checks Payable to v
11111�I�rlrIIII�II' L'llll�'III��'IIIIIrIIIIiIIrIIIIIiIrIIIIIIrIr� SEARS COMMERCIAL ONE
DEPT.53-0000634369
CARMEL WATER AND SEWER ULIL PO BOX 78042
3450 W 131ST STREET PHOENIX,AZ 850,62-8042
WEST.FIELD,IN 460748267 r�'lllllirllllnlllllflrll'ITIII''I'I�'�Illrllnrll�lll'�I�I'I��I,;'
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