197816 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1
ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $72.61
CARMEL, INDIANA 46032 PO BOX 689131
DES MOINES IA 50368 -9131 CHECK NUMBER: 197816
CHECK DATE: 5/2612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T343776 35.97 SMALL TOOLS MINOR E
2201 4238000 T923347 36.64 SMALL TOOLS MINOR E
Seams i.
Page 1 of 4
Sequence -2224
CommercialOnW 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
$72.61 $5,000 $4,927 05/06/11 05/31/11 $72.61
Account Summary Payments Received
(Payments received since the last statement period.)
Previous Balance $294.92 P ost Date C heck Number Amount
Payments -$294.92 04/30 196935 -$294.92
Returns /Exchanges /Adjustments $0.00 Total $294.92
Purchases S Debits $72.61
Account Balance $72.61
Purchasing Account 5405 5320 0108 0128
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
04/20 04/20 SEARS HARDWARE 5340 FISHERS IN T343779 BENTLEY $35.97
20110420005340 *900R9079
04/28 04/28 SEARS HARDWARE 5340 FISHERS IN T923347 JEFF STEWART $36.64
20110428005340 *504R6722
Total Purchases and Debits for Account Number 5405 5320 0108 0128 $72.61
C Total Account Activity for Account Number 5405 5320 0108 0128 $72.61
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.
Sears Page 2 ot4
Sequence -2224
Commercial OnW 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, IA 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.
Sears V
g ear SEARS COMMERCIAL ONE Page 3 of CITY OF CARMEL STREET DEPT
PO BOX 630859 ATTN ACCOUNTS PAYABLE.
CommercialOne IRVING, TX 75063 -0859 3400 W 131ST ST
CARMEL IN 46074 -8267
iJf 2:
Payment Due Date: 05/31/11 Purchase Location: FISHERS Statement Date: 05/06/11
Name: CITY OF CARMEL STREET DEPT Customer PO BENTLEY
Invoice T343779 Invoice Amount: $35.97 Sears Order
Invoice Date: 04/20/11 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: CARMEL STREET DEPT
WESTFIELD IN
,Quanty ,._SF(llfDeacripton Jril Prrce fotat Price.
r
3 00944363000 FLEX HANDLE,10 1116 "3 /8DR $11.99 $35.97
Payment Address: SEARS COMMERCIAL ONE Total Price: $35.97
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1 -800- 599 -9712 Grand Total: $35.97
e
s
r�
S ears SEARS COMMERCIAL ONE Page 4of4 CITY OF CARMEL STREET DEPT
11 BOX 630859 ATTN ACCOUNTS PAYABLE
CommerciaiOnw IRVING, TX 75063-0859 3400 W 131ST ST
CARMEL IN 46074-8267
im
Payment Duo Date; 05131/11 Purchase Location: FISHERS Statement Date: 05/06111
Name: CITY OF CARMEL STREET DEPT Customer PO JEFF STEWART
Invoice T923347 Invoice Amount: $36,64 Sears Order
Invoice Date: 04128/11 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: RON WILLIAMS
WESTFIELD, IN
U U
I Price
KUT 00 HOP
Qu an t ity I Tiliiilllllllllll nif Tb I pric&�::'
1 00966852000 METAL DRILL,BIT CASE $5.88 $5.88
1 00966053000 DB 314" HS, $16.88 $16.88
1 00966051000 DB 518" HIS, $13.88 $13.88
Payment Address: SEARS COMMERCIAL ONE Total Price: $36.64
PO BOX 689131 Tax: $0-00
DES MOINES IA 50368-9131 Delivery: $0.00
For Customer Service Call: 1-800-599-9712 Grand Total: $36.64
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears
IN SUM OF
P. O. Box 689131
Des Moines, IA 50368 -9131
$72.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 T343776 42- 380.00 $35.97 I hereby certify that the attached invoice(s), or
2201 T923347 42- 380.00 $36.64 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
�fdursd/a 19, 2011
Street Commissioner
Ctrro®} r'nmrnieainncr
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))
04/20111 T343776 $35.97
04/28/11 T923347 $36.64
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