216874 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00351087 Page 1 of 1
ONE CIVIC SQUARE SEARS COMMERCIAL ONE
CARMEL, INDIANA 46032 PO BOX 689131 CHECK AMOUNT: $154.83
`+ DES MOINES IA 50368-9131
CHECK NUMBER: 216874
CHECK DATE: 1129/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 T973381 154 . 83 OTHER EXPENSES
Page 1 of 1
SEARS COMMERCIAL ONE [�
PO BOX 6282
SIOUX FALLS SD 57117-628
A' C Invoice Number: T973381 CommercialOnW
Account B41 To:
N V®ICE Amount Due:ber: 5405530000165667
00000025 BB 1oZ 009 KSTRBIRI AM1 0 Payment Due Date: 02-07-13
Purchase Location: 000005340
FISHERS IN
Merch Ref# 20130108005340990OR2605
N CARMEL WATER AND SEWER ULIL
3450 W 131 ST STREET Please Pay From This Invoice.
WESTFIELD IN 46074-8267 Ship To:
1���11111����1�'��'I'I�I�I'I�I11��11���11�111��1'I�I'llll"II'I
Customer No. Ordered By Authorized By Purchase Order o. Purchase Date Sears Ship Order No.
JEFF 01-08-13
Stock N6/SKU Description _ Quantity Unit Unit Price Extension
00931794000 17PC,CM S/D SET 1 .0000 24.99 24.99
03493639000 SEARS HARDWARE 2.0000 43.99 87.98
® 00945410000 PLIERS SET, 2PC ARC JOINT 2.0000 22.99 45.98
00000000000 DISCOUNT 3.0000 0.00 4. 12-
®
SUBTOTAL : 154._6�
® Total Tax: 0 .
® Total : 165.67
VA
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
|f you think your invoice or billing statement iSwrong, Payment must bo mailed tnuaot the payment address
V, iyyou need more information about 8tranaaotiUn shown on the reverse side. Payments that are received
thereon, write uuona separate sheet ai the inquiry in the mail a1 the designated address before 8:OOam (CST)
address listed on the reverse side as a00n as possible. on any Monday through Friday that is not a holiday will be
VVg must hear from you n0 later than 3O days after we credited aa0f the day O/ receipt. /f payment ia not made
first sent you the invoice or billing statement on which as provided ho,ein, crediting may be delayed up to 5 days.
the error or problem appeared.
' . Ymuagree not to send um partial payments marked
You must contact uoin writing /n order to preserve your "paid infml|'',"without recouroe'', or similar language
rights. |n your letter, give uaatleast the following information: unless such payments are marked for special handling
-Your name and account number and sent hm the inquiry address on the reverse side'
°Thg dollar amount of the suspected error This Account is Issued by Citibank, N.A.
• Describe the error and explain, if you oan, why
you believe there iean error. |f you need more
information, describe the item you are unsure about.
VOUCHER # 126558 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
T973381 01-7200-02 $154.83
i
1
I
Voucher Total $154.83
Cost distribution ledger classification if
claim paid under vehicle highway fund
1
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 1/24/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2013 T973381 $154.83
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
Date Officer