195197 03/02/2011 off, CgLF CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE
CARMEL, INDIANA 46032 PO BOX 689134 CHECK AMOUNT: $29.26
r o w c
DES MOINES IA 50368 -9134 CHECK NUMBER: 195197
CHECK DATE: 3/2/2011
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 849929 29.26 OTHER EXPENSES
Page 1 of 1
SEARS COMMERCIAL ONE
PO BOX 630859 scars
IRVIN G TX 75063 -0859
Invoice Number: 7649929 Commercia
N V O I C E Account Number: 5405530000034369
Bill To: Amount Due: $29.26
Payment Due Date: 03 -02 -11
Purchase Location: 000005340
0000039 FISHERS IN
02 Merch Ref 20110131005340.5COR6468
CARMEL WATER AND SEWER ULIL sRRE Please Pay From This Invoice.
3450 W 131ST STREET a
WESTFIELD IN 46074 -8267 Ship To:
IuII�I�IIIIIIIIIIII�It IIII IIIIIIIIII�II
BILL UTILITIES
AI ELL PA RKY
P OLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
JOE278 01 -31 -11
Stock No /SKU Description Quantity Unit unit Price Extension
00631766000 3 /8X50,DERBY W/B 1.0000 10.49 10.49
00926991000 LINER ROLL 1.0000 9.99 9.99
00971969000 CC,FASTENERS CLASS CONTRL �2 -.0000 2.19 4.38
00971969000 CC,FASTENERS CLASS CONTRL 2.0000 2.20 4.40
SUBTOTAL: 29.26
Total: 29.26
This Account Issued by Citibank (South Dakota), N.R.
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 668132 (800) 599 -9711 FAX
Des M oines, 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: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.
S ea rs Page 1 of 1
Open Items Account Summary
GommerciaiO SEARS COMMERCIAL ONE
PO BOX 630859 Commercial Account
IRVING TX 75063 -0859
CREDIT LINE $5,000
CREDIT AVAILABLE $4,970
SUMMARY DATE 02/04/11
ACCOUNT BALANCE $29.26
0001177 05 1103h 1 SEDR DIAS
CARMEL WATER AND SEWER ULIL
ATTN ACCOUNTS PAYABLE
3450 W 131ST STREET
WESTFIELD IN 46074 -8267
0
Inll�l�l I,��u�lll'lll'il'���I'llll'I�I�
r_
Payments Received
(Payments received since the last statement period.)
Date Check Amount
01/30/11 194017 51,931.34 THANK YOU
Purchasing Account 5405 5300 0003 4369 CARMEL UTILITIES
Purchases and Debits
(Current purchase invoice and debit items.)
Date Purchase Location Invoice Customer PO Sears Order Amount Due Date
01/31/11 SEARS HARDWARE 5340 FISHERS IN T849929 JOE278 629.26 03/02/11
SUMMARY TOTALS
Current Month's Purchases 629.26
Other Charges $0.00
Returns /Exchanges /Adjustments 60.00
Past Due Invoices 1 -30 Days $0.00
Past Due Invoices 31 -60 Days 50.00
Past Due Invoices 61 -90 Days 60.00
Past Due Invoices 91 -120 Days 60.00
Past Due Invoices 121 -150 Days 50.00
Past Due Invoices 151 -180 Days $0.00
Past Due Invoices 181+ Days 50.00
.On._ ccolmt nanc+I -i- ad Pay Pa
Account Balance 629.26
SEND BILLING ERROR NOTICES TO SEND INQUIRIES TO REMITTANCE ADDRESS
SEARS COMMERCIAL ONE SEARS COMMERCIAL ONE SEARS COMMERCIAL ONE
PO BOX 689132 PO BOX 689132 PO BOX 689134
DES MOINES, IA 50368 -9132 DES MOINES, IA 50368 -9132 DES MOINES IA 50366 -9134
CALL 1- 800 -599 -9712
FAX 1- 800 -599 -9711
i
Please contact us if you have On- Account /Unapplied Payments, Returns /Exchanges /Adjustments, Past Due Invoices or Deductions at 800- 599 -9712
with reconciliation instructions. Purchases, returns and payments made Just prior to the generation of this account summary may not appear until
the generation of next month's Open Items Account Summary. REF## 0000034351
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.
o 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.
PLEASE ENTER NEW ADDRESS, TELEPHONE NUMBER OR E -MAIL ADDRESS BELOW'
NAME
ADDRESS
(CITY J/ STATE ZIP
HOME PHONE BUSINESS PHONE E-MAIL ADDRESS
SCOOIAS Rev. I IM9
VOUCHER 107146 WARRANT ALLOWED
350177 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
T849929 01- 7202 -06 $29.26
Voucher Total $29.26
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 2/22/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/22/2011 T849929 $29.26
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
Date Officer