217812 02/26/2013 y ,
CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE
' CARMEL, INDIANA 46032 DEPT 53-000004369 CHECK AMOUNT: $440.46
PO BOX 689134 CHECK NUMBER: 217812
DES MOINES fA 50368-9134
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 T517718 55 . 96 OTHER EXPENSES
651 5023990 T700164 384 . 50 OTHER EXPENSES
SEARS COMMERCIAL ONE Page 1 of 1
PO BOX 6282 S"ffs
SIOUX FALLS SD 57117-628
Invoice Number: T700164 CommereialOnW
Account 511 To: INVOICE Amount Due:Number: 5405530000$3846
00000066 88 1 OZ 037 KSTROIR1 AM1 0 Payment Due Date: 03-07-13
Purchase Location: 000005340
FISHERS IN
Merch Ref# 20130205005340*90084891
CARMEL WATER AND SEWER ULIL
m 3450 W 131 ST STREET Please Pay From This Invoice.
WESTFIELD IN 46074-8267 Ship To:
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BILL UTILITIES
9609 HAZELDELL PARKY
INDIANAPOLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
BLAINE 02-05-13
Stock Nom KU Description Quantity Unit Unit Price Extension
00947637000 REPL BIT,REPL BIT 3/8 2.0000 2.29 4.58
03474105000 SEARS HARDWARE 3.0000 49.99 149.97
00951855000 VISE, 5" HORKSHOP 2.0000 69.99 139.98
03474116000 SEARS HARDWARE 3.0000 29.99 89.97
SUBTOTAL : 384.50
Total: 384.50
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.
SEARS COMMERCIAL ONE Page 1 of 1
PO BOX 6282 swrs
SIOUX FALLS SO 57117-628
Invoice Number: T517718 CommercialOnW
OICE Account Number: 5405530000034369
all To: Amount Due: $55.96
00000128 BB 1 OZ 204 KSTR81111 AM1 0 Payment Due Date: 08-19-12
Purchase Location: 000005340
FISHERS IN
°g Merch Ref# 2012072OW534015COR7750
CARMEL WATER AND SEWER ULIL
3450 W 131 ST STREET Please Pay From This Invoice.
® WESTFIELD IN 46074-8267 Ship To:
UTILITY CITY OF CARME
AZEL BE
INDIA POLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
JEFF 07-20-12
Stock No/SKU Description Quantity Unit Unit Price Extension
00965278000 DIVIDR SYSTM, 2.0000 7.99 15.98
0096541700`0 TOOL KIT,ORGANIZATION 2.0000 19.99 39.98
SUBTOTAL: 55.96
Total: 55.96
® 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.
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.
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 2/21/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/21/2013 T700164 $384.50
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
VOUCHER # 126709 WARRANT # ALLOWED
IN SUM OF $
350177
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
T700164 01-7200-02 $384.50
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Voucher Totals
Cost distribution ledger classification if
claim paid under vehicle highway fund