207609 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE CHECK AMOUNT: $56.86
;a CARMEL, INDIANA 46032 DEPT 53- 000004369
PO BOX 689134 CHECK NUMBER: 207609
DES MOINES IA 50368 -9134
CHECK DATE: 3/2612012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 T566589 56.86 OTHER EXPENSES
SEARS COMMERCIAL ONE Page 1 of 1
PO BOX 630859 swrs
DALLAS TX 75063 -0859
Invoice Number: T566589 CommercialO
INV OI CE Account Number: 5405530000034369
Big To: Amount Due: $60.84
00000035 9B 1OZ 054 KSTRBIRI AM1 o Payment Due Date: 03 -22 -12
Purchase Location: 000007701
TUCSON AZ
Merch Ref# 20120 11 10250327
v CARMEL WATER AND SEWER ULIL Please Pay m This Invoice
3450 W 131 ST STREET
WESTFIELD IN 46074 -8267 Ship To:
Il�lll��llt��l' ��II��IIII�I��I��II�I
UTILITY -CIT UTILITY TY OF C
-9609 HAZEL BE
INDIANAPOLIS
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
02 -21 -12
Stock No/SKU Description Quantity Unit Unit Price Extension
CARP l. 45.87 45.87
192030 PARTS C 1.0000 10.99 10.99
E577657 SVC ORD 0.0000 0.00 0.00
2012 -02 -21 DATE SERVICE TAKEN 0.0000 0.00 0.00
07701 UNIT 0.0000 0.00 0.00
SUBTOTAL: 56.86
I `PC Total Tax:
Total: 6
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ID v c
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This Account Issued by Citibank, 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 6282 PO Box 6282 (800) 599 -9711 -FAX
Sioux Falls, SD 57117 -6282 Sioux Falls, SD 57117 -6282
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 This Account is Issued by Citibank, N.A.
Describe the error and explain, if you can, why
you believe there is an error. If you need more
information, describe the item you are unsure about.
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 3/22/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/2012 T566589 $56.86
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
VOUCHER 117046 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
T566589 01- 7202 -06 $56 ?86
Voucher Total $56.86
Cost distribution ledger classification if
claim paid under vehicle highway fund