212366 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE
CARMEL, INDIANA 46032 DEPT 53-000004369 CHECK AMOUNT: $4,523.98
`+ PO BOX 689134
o CHECK NUMBER: 212366
DES MOINES IA 50368-9134
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 T362298 134 . 98 OTHER EXPENSES
601 5023990 T923981 4, 389 . 00 OTHER EXPENSES
Page 1 of 2
SEARS COMMERCIAL ONE �a
PO BOX 6282 scars
SIOUX FALLS SD 57117-628
Invoice Number: T923981 CommercialOnW
Bill To: INVOICE Amountt Due:Number: 54055300$4,389.00 p
00000565 BB 1OZ 214 KSTR811`11 AM1 0 Payment Due Date: 0830-12
Purchase Location: 000005340
FISHERS IN
o Merch Ref# 201207310053401900R6797
N CARMEL WATER AND SEWER ULIL please Pay From This Invoice.
- 3450 W 131 ST STREET
WESTFIELD IN 46074-8267 Ship To:
DANIEL JENKINS
5484 E 126TH
INDIANAPOLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
DAN073112B 07-31-12
Stock No/SKU I Description Quantity Unit Unit Price Extension
00941374000 SKT HOLDER,1/2 11MAGNET 2.0000 19.99 39.98
00941358000 SOCKET HOLDR,3/8"DR LARGE 2.0000 19.99 39.98
00941359000 SKT HOLDER,1/4" MAGNET 1 .0000 19.99 19.99
00946304000 16PC,CRFTSMN 3/4" SCKT IN 1 .0000 249.99 249.99
00940892000 CALIPER,VERNIER 1 .0000 9.99 9.99
00965514000 LINER ROLL, 3.0000 14.99 44.97
00915886000 SOCKT SET,12-PC DEEP 1/2" 1 .0000 89.99 89.99
00936540000 540 PC, MTS 1 .0000 1,299.99 1,299.99
00916113000 AIR HOSE, 3/8" X 50" 1 .0000 34.99 34.99
00904271000 SCKT ADAPTER,1/2"DR-3/4" 1 .0000 8.09 8.09
00921154000 GRINDING CTR,6" VAR SPEED 1 .0000 109.99 109.99
00916349000 HOSE REEL, CRAFTSMAN 3/8 1 .0000 59.99 59.99
00916852000 AIR TOOL KIT,10PC 1 .0000 99.99 99.99
00951888000 BENCH VISE, CR PRO 4 1/2" 1 .0000 124.99 124.99
00919953000 CUTOFF TOOL, PNEUMATIC 1 .0000 69.99 69.99
00929348000 BIT SET,29-PC PILOT POINT 1.0000 68.99 68.99
00945411000 PLIERS, 4PC SET 1 .0000 39.99 39.99
00941327000 TRAY,STEEL MAGNETIC 1 .0000 22.99 22.99
00941329000 TRAY, STEEL MAGNETIC 1 .0000 14.99 14.99
00931323000 FILE SET,5/PC HANDLED 2.0000 31.99 63.98
00924073000 STANDARD, VISE 4" 1 .0000 57.49 57.49
00941029000 29 PC SET,SCREWDRIVERS 1 .0000 39.99 39.99
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 marred 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.
Page 2 of 2
S"B's
CommercialOniv
INVOICE T923981
Stock No/SKU Description Quantity Unit Unit Price Extension
00916191000 ACCY KIT,20 PC PNEUMATIC 1 .0000 19.99 19.99
00943278000 PRYBAR, 3PC SET 1 .0000 39.99 39.99
00943286000 36"PRY BAR,CRAFTSMAN 1 .0000 29.99 29.99
00938261000 HAMMER,48 OZ ENGINEER'S 1 .0000 21.99 21 .99
00938467000 HAMMER,32 OZ BALL PEI 1 .0000 19.99 19.99
00938261000 HAMMER,48 OZ ENGINEER'S 1 .0000 21.99 21 .99
00936260000 TOOL SET,260 PC MTS 1 .0000 299.99 299.99
00916363000 CONNECTOR, KIT BRASS 3/8 1 .0000 5.79 5.79
00944664000 WRENCH SET,3 PC ADJ. SET 1 .0000 34.99 34.99
00944012000 ADJ WR,2PC SET 10" & 12" 1 .0000 36.99 36.99
00943113000 16PC PUNCH,CHISEL/ALIGMEN 1 .0000 45.99 45.99
00910595000 5DWR CHEST,41-IN SS 1 .0000 511.99 511 .99
00910600000 11DWR CAB,41-IN SS 1 .0000 687.99 687.99
SUBTOTAL: 4,389.00
Total: 4,389.00
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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.
o 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.
PLEASE ENTER NEW ADDRESS,TELEPHONE NUMBER OR E-MAIL ADDRESS BELOW:
NAME
ADDRESS
(CITY ( STATE ZIP
HOME PHONE BUSINESS PHONE E-MAIL ADDRESS
SCONIBS0000112 Rev.01112
Page 1 of 1
SEARS COMMERCIAL ONE
PO BOX 6282 swrs
SIOUX FALLS SD 57117-628
Invoice Number: T362298 CommercialOnV
Bill To: INVOICE Amountt Due:Number: 5405530000034369$134 98
00000107 BB 1 O 215 KSTR811`11 AM 0 Payment Due Date: 08-31-12
Purchase Location: 000005340
FISHERS IN
S Merch Ref# 2012080100534011900R6872
8 ®_ CARMEL WATER AND SEWER ULIL
V 3450 W 131 ST STREET Please Pay From This Invoice.
WESTFIELD IN 46074-8267 Ship To:
DANIEL JENKINS
5484 E 126TH
INDIANAPOLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
DAN080112 08-01-12
® Stock No/SKU Description Quantity Unit Unit Price Extension
00946933000 14PC.COMB,HRENCH SET SAE 1 .0000 59.99 59.99
00946936000 26 PC COMB,HRENCH SET MET 1 .0000 74.99 74.99
SUBTOTAL: 134.98
Total: 134.98
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 COMMERCIAL ONE Purchase Order No.
DEPT 53-0000034369 Terms
PO BOX 689134 Due Date 8/27/2012
DES MOINES, IA 50368-9134
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2012 T923981 $4,389.00
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
Date Offic
VOUCHER # 121984 WARRANT # ALLOWED
350177 IN SUM OF $
SEARS COMMERCIAL ONE
DEPT 53-0000034369
PO BOX 689134
DES MOINES, IA 50368-9134
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
T923981 01-6200-04 $4,389.00
Voucher Total 89.00
Cost distribution ledger classification if
claim paid under vehicle highway fund