HomeMy WebLinkAbout191352 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE CHECK AMOUNT: $410.90
CARMEL, INDIANA 46032 PO BOX 689134
DES MOINES IA 50368 -9134 CHECK NUMBER: 191352
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T578561 74.99 SMALL TOOLS MINOR E
601 5023990 T588068 236.03 TRANSPORTATION EXPENS
601 5023990 T588075 -10.00 OTHER EXPENSES
1110 4239099 27032 T649780 109.88 MICROWAVE
Page 1 of 3
Sequence -1951
ACCOUNT NUMBER 5405 5340 0749 1101
Commercialfte` CUSTOMER SERVICE 1- 800 599 -9712
Account Total Available Billing Cycle Payment Minimum
Balance Credit Line Credit Closing Date Due Date Payment Due
$117.57 $3,000 $2,882 10/13/10 11/07/10 $117.57
Account Summary
Previous Balance $0.00
Payments $0.00
Returns /Exchanges /Adjustments $0.00
Purchases Debits $117.57
Account Balance $117.57
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
09/22 09/22 SEARS HARDWARE 5340 FISHERS IN T649780 ROBERT $117.57
20100922005340'900R0381
C Total Purchases and Debits for Account Number 5405 5340 0749 1101 $117.57
Total Account Activity for Account Number 5405 5340 0749 1101 $117.57
Please detach and return bottom portion of statement. with .nw -t...,�_,,,.�
1
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:OOam (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.
illh SEARS COMMERCIAL ONE Page 3 of 3 CARMEL POLICE DEPT
0"rs PO BOX 630859 ATTN ACCOUNTS PAYABLE
IRVING, TX 75063-0859 3 CIVIC SQ
Commercial0we CARMEL IN 46032-2584
I N 1
z z
Payment Due Date: 11/07/1 Purchase Location: FISHERS Statement Date: 10/13/10
Name: CARMEL POLICE DEPT Customer PO ROBERT
Invoice T649780 Invoice Amount: $117.57 Sears Order
Invoice Date: 09/22/10 Cardholder Name: CARMEL POLICE DEPT Purchase Card 5405534007491
Ship to Address: ROBERT ROBINSON
CARMEL, IN
C,r
an
r
1 02063259000 KM MICROWAVE, 1.2/1200W $109.88
Payment Address: SEARS COMMERCIAL ONE Total Price: .8
PO BOX 689131 Tax:
DES MOINES !A 50368-9131 Delivery: 0
For Customer Service Call: 1-800-599-9712 Grand Total: X17.
City. INDIANA RETAIL TAX EXEMPT PAGE
pf C sane CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CAFTMINDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
September 22, 2010 mi crowave
VENDOR Sears SHIP City of Carmel Police Department
TO 3 Civic Square
Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 Kenmore Black TrucCookPlus mircrowave 129000
0 A
Z.
I
�e
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 390 -99 other miscellaneo s PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ry
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /il
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 9 ®3 2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Y_ q.
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT
DEPT. I 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
.20
Signature
Title
Cost distribution ledger classification if
claim paid motor 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 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. 27032F
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))
10/13/10 payment for microwave 109.88
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
S ews Commercial One
IN SUM OF
P.O. Box :-689131
Des Moines, IA 50368 -9131
109.88
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27032F 390 -99 109.88 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
cto er 22 20 10
Signature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
P Page 1 of 3
4 t A Sequence 9 -1890
Commercial0ner ACCOUNT NUMBER 5405 5340 0749 1408
CUSTOMER SERVICE 1- 800 599 -9712
Account Total Available Billing Cycle Payment Minimum
Balance Credit Line Credit Closing Date Due Date Payment Due
$74.99 $5,000 $4,925 10/06/10 10/31/10 $74.99
Account Summary Payments Received
(Payments received since the last statement period.)
Previous Balance $154.87 Post Date Check Number Amount
Payments -$154,87 09110 189502 -$154.87
Returns /Exchanges /Adjustments $0.00 Total $154.87
Purchases Debits $74.99
Account Balance $74.99
Purchasing Account 5405 5320 0108 0128
Current Purchases and Debits
Detail enclosed for new urchase items since last statement.
Trans Post Sears Purchase
Date Date Purchase Location Invoice Customer PO Order Amount
09/15 09/15 SEARS HARDWARE 5340 FISHERS IN T578561 TRUCK 57 $74.99
20100915005340 *500R0751
Total Purchases and Debits for Account Number 5405 5320 0108 0128 $74.99
Total Account Activity for Account Number 5405 5320 0108 0128 $74.99
i
Sears Page 2 of 3
Sequence -1890
Commercial®ner ACCOUNT NUMBER 5405 5340 0749 1408
CUSTOMER SERVICE 1- 800 599 -9712
SEND BILLING ERROR NOTICES TO: SEND INQUIRIES TO: CALL 1- 800 599 -9712
PO BOX 689132 PO BOX 689132 FAX 1- 800- 599 -9711
DES MOINES, lA DES MOINES, IA
50368 -9132 50368 -9132
Please contact us at: 1- 800 599 -9712 with account reconciliation instructions. Purchases, returns and payments made just prior to the
generation of this account statement may not appear until the generation of next month's account statement.
III
S ears s SEARS COMMERCIAL ONE Page 3 of 3 CITY OF CARMEL STREET DEPT
PO BOX 630853 ATTN ACCOUNTS PAYABLE
Cammercial® A IRVlNG, TX 75083 -0859 3400 W 131ST ST
CARMEL iN 46032
t 7� hw 4 i ioiI
F 4
Payment Due Date: 10/31/10 Purchase Location: FISHERS Statement Date: 10/06/10
Name: CITY OF CARMEL STREET DEPT Customer PO TRUCK 57
Invoice T578561 Invoice Amount: $74.99 Sears Order
Invoice Date: 09/15/10 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: CARMEL STREET DEPT
WESTFIELD IN
Quantity SKlllDescrFpkon t1��t Price TotF.Price
1 00911580000 CR19.2V,HAMMER DRILL $74.99 1 $74.99
Payment Address: SEARS COMMERCIAL ONE Total Price: $74.99
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1 -800- 599 -9712 Grand Total: $74.99
e
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears
IN SUM OF
P. O. Box 689131
Des Moines, IA 50368 -9131
$7
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept_ INVOICE NO. ACCT #(TITLE AMOUNT Board Members
2201 T578561 42- 380.00 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
Thursday, OW1ber21, 2010
I r 1
V Street Commisslo?.er
Cost distribution ledger classification if
claim paid motor 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 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))
09/15/10 T578561 $74.99
1 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
SEARS COMMERCIAL ONE Page 1 of 1
PO BOX 630859 Fears
IRVINUIX 75063 -0859
Invoice Number: 1588075 CommercialOner
I `d' Account Number: 5405530000034369
Bill To: N Amount Due: $0.00
Payment Due Date: 10 -30 -10
Purchase Location: 000001600
0000062 INDIANAPOLIS IN
02 Merch Ret# 20100930001600'209R2832
CARMEL WATER AND SEWER ULIL SRRE Please Pay From This Invoice.
3450 W 131ST STREET s
WESTFIELD IN 46074 -8267 Ship To:
L'll�l�rllnlirlrll�n�lf rlrlll' 1��� "�I'I'lll'
ROB CITY OF CARME
3450 W 131ST ST
WESTFIELD IN
Customer No. Ordered By Authorized By Purchase Order No Purchase Date Sears Ship Order No.
FOR SHOP 09.30 -10
Stack,No /SICU_. Desc ription Quantity_ Unit Unil.Price,• w Ftension
CREDIT *—CREDIT MEMOx *x 0.0000 0.00 0.00
109076 SEARS MALL STORE 1.0000 10.00- 10.00
SUBTOTAL: 10.00-
Total: 10.00-
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 (800) 599 -9711 FAX
Des Moines, IA 50368 -9132 Des Moines, IA 50368 -9132
1
SEARS COMMERCIAL ONE Page 1 of
PO BOX 630859
IRVINE TX 75063 -0859
VOICE Number: 7588068 CommereialOnW
Account eiil To IN V Y ®ICE Amount Duember: 5405530000$238 03
Payment Due Date: 10 -30 -10
Purchase Location: 000001600
0000061 INDIANAPOLIS IN
02 Merch Ref 20100930001600 "209R2832
CARMEL WATER AND SEWER ULIL SRRE
3450 W 131 ST STREET s Please Pay From This Invoice,
WESTFIELD IN 46074 -8267 Ship To:
ROB CITY OF CARME
3450 W 131ST ST
WESTFIELD IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
FOR SHOP 09 -30 -10
Na /SKU Description Quantity Unit Unit Price Extension
00936260000 TOOL SET,260 PC MTS 1.0000 199.99 199.99
00945897000 SOCKET,13MM 6PT 1 /2 "DR 1.0000 4.49 4.49
00945828000 11 /16 "LASER,SOCKEI 1.0000 3.41 3.41
00945887000 SOCKET,5 /8 "6PT 1 /2 "DR STD 1.0000 4.49 4.49
00945856000 14MM LASER,SOCKET 1.0000 3.41 3.41
00950731000 SOCKET,1" 6PT 1 /2 "DR STD 1.0000 5.12 5.12
00934655000 15 /16 "SOCKET,1 /2 "OR 12PT 1.0000 5.12 5.12
076023 SEARS MALL STORE 1.0000 10.00 10.00
SUBTOTAL: 236.03
Total: 236.03
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' (800) 599 -9711 FAX
Des Moines, IA 50368 -9132 Des Moines, IA 50368 -9132
5405530000034369000000023603000
PAYMENT DUE DATE: 10 -30 -10
INVOICE NUMBER INVOICE AMOUNT AMOUNT ENCLOSED
T588068 $236.03
°Z
FOR PROPER CREDIT, PLEASE WRITE 5405 5300 0003 4369 ON YOUR CHECK AND ENCLOSE WITH THIS STUB
Please make checks payable to: SEARS COMMERCIAL ONE
CARMEL WATER AND SEWER ULIL
3450 W 131ST STREET MAIL PAYMENTS TO:
WEST-Ft£HBIN 46074 -8267
callYl�� Dept. 53- 0000034369
PO BOX 689134
DES MOINES IA 50368 -9134
Please mark this box if there is a
new address or billing contact
and write the changes above
PLEASE ENTER NEW ADDRESS. TELEPHONE NUMBER OR E -MAIL ADDRESS BELOW:
NAME
ADDRESS
CITY STATE ZIP
HOME PHONE BUSINESS PHONE E -MAIL ADDRESS
SCONIBS Rev. 11109
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VOUCHER 103043 WARRANT ALLOWED
350177 40:1 IN SUM OF
SEARS HARDWARE
P O BOX 689134
DES MOINES, IA 50368 -9134
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
03
T588068 01- 6500 -04
C(tA; T 58$07 o Ofd
b�.�5c�•o�
Voucher Total $226.03
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 10/18/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/18/201( T588068 $226.03
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
Date Officer