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Home My WebLink About179836 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1 ��e ppp ONE CIVIC SQUARE SEARS COMMERCIAL ONE CHECK AMOUNT: $134.99 CARMEL, INDIANA 46032 PO BOX 689131 DES MOINES IA 50368 -9137 CHECK NUMBER: 179836 CHECK DATE: 11/24/2009 D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1110 4464000 21229 134.99 REFRIDERATOR S ears Page 1 of 3 Sequence -2223 Commercial One 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 $147.45 $3,000 $2,852 11/10109 12105/09 $147.45 Account Summary Payments Received (Payments received since the last statement period.) Previous Balance $45.97 Post Date Check Number Amount Payments -$42.96 11105 178856 -$42.96 Returns/Exchanges/Adjustments $0.00 Total $42.96 Purchases Debits $144.44 Account Balance $147.45 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 10114 10114 SEARS HARDWARE 5340 FISHERS IN T841257 ROBERT $144.44 20091014005340*900R9681 Total Purchases and Debits for Account Number 5405 5340 0749 1101 $144.44 Total Account Activity for Account Number 5405 5340 0749 1101 $101.48 �4 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. 1 I SEARS COMMERCIAL ONE Page 3 of 3 CARMEL POLICE DEPT PO 60X 630859 ATTN ACCOUNTS PAYABLE Commercial ft IRVING, TX 75063 -0859 3 CIVIC SQ CARMEL IN 46032 -2584 infol°rriatton Transat►on 1. of 1 Payment Due Date: 12/05/09 Purchase Location: FISHERS Statement Date 11/10109 Name: CARMEL POLICE DEPT Customer PO RO BERT Invoice T841257 Invoice Amount: $144.44 Sears Order Invoice Date: 10114/09 Cardholder Name: CARMEL POLICE DEPT Purchase Card 5405534007491101 Ship to Address: ROBERT ROBINSON CARMEL, IN QUantlty„ 5KUf.Descriphon UnitrECe TotaL 1 04694679000 4.6' COMPACT, FRIDGE $149.99 $149.99 1 I 000000000000 DISCOUNT j15 .00 Payment Address: SEARS COMMERCIAL ONE Total Price: $134.99 4 PO BOX 689131 Tax: 5 DES MOINES IA 50368-9131 Delivery: $0.00 For Customer Service Call: 1- 800 -599 -9712 Grand Total: $144.44 1 I 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. i PLEASE ENTER NEW ADDRESS, TELEPHONE NUMBER OR E -MAIL ADDRESS BELOW NAME ADDRESS (C €TY jj STATE ZIP HOME PHONE BUSINESS PHONE E -MAIL ADDRESS SGOGBCa Rev,1p1Q6 INDIANA RETAIL TAX EXEMPT PAGE C i ty o Carmel CERTIFICATE NO.003120155 002 0 1 1i PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 7 9 Q 3 OX� CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 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 October 14. 20( 9 refri erator. VENDOR Sears SHIP City of Carmel Police Department TO 3 Civic Square Carmel, IN 46032 ATTN: Robert Robinson CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 1 Kenmore Black 4.6 cu ft compact refrigerator 149.99 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 640 office equipment 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. A t C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f 1 %�'t. SHIPPING LABELS. f THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 4. a 9 CLERK- TREASURER DOCUMENT CONTROL NO. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE 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 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 1 Pre9cribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. 21229F 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)) 1 11/10/09 payment for refs erator 134.99 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 VOftJCHER NO. WARRANT NO. ALLOWED 20 S ears Commercial One IN SUM OF P.O. Box 689131 Des Moines, IA 50368 -9131 134.99 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21229F 640 134.99 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 November 19 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund