184929 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1
t ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $110.49
CARMEL, INDIANA 46032 PO BOX 689131
DES MOINES IA 50368 -9131 CHECK NUMBER: 184929
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 T465908 110.49 OTHER MISCELLANOUS
S ears Page 1 of 3
Sequence -1991
Conlmercial®ne ACCOUNT NUMBER 5405 5340 0749 1101
CUSTOMER SERVICE 1 -800 -599 -9712
Account Total Available Billing Cycle Payment Minimum
Balance Credit Line Credit Closing Date Due Date Payment Due
$118.22 $3,000 $2,881 04/12/10 05/07110 $118.22
Account Summary
Previous Balance $0.00
Payments $0.00
Returns/Exchanges/Adjustments $0.00
Purchases Debits $118.22
Account Balance $118.22
Purchasing Account 5405 5340 0749 1101
Current Purchases and Debits
Detail enclosed for new purc hase items since last statement.
Trans Post Sears Purchase
Date Date Purchase Location Invoice Customer PO Order Amount
03130 03130 SEARS HARDWARE 5340 FISHERS IN T465908 ROBERT ROBINSON $118.22
20100330005340 *504R2369
Total Purchases and Debits for Account Number 5405 5340 0749 1101 $118.22
Total Account Activity for Account Number 5405 5340 0749 1101 $118.22
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.
Seams
SEARS COMMERCIAL ONE Page 3 of 3 CARMEL POLICE DEPT
Commercial ®Yie PO BOX 630859 3 CIVIC AC C O UNTS PAYABLE
lRVING, TX 75063 -0859
CARMEL IN 46032 -2584
lnf�►rmtin
Payment Due Date: 05107/10 Purchase Location: FISHERS Statement Date: 04112/10
Name: CARMEL POLICE DEPT Customer PO ROBERT ROBINSON
Invoice T465908 Invoice Amount: $11822 Sears Order
Invoice hate: 03/30/10 1 Cardholder Name: CARMEL POLICE DEPT Purchase Card 5405534007491101
Ship to Address: ROBERT ROBINSON
CARMEL, IN
4uantty SKU /description Uralt Price. tat Price
1 02063259000 KM MICROWAVE, 1.2/120OW $110.49 $1
Payment Address: SEARS COMMERCIAL ONE Total Price: 110,49
PO BOX 689131 Tax:
DES MOINES IA 50368 -9131 Delivery: 0
For Customer Service Call: 1- 800 599 -9712 Grand Total: 1B.
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.
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Sears Commercial One Purchase Order No.
P.O. Box 689131 Terms
Des Moines, IA 50368 -9131 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4112/10 T465908 payment for microwave, 110.49
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears Commercial.One IN SUM OF
P.O. Box 689131
Des Moines, IA
110.49
ON ACCOUNT OF APPROPRIATION FOR
police general. fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 T465908 390 -99 110.49 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
April 22 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund