209344 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1
ONE CIVIC SQUARE SEARS COMMERCIAL ONE
CHECK AMOUNT: $335.46
CARMEL, INDIANA 46032 PO BOX 689131
DES MOINES IA 50368 -9131 CHECK NUMBER: 209344
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 335.46 5405 5340 0749 -1408
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Sears C4 Sequence -2273
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
$770.66 $5,000 $4,229 05/06/12 05/31/12 $770.66
Account Summary
Previous Balance $435.20
Payments $0.00
Returns /Exchanges /Adjustments -$12.49
Purchases Debits $347.95
Account Balance $770.66
If you missed our call, we may still be able to help you
bring your account current. When we call you about
your account, we are calling with suggestions to help
bring your account up to date. We may have payment
programs you did not know about that can help
you avoid future late fees.
Please call us today at 1- 866- 518 -9051. We'll be happy
to help you find a solution that works for you.
THE MINIMUM PAYMENT DUE SHOWN ABOVE INCLUDES A
PAST DUE AMOUNT. YOU SHOULD SEND THE ENTIRE
MINIMUM PAYMENT DUE NOW. IF PAYMENT HAS BEEN
MADE RECENTLY, THANK YOU.
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
04/05 04/06 SEARS HARDWARE 5340 FISHERS IN T648003 CARMEL STREET DE $3.99
20120405005340 *900R4053
04/18 04/18 SEARS HARDWARE 5340 FISHERS IN T374521 HENRICKS $169.9
20120418005340 *900R5620
05/02 05/02 SEARS HARDWARE 5340 FISHERS IN T515436 SHOPBENTLEY $173.97
20120502005340 *900R6975
z Total Purchases and Debits for Account Number 5405 5320 0108 0128 $347.95
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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.
Sea r s Page 2 6
<JJI� U Sequencc e -2273
Commercial®nW ACCOUNT NUMBER 5405 5340 0749 1408
CUSTOMER SERVICE 1- 800 599 -9712
Returns /Exchanges /Adjustments
Detail enclosed for new credit items since last statement.
Trans Post Sears Purchase
Date Date Purchase Location Invoice Customer PO Order Amount
04/04 04/04 SEARS HARDWARE 5340 FISHERS IN T001015 CARMEL STREET DE -$12.49
20120405005340'900R4052
Total Returns /Exchanges /Adjustments for Account Number 5.405 5320 0108 0128 -$12.49
Total Account Activity for Account Number 5405 5320 0108 0128 $335.46
Past Due Balances
(Previously billed account activity that has not been paid as of this statement date. Please submit payment for all past due amounts.)
1 -30 Days 31 -60 Days 61 -90 Days 91 -120 Days 121 -150 Days 151 -180 Days 181 Days Total Past Due
$422.71 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $422.71
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SEND BILLING ERROR NOTICES TO: SEND INQUIRIES TO: CALL 1- 800 -599 -9712
PO BOX 6282 PO BOX 6282 FAX 1- 800 599 -9711
SIOUX FALLS, SD SIOUX FALLS, SD
57117 -6282 57117 -6282
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 SEARS COMMERCIAL ONE Page 3 of 6 CITY OF CARMEL STREET DEPT
10 BOX 6282 ATTN ACCOUNTS PAYABLE
Commerciai FALLS, SD 57117 -6282 3400 W 131ST ST
CARMEL IN 46074 -8267
4nformatlan ransaetic�r� isvfi
Payment Due Date: 05/31/12 Purchase Location: FISHERS Statement Date: 05/06/12
Name: CITY OF CARMEL STREET DEPT Customer PO CARMEL STREET DE
Invoice T001015 Invoice Amount: $12.49 Sears Order
Invoice Date: 04/04/12 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: CARMEL STREET DEPT
WESTFIELD IN
Unit Price rice.
5K. U_ Clescrl T
Quanttt ........_..__.._...._.P........
CREDIT CREDIT MEMO
1 00966020000 21 PC,BLK OXIDE BIT SET -$12.49 -$12.49
Payment Address: SEARS COMMERCIAL ONE Total Price: -$12.49
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1- 800 599 -9712 Grand Total: -$12.49
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Sea SEARS COMMERCIAL ONE Page 4 of 6 CITY OF CARMEL STREET DEPT
PO BOX 6282 ATTN ACCOUNTS PAYABLE
Commercial QnS SIOUX FALLS, SD 57117 -6282 3400W 131 ST ST
CARMEL IN 46074 -8267
Inform on
Tra►lsactian:2 4f 4
Payment Due Date: 05/31/12 Purchase Location: FISHERS Statement Date: 05/06/12
Name: CITY OF CARMEL STREET DEPT Customer PO CARMEL STREET DE
Invoice T648003 Invoice Amount: $3.99 Sears Order
Invoice Date: 04/05/12 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: JAMES BENTLEY
WESTFIELD IN
Untt Price otal. Prig:.'
Qtaariot SiC t�7escrtpt an
1 00964026000 1/8 TIN,POINT DRILL BIT $3.99 $3.99
Payment Address: SEARS COMMERCIAL ONE Total Price: $3.99
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1- 800 599 -9712 Grand Total: $3.99
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S ears SEARS COMMERCIAL ONE Page 5 of 6 CITY OF CARMEL STREET DEPT
111 6282 ATTN ACCOUNTS PAYABLE
Commercial SIOUX FALLS, SD 57117 -6282 3400 W 131ST ST
CARMEL IN 46074 -8267
Inform Transacflan 3 of 4
Payment Due Date: 05/31/12 Purchase Location: FISHERS Statement Date: 05/06/12
Name: CITY OF CARMEL STREET DEPT Customer PO HENRICKS
Invoice T374521 Invoice Amount: $169.99 Sears Order
Invoice Date: 04/18/12 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: STEVE JONES
WESTFIELD IN
Quaraty. SKIJiD 11n1 #.Price °::.::Total Price:.
1 00921162000 8" GRINDER,VAR SPEED $169.99 $169.99
Payment Address: SEARS COMMERCIAL ONE Total Price: $169.99
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1- 800 599 -9712 Grand Total: $169.99
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Sears SEARS COMMERCIAL ONE Page 6 of 6 CITY OF CARMEL STREET DEPT
O BOX 6282 ATTN ACCOUNTS PAYABLE
COI1 mercial Gw ®P SIOUX FALLS, SD 57117-6282 3400 W 131ST ST
CARMEL IN 46074 -8267
Informatlan
rarisactlean:4 of A
Payment Due Date: 05/31/12 Purchase Location: FISHERS Statement Date: 05/06/12
Name: CITY OF CARMEL STREET DEPT Customer PO SHOPBENTLEY
Invoice T515436 Invoice Amount: $173.97 Sears Order
Invoice Date: 05/02/12 Cardholder Name: CITY OF CARMEL STREET DEPT Purchase Card 5405532001080128
Ship to Address: JAMES BENTLEY
WESTFIELD IN
5KUl escrlpt�an
ilnit Price
ttrfal Peic
1 00911548000 19.2V 2DRILL,KIT $109.99 $109.99
1 00911376000 CR 19.2V,2PK BATTERIES $69.99 $69.99
1 00925976000 ADAPTER SET,2 -PC $4.99 $4.99
1 000000000000 DISCOUNT -$11.00
Payment Address: SEARS COMMERCIAL ONE Total Price: $173.97
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368 -9131 Delivery: $0.00
For Customer Service Call: 1- 800 599 -9712 Grand Total: $173.97
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Sears
IN SUM OF
P. O. Box 689131
Des Moines, IA 50368 -9131
$335.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I I 42- 380.001 $335.46 1 hereby certify that the attached invoice(s), or
54S bill(s) is (are) true and correct and that the
materials or services itemized thereon for
(DI l-(` I 4,0 which charge is made were ordered and
received except
/7 Thursday 17, 2012
It l 11f iJ t
4/0
Street Commission e
Street Crtle,�,.`ssioner
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))
05/17/12 $335.46
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