158626 04/15/2008 a"� CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of
ONE CIVIC SQUARE SEARS COMMERCIAL ONE
CHECK AMOUNT: $124.24
0
CARMEL, INDIANA 46032 PO BOX 689131
o� DES MOINES IA 50368 -9131 CHECK NUMBER: 158626
CHECK DATE: 4/15/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T527697 36.33 SMALL TOOLS MINOR E
651 .5023990 T696679 87.91 OTHER EXPENSES
7)
Page 1 of 2
S"FS Open Items Account Summary
�Ift SEARS COMMERCIAL ONE
commercial®ne RVNGXTX075063 -0859 Commercial Account
CREDIT LINE $5,000
CREDIT AVAILABLE $4,926
SUMMARY DATE 04/04/08
ACCOUNT BALANCE $73.91
0003521 05 08096 1 SEOR WAS
CARMEL WATER AND SEWER ULIL
ATTN ACCOUNTS PAYABLE
760 THIRD AVE. S.W. STE 110
CARMEL IN 46032 -2070
11411 ��ltlnufill fill 11l1lll 1illII1111111111111JIIIJ1I
Payments Received
(Payments received since the last statement period.)
Date Check Amount
03121108 157241 5269.88 THANK YOU
Purchasing Account 5405 5300 0003 4369 CARMEL UTILITIES
®4
Purchases and Debits
(Current purchase invoice and debit items.)
Date Purchase Location Invoice Customer PO Sears Order Amount Due Date
03/31/08 SEARS HARDWARE 5340 FISHERS IN T696679 033108 587.91 04/30/08
Returns Exchanges Adjustments
(Credits posted to your account, but not applied to specific invoices. Please call with instructions on how to apply.)
Date Purchase Location Invoice Customer PO Sears Order Amount
04/04/07 SEARS HARDWARE 5340 FISHERS IN 7003694 JOE 514.00
SUMMARY TOTALS
Current Month's Purchases $87.91
Other Charges $0.00
Returns /Exchanges /Adjustments $14.00
Past Due Invoices 1 -30 Days $0.00
Past Due Invoices 31 -60 Days $0.00
Past Due Invoices 61 -90 Days $0.00
Past Due Invoices 91 =120 Days —50.00
Past Due Invoices 121 -150 Days $0.00
Past Due Invoices 151 -180 Days 50.00
Past Due Invoices 181+ Days $0.00
On- Account /Unaoolied Payments $0.00
Account Balance $73.91
REF# 0000034351
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 9:00am (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
ADDRE SS
(CITY STATE ZIP
HOME PHONE BUSINESS PHONE E -MAIL ADDRESS
SCOOIAS Rev. 10106
I I Page 2 of 2
Seams Open Items Account Summary
SEARS COMMERCIAL ONE
PO BOX 630859 Commercial Account
Commerciaift IRVING TX 75063 -0859
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 50368 -9134
CALL 1- 800 -599 -9712
FAX 1- 800 -599 -9711
0
E -MAIL searscomlinq @citigroup.com
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
I
l 1
I SEARS COMMERCIAL ONE Page 1 of
630859
IR S"
FS
ING TX 75063 -0859
'I Invoice Number: T698679 Commercial,OnV
Bill To:
I N V O I CE E Amountt D Nu e mber: 5405530000 $87 91
Payment Due Date: 04 -30 -08
0000065 Purchase Location: 000005340
FISHERS IN
02 Merch Ref 20080331005340
CARMEL WATER AND SEWER ULIL snRE Please Pay From This Invoice.
760 THIRD AVE. S_W, STE 110 >i
CARMEL IN 46032 -2070 Ship To:
RANDY MASSINGILL
130 CARMEL DR
INDIANAPOLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
033108 03 -31 -08
Stock No /SKU Description Quantity Unit Unit Price Extension
00926352000 HEX ADAOTOR, SET 4.0000 3.49 13.96
00911213000 KRYPTON BULB,19.2V 4.0000 3.49 13.96
00911483000 CR19.2V DRVR,IMPACT 1.0000 59.99 59.99
SUBTOTAL: 87.91
Total: 87.91
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 SEARSCOMLINQ(p,)CITIGROUP.COM
VOUCHER 085238 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
(Q T696679 01- 7200 -02 $87.91
Voucher Total $87.91
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 4/14/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/14/2008 T696679 $87.91
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
Sears I
Page 1 of 3
Sequence -3108
Gommercial®nW 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
$36.33 $5,000 $4,963 04/03/08 04/28/08 $36.33
Account Summary
Previous Balance $0.00
Payments $0.00
ReturnslExchangeslAdjustments $0.00
Purchases Debits $36.33
Account Balance $36.33
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
03118 03118 SEARS HARDWARE 5340 FISHERS IN T527691 SHOP $36.33
20080318005340 *900R1685
Total Purchases and Debits for Account Number 5405 5320 0108 0128 $36.33
Total Account Activity for Account Number 5405 5320 0108 0128 $36.33
I
'f f
S ears Page 2 of 3
Sequence -3108
Commerc[alOnW 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 E -MAIL searscomlinq @citigroup.com
50368 -9132 50368 -9132
Please contact cis 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.
,I
S ears COMMERCIAL ONE Page 3 of 3 CITY OF CARMEL STREET DEPT
PO BOK630859 ATTN ACCOUNTS PAYABLE
CommercialOn IRVING, TX 75063 -0859 3400 W 131ST ST
WESTFIELD IN 46074 -8267
IA_ormatton Trar�sact►on,1 of 1
Payment Due Date: 04/28/08 Purchase Location: FISHERS Statement Date: 04/03/08
Name: CITY OF CARMEL STREET DEPT Customer PO SHOP
Invoice T527697 Invoice Amount: $36.33 Sears Order
Invoice Date: 03/18/08 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: CARMEL STREET DEPT
WESTFIELD IN
quantity SKIIl�escription Unit Price dotal Price
1 0094588B000 SOCKET, 11116 "6PT112 "DR SD $5.79 $5.79
1 00945889000 SOCKET,314 "6PT 1121)R STD $5.79 $5.79
1 00934634000 SOCKET,112" 12PT 318 "DR $4.39 $439
1 00945838000 9116" LASER,SOCKET $5.79 $5.79
1 00934634000 SOCKET, 112" 12PT 318 "DR $4.39 $4.39
1 00945826000 9 /16 "LASER,SOCKET $4.39 $4.39
1 00945836000 7116" LASER,SOCKE $5.79 $5.79
Payment Address: SEARS COMMERCIAL ONE Total Price: $36.33
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1 -800- 599 -9712 Grand Total: $36.33
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))
i fir�C�
3&, 3
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
��frl iJ IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
T 1 5 380 3 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
1
Sign re
1 f) ACA,, Cat
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund