211455 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1
ONE CIVIC SQUARE SEARS COMMERCIAL ONE
i r CHECK AMOUNT: $149.99
CARMEL, INDIANA 46032 PO BOX 689131
oN�o DES MOINES IA 50368-9131 CHECK NUMBER: 211455
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238000 T204427 149 . 99 SMALL TOOLS & MINOR E
SSearsPage 1 3
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Commercial nom® 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
$149.99 $5,000 $4,850 07/06/12 07/31/12 $149.99
Account Summary Payments Received
(Payments received since the last statement period.)
Previous Balance $375.83 Post Date Check Number Amount
Payments -$375.83 06/07 209344 -$335.46
Returns/Exchanges/Adjustments $0.00 06/27 210126 -$40.37
Purchases & Debits $149.99 Total -$375.83
Account Balance $149.99
Purchasing Account# 5405 5320 0108 0128
Current Purchases and Debits
Detail enclosed for new purchase items since last statement.
Trans Post Sears Purchase
Date Date Purchase Location Invoice# Customer PO# Order# Amount
® 06/05 06/06 SEARS HARDWARE 5340 FISHERS IN T204427 SING TRUCK $149.99
20120605005340'500R5913
Total Purchases and Debits for Account Number 5405 5320 0108 0128 $149.99
C Total Account Activity for Account Number 5405 5320 0108 0128 $149.99
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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
e Your name and account number and sent to the inquiry address on the reverse side.
o The dollar amount of the suspected error This Account is Issued by Citibank, N.A.
o 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.
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
o Your name and account number and sent to the inquiry address on the reverse side.
o The dollar amount of the suspected error This Account is Issued by Citibank, N.A.
o 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.
PLEASE ENTER NEW ADDRESS,TELEPHONE NUMBER OR E-MAIL ADDRESS BELOW:
NAME
ADDRESS
CITY
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FMAI�gO
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Sears SEARS COMMERCIAL ONE Page 3 of 3 CITY
ACCOUNTS CARMEL
PAYABLE DEPT
PO BOX 6282
Commercialn�® 3400 W 131 ST ST SIOUX FALLS, SD 57117-6282 CARMEL IN 46074-8267
Inforrrtatlo;n Transaction a.cf.:1...:
......... ......... .........
Payment Due Date: 07/31/12 1 Purchase Location: FISHERS Statement Date. 07/06/12
Name:CITY OF CARMEL STREET DEPT Customer PO#: SING TRUCK
Invoice#:T204427 Invoice Amount:$149.99 Sears Order#:
Invoice Date:06/05/12 Cardholder Name:CITY OF CARMEL STREET DEPT Purchase Card#:5405532001080128
Ship to Address:JAMES BENTLEY
WESTFIELD, IN
e .................
................_............._..........._...._..............._...__........................._.............._....._._..........................._........................_..._.._......._........................................_._.._........................._..._............................
....._...,...................._.........._._._..............._._........._....._.__............_............_....__..__......._._.
® Quantity SKUlpescrptlan.
11mt 'rl Total P;rlce :.
1 00927680000 14A ROUTER,CMP COMBO $169.99 $169.99
1 000000000000 DISCOUNT -$20.00
Payment Address: SEARS COMMERCIAL ONE Total Price: $149.99
PO BOX 689131 Tax: $0.00
DES MOINES IA 50368-9131 Delivery: $0.00
For Customer Service Call:1-800-599-9712 Grand Total: $149.99
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