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183450 03/16/2010 VOID REISSUED 185086 CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1 ONE CIVIC SQUARE SEARS HARDWARE CHECK AMOUNT: $206.62 CARMEL, INDIANA 46032 1122 KEYSTONE WAY CARMEL IN 46032 CHECK NUMBER: 183450 CHECK DATE: 3/16/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 T245024 206.62 OTHER EXPENSES 1 SEARS COMMERCIAL ONE Page 1 of PC SOX 630859 IRVING TX 75063 -0859 swrs Invoice Number: 7245024 Commercial Accoun Num ber: 5405530 0 343 69 T I NVOICE Amount Due 206 66 9 2 Payment Due Date: 03 -27 -10 Purchase Location: 000005940 0000066 FISHERS IN 27 Merch Ref 20100225005340 *900R4974 CARMEL WATER AND SEWER ULIL SRRE 3450 W 131ST STREET s Please Pay From This Invoice. WESTFIELD IN 46074 -8267 Ship To: I" II�I�' Ilnlhlrlllrrll�ilrl��rllllir�lil�lll 'll'���I'llll'I�I� BILL UTILITIES rl' 77IN 09 NAPOLIS IN Customer No. Ordered By Authorized By Purchase Order N Purchase Date Sears Ship Order No. JOE278 02 -25 -10 Stock No /SKU Description Quantity Unit Unit Price Extension 00942444000 8PC,RATCHET WRENCH SET 1.0000 49.99 49.99 00942445000 8PC,RATCHET SET METRIC 1.0000 49.99 49.99 00945379000 PLIERS,SLIP JOINT 8" 1.0000 13.79 13.79 00945381000 PLIERS,ARC JOIN 9 -12" 1.0000 17.89 17.89 00944807000 RATCHET,1 /4" TEARDROP 2.0000 12.99 25.98 00944835000 RATCHET,3 /8 "DR.OFFSET FLX 1.0000 30.99 30.99 00944808000 RATCHET,8 1/8" QR 3 /8 "DR 1.0000 17.99 17.99 SUBTOTAL: 206.62 Total: 206.62 This Account Issued by Citibank (South Dakota), N A. SEND BILLING ERROR NOTICES TO: SEND INQUIRIES TO: FOR QUESTIONS ABOUT YOUR ACCOUNT: Sears Commercial One Sears Commercial One (800) 599 -9712 CALL PO Box 689132 PO Box 689132 (600) 599 -9711 FAX Des Moines, IA 50368 -9132 Des Moines, IA 50368 -9132 In Case of Errors or Questions About Your Bill Payment Information If you think your invoice or billing statement is wrong, Payment must be mailed to us at the payment address or if you need more information about a transaction shown on the reverse side. Payments that are received thereon, write us on a separate sheet at the inquiry in the mail at the designated address before 9:00am (CST) address listed on the reverse side as soon as possible. on any Monday through Friday that is not a holiday will be We must hear from you no later than 30 days after we credited as of the day of receipt. If payment is not made first sent you the invoice or billing statement on which as provided herein, crediting may be delayed up to 5 days. the error or problem appeared. You agree not to send us partial payments marked You must contact us in writing in order to preserve your "paid in full "without recourse or similar language rights. in your letter, give us at least the following information: unless such payments are marked for special handling Your name and account number and sent to the inquiry address on the reverse side. The dollar amount of the suspected error The Sears Commercial One Account is issued by Describe the error and explain, if you can, why Citibank (South Dakota), N.A.. you believe there is an error. If you need more information, describe the item you are unsure about. VOUCHER 105082 WARRANT ALLOWED 4350177 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 T245024 01- 720T -06 $206.62 Voucher Total $206.62 Cost distribution ledger classification if claim paid under 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 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 3/10/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/10/2010 T245024 $206.62 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 Date Officer