220780 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE CHECK AMOUNT: $103.98
CARMEL, INDIANA 46032 DEPT 53-000004369
v _o� PO BOX 689134 CHECK NUMBER: 220780
DES MOINES IA 50368-9134
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 T802750 103 . 98 OTHER EXPENSES
Page I of �
SEARS COMMERCIAL ONE Sears
BOX 6282
SIOUX FALLS SD 57117-628
Invoice Number: T802750 CommercialOnW
Account Number: 540553000016
au To: INVOICE Amount D e $ 0039
00000050 BB 1 O 129 KSTRBIRI AM1 0 Payment Due Date: 06-07-13
Purchase Location: 000005340
FISHERS IN
S Merch Ref# 201305080053401190OR3681
a CARMEL WATER AND SEWER ULIL
®_ 3450 W 131ST STREET Please Pay From This Invoice.
WESTFIELD IN 46074-8267 Ship To:
UTILITY CITY OF CARME
9609 HAZEL BE
INDIANAPOLIS IN
Customer No. Ordered By Authorized By Purchase Order No. Purchase Date Sears Ship Order No.
DAN 050813B 05-08-13
Stock No/SKU . Description Quantity - Unit Unit Price Extension
00932057000 24T IOPK,BIMET BLDS 1 .0000 13.99 13.99
00944804000 RATCHET,3/4"DR QR 1 .0000 89.99 89.99
SUBTOTAL : 103.98
C Total: 103.98
® 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 57-117<6282
In Case mf Errors or Questions About Your Bill Payment Information
|f you think your invoice or billing statement iewrong, Payment must ba mailed t} uoet the payment address
0ri( you need more information about 8transaction shown on the reverse side. Payments that are received
thereon, write uaona separate sheet Gt the inquiry in the mail at the designated address before 0:OOam (CST)
address listed on the reverse side aa soon aSpossible. on any Monday through Friday that ie not a holiday will be
VVe must hear from you nn later than 30 days after vve credited aSnf the day of receipt. |f payment ia not made
first sent you the invoice ur billing statement onwhich as provided herein, crediting may be delayed upto5days.
---hha'ennrorpoob/enn`appeanad�r�--�' =--�-----
You agree not to send um partial payments marked
You must contact us in writing in order to preserve your "paid in full","without recourse", or similar language
rights. |n your letter, give usa1 least the following information: unless such payments are marked for special handling
•Your name and account number and sent tm 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 oun, why
you believe there iSan error. K you need more
information, describe the item you are unsure about.
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VOUCHER # 131662 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
T802750 01-6200-04 $103.98
Voucher Total $103.98
Cost distribution ledger classification if
claim paid under 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 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 5/23/2013
DES MOINES, IA 50368-9134
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/23/2013 T802750 $103.98
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with ICG5-11/--X10-1.6
Date Officer