197378 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1
�44 ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $34.99
CARMEL, INDIANA 46032 PO BOX 689131
DES MOINES IA 50368 -9131 CHECK NUMBER: 197378
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 34.99 OTHER MISCELLANOUS
Scars Page 1 of 3
Sequence -1728
COmmercial®nV 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
$37.44 $3,000 $2,962 04/12111 05/07/11 $37.44
Account Summary
Previous Balance $0.00
Payments $0.00
Returns/Exchanges/Adjustments $0.00
Purchases Debits $37.44
Account Balance $37.44
Purchasing Account 5405 5340 0749 1101
Current Purchases and Debits
Detail enclosed for new purc hase items since last statement,
Trans Post I Sears Purchase
Date Date Purchase Location invoice Customer PCB Order Amount
03/21 03121 SEARS HARDWARE 5340 FISHE=RS IN T551209 ROBINSON $37.44
20110321005340`500R9348
Total Purchases and Debits for Account Number 5405 5340 0749 1101 $37.44
Total Account Activity for Account Number 5405 5340 0749 1101 $37.44
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 ears SEARS COMMERCIAL ONE Page 3 of 3 CARMEL POLICE DEPT
PO BOX 630859 ATTN ACCOUNTS PAYABLE
Commercial0ne IRVING, TX 75063 -0859 3 CIVIC SO
CARMEL IN 46032 -2584
Inf�srmatian ransautlQ l4 1 1
Payment Due Date: 05/07/11 Purchase Location: FISHERS Statement Date.
Name: CARMEL POLICE DEPT Customer PO ROBINSON
Invoice T551209 Invoice Amount: $37.44 Sears Order
Invoice Date: 03/21/11 Cardholder Name: CARMEL POLICE DEPT Purchase Card 5405534007491101
Ship to Address:
Quantity S�CUlescrlptpon iUnit Pace Tofal Price
1 00911375000 BATTERY, 19,2V REPLACEMENT $34.99 $34.99
Payment Address: SEARS COMMERCIAL ONE Total Price: $34.99
PO BOX 689131 Tat;: $2.45
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1- 800- 599 -9712 Grand Total: $37.44
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.
PLEASE ENTER NEW ADDRESS, TELEPHONE NUMBER OR E -MAIL ADDRESS BELOW:
NAME
ADDRESS
CITY STATE ZIP
l i l
HOME PHONE BUSINESS PHONE E -MAIL ADDRESS
SCOGBG Rev. IV09
VOUCHER NO. WARRANT NO,
ALLOWED 20
Sears Commercial One
IN SUM OF
P.O. Box 689131
Des Moines, IA 50368 -9131
$34.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 42- 390.99 $34.99 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
Thursday, May 05, 2011
Chief of Police
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05105/11 payment for battery for LAB $34.99
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