221234 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 00350177 Page 1 of 1
ONE CIVIC SQUARE SEARS HARDWARE
CARMEL, INDIANA 46032 DEPT 53-000004369 CHECK AMOUNT: $65.47
PO BOX 689134 CHECK NUMBER: 221234
DES MOINES IA 50368-9134
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 T879464 65 .47 OTHER MAINT SUPPLIES
Account Statement
Commercial Account
C OF CAL STREET DEPT
sears,' Account Inquiries:
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1-800-599-9712 Fax 1-800-599-9711
U Accout t'Numlber ',5405`5340"?07491408.
Commercial(Slog
Summary of Account Activity Payment Information
Previous Balance $593.62 Current Due $95.15
ayments - ....6 .94 Past Due Amount + $0.00
Purcks. ... . ... ........... ._. -$0.00
re Minimum Payment Due
hases +$65.47
Debits 0.00 Payment Due Date 06/30/13
New Balance $95.15
Credit Line $5,000
Send Notice of Bluing Errors and Customer Service Inquiries to: Credit Available $4,904
_.-
SEARS COMMERCIAL ONE e Date
Dat o 06/05/13
Next
PO Box 6282,Sioux Fails,SD 57117-6282 g 07/05/13
Everything you need to know about your account is here: account number, payments, contact information and more.
Please see the enclosed sample for additional information on how to read your statement.
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TRANSACTIONS
Trans Date Location/Description Customer PO# Reference# Invoice# Amount
ACCOUNT 5405 5340 2161 0785 CITY OF CARMEL STREE
C 05/22 SEARS HARDWARE 5340 FISHERS IN LIGHT TRUCK/BENT 7879464 $ 65.47
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TOTAL 5405 5340 2161 0785 $ 65.47
PAYMENTS,CREDITS,FEES AND ADJUSTMENTS
05109 CK219478 P9362004209FRT225 $ 56194-
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^ r z NOTICE:SEE REVERSE SIDE FOR IMPORTANT INFORMATION Page 1 of 6 This Account is Issued by Citibank,N A.
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In Case of Errors or Questions About Your Bill Payment Information I
If you think your invoice or billing statement is wrong,or if you need more Payment must be mailed to us at the payment address shown on the reverse
information about a transaction thereon,write us on a separate sheet at the side.Payments that are received in the mail at the designated address before
inquiry address listed below as soon as possible.We must hear from you no 9:00am(CST)on any Monday through Friday that is not a holiday will be
later than 30 days after we first sent you the invoice or billing statement on credited as of the day of receipt.If payment is not made as provided herein,
which the error or problem appeared. crediting may be delayed up to 5 days.
You must contact us in writing in order to preserve your rights.In your letter, You agree not to send us partial payments marked"paid in full","without
give us at least the following information: recourse",or similar language unless such payments are marked for
Your name and account number special handling and sent to the inquiry address below.
The dollar amount of the suspected error
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 CRC-BEST APR13
Send Notice of Billing Errors and Customer Service Inqurie s to:
Sears Cornmercial One
PO Box 6282
Sioux f-tills,SD 57117-6,282
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T03651-RC-9355 5600-0000-Y-0--06/01/99.61-000-P-0--0-0-12!31/99-SC28-May 6,2013
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you now SMRSMO fl clear & concise!
Clear: Statements show you exactly how much you've spent, how much you owe, when you owe it
and your available credit.
Concise: The information is "bucketed" into sections that make it simple to find what you're looking
for and is written in normal, everyday language.
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� Account (dumber/ Account Statement
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account Inquiries:
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Summary of Account Activity Summaiyc/qa�t gctfvity P •'
Previoua 9aianca ayment fnf..ME, an '
$9,999,999.99 Current
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$9,999,999.99 <<
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�. p Purcha9ee. , 1:_.:_,.._.-$9,999,999.99
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locations and amounts i ,D 59.999,999.99-
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Payments, Credits,
Fees and Adjustments 1 t'
A record of payments you've
made and credit adjustments _
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affecting your account DETAIL
INVOICE
T1MS ACCp,.9 M ha
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PPoCE TOTAL PRICE Invoice Detail
Z ;: gDANTTTY $1191 911.81
oZ PROOF „ , its 400 $ -� $$9� a; Displays products
0 Z 'gyS;lDI7L 8X 23IN ""'gUpM171 20o00 EA $14.99
PAl ,TM !*T,,., ., ,p�87718 $161.55 1 purchased in this
2 Z pNMTit BPR fciu!',,,,,�' ..:- g11BTOTAL $4.30
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7p.000-
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Page 3 of 6 1-800-599-9712
sears- Remit payment and make checks payable to:
SEARS COMMERCIAL ONE INVOICE D ETA I L
DEPT.53-C®II Q�A 1mercia m(g DES MOIN��A9503W9131
PURCHASE CARD: SHIP TO:
Acct: 5405 5340 21610785 JAMES BENTLEY Amount Due: Trans Date: Invoice#:
CITY OF CARMEL STREET 3400 WEST 131 STREET T879464
DEPT WESTFIELD,IN 46074 $65.47 05/22/13
PO: LIGHT TRUCK/BENT Store: 5340,FISHERS
PRODUCT SKU# QUANTITY UNIT PRICE TOTAL PRICE
SEARS COMMERCIAL SALES 03493094000 1.0000 $5.49 $5.49
_.. ...._......,_...... _.. _......03482331000........ ...... .. . ...........1.0000.. ._. ...................$10.99.......,..-._. ......$10'0'-.99__.
SEARS COMMERCIAL
. ....._.._.,.__........_$48,99~ ..._...._.- $48.99
SUBTOTAL $65.47
TAX $0.00
SHIPPING $0.00
TOTAL $65.47
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Page 5 of 6 1-800-599-9712
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/22/13 T879464 $65.47
1 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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
= ALLOWED 20
Sears
IN SUM OF $
P. O. Box 689131
Des Moines, IA 50368-9131
$65.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I T879464 I 42-389.001 $65.4? 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
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rids 1 13
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8 i>p maw
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund