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238680 10/28/14
+u�"CAA'4 ! 1� CITY OF CARMEL, INDIANA VENDOR: 00350958 l ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $*****1,048.64* s : CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK NUMBER: 238680 +�'�TON�°� ATLANTA GA 30353-0930 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4463000 040270240115 959.20 000000 1120 4355100 040270240115 1.00 6331 1120 4355100 040270240115 88.44 9176 SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:10/20/14 Page:1 of 4 111111111[fill CITY OF CARMEL s227 ATTN: ACCOUNTS PAYABLE 0209 TWO CIVIC SQUARE CARMEL, IN 46032-2584 I i I Customer Service Online at www.samsclubcredit.com This account is not registered. The authenticatlon code Is: S7NLC651 e Payments Received 670 (216.33) PAYMENT RECEI - U Current Month's Invoices (Details Enc sed) Date Invoice Original Due Date Club Reference Amount 09/23/14 005380 61.06 11/08/14 8168 00000 09/23/14 005379 55.14 11/08/14 8168 00000 10/02/14 009176 88.44 11/08/14 8168 10022014 Past Dvoices Date Invoice Orl,gg� 1 Du ate Club Reference Amon 07/08/14 000000 1199.00 09/08/14 6279 24560 08/27/14 006331 147.35 10/08/14 8168 082714 09/13/14 003043 104.44 10/08/14 8168 09/13/14 003044 121.48 10/08/14 8168 Unapplied-Payments & Credits Date Reference Original Description Amount 07 8/14' 00000 (239.80) CR MEMO � e a -Continue- S966 0002 001 4 PAGE 1 of 4 SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:10/20/14 Page:2 of 4 e Current Invoices: $204 Send payments to: Past Due Invoices: $1 72.2; P.O.Box 530930 Unapplled Payments& Atlanta GA 30353-0930 Credits: a•e For billing/general inquiries: r P.O.Box 8726 Dayton OH 45401-8726 "fry For Customer Service: Call 1-800-362-6196 Credit Line $10000.00 Retain left hand portion for your records,send right hand portion noting items paid by a with your payment.If not sending stub,note account number,invoice number and amounts being paid on your check. 59 6 001 001 07 i i i SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:10/20/14 Page:3 of 4 i SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 09123114 Account: 0402 70240115 9 Invoice: 005380 Club/Name: 8168 P.O.: 00000 Buyer: PENNY DALEY e S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000091895 HASHBROWNS,SHRED 01 1.00 EA 5.98 5.98 004786045 HONEY WHEAT SPLITTOP 1.00 EA 3.78 3.78 004914664 HALF&HALF 2.00 EA 2.17 4.34 022468146 F COLOMBIAN K-CUPS 1.00 EA 38.98 38.98 MEXICAN SHREDS------- Subtotal: HREDS---_Subtotal: 61.06 Tax: 0.00 Balance Due: 61.06 Awk SAM'S CLUB DIRE P.O. BOX 530930 ATLANTA, GA 3035 CITY OF CARMEL Date of Sale: 09123114 Account: 0402 70240115 9 Invoice:i 005379 Club/Name: 8168 P.O.: 00000 Buyer: i PENNY DALEY S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 005521020 DIAL COMPLETE FOAM 1.00 EA 6.58 6.58 025269821 AIRWICK OILS 1+6 2.00 EA 9.98 19.96 028218216 WO.00 2.00 EA 10.88 21.76 032776412 E PK 1.00 EA 6.84 6.84 Subtotal: 55,14 ; Balance Due: 55.14 i SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 -- CITY OF CARMEL _ Date of Sale: 10/02/14_ Account: 0402 70240115 9 Invoice:; 009176 Club/Name: 8168 P.O.: 10022014 Buyer: i GARY CARTER 0MMsFG DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 6 DIXIE 120OCT NAPKIN 1.00 EA 11.88 11.88 4. 9 WATER 8OZ 12.00 EA 6.38 76.56 Subtotal: 88.44 Tax: 0.00 Balance Due: 88.44 I ' I i i II i i -Continue- 5966 0001 001 PAGE 3 of 4 COLR654A 3227 I II SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:10/20/14 Page:4 of 4 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of$ale: 07/08/14 Account: 0402 70240115 9 Invoice: 000000 ClublName: 6279 P.O.: 24560 Buyer: GARY CARTER S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE MERCHANDISE/CONSUMABLES 1.00 EA (239.80) (239.80) Subtotal: (239.80) Tax: 0.00 Balance Due: (239.80) I I I I = I I � I — I — � I — I I I C I _ I i I a I � I � I C I I — I I I I I I e I I I I I I I I I I I I I i _ I I I I I I I I I I H I I I I I I I I I I I I 5 6 001 001 07 *GEo COLR654A 3227 Snyder, Denise W From: Sam's Club <mserve@samsclub.com> Sent: Wednesday,July 30, 2014 08:41 To: Snyder, Denise W Subject: Your SamsClub.com order has shipped Products . . Club Your order h AV at s :Aftso hi p p e d Dear Gary, Your recent SamsClub.com order is on its way! You can see the full details of your order below. Order Number: 2826126793 Your Order Shipping to: GARY CARTER 2 CIVIC SQUARE CARMEL IN, 46032. 317-571-2600 ITEM DETAILS QTY PRICE SHIPPING METHOD TRACKING # NewAge Bold Series Locker Cabinets Gray 1 $1199.00 TRUCK DELIVERY 172061046 3 Pack Total Shipping: $0.00 . 1 Order online �,t.�`, Need help with etecItronks?: Pick up In club Get-the ansvier-you need trom,,aur eiperts.. to j$5 , PIr yrEarn up, ® � � � + aLearn Sam's Club Member Services 2101 SE Simple Savings Drive, Bentonville, AR 72716-0745 © 2000- 2014, Sam's West, Inc. All rights reserved. Privacy Policy and Terms & Conditions Sam's Club wants to protect your security and privacy. Be assured that we will never ask for personal information (such as passwords or credit card numbers) in an email newsletter..If you receive such a request, please do not respond to that email. See our Privacy Policy and Terms and Conditions to learn more. For questions about returns and refunds, see our Return/Refund Policy. 3 COMMERCIAL PAYMENT STUB SAWS CLUB DIRECT CREDIT Pagel of 2 Account: 0402 70240116 9 Statement Data:08/20114 Page:1 of 2 Account:0402 7024011 S 9 CITY OF CARMEL ATTN:ACCOUNTS PAYABLE TWO CIVIC SQUARE CARMEL,IN 46032-2554 PLEASE INDICATE ADDRESS CHANGES 11111I1y�rh1l�lnh1111111r�111�1lnuiLlnllIII11�h1��rdh1 CITY OF CARMEL 7890 ATTNt ACCOUNTS PAYABLE Q308 PAYMENT ADDRESS • TWO CIVIC S2UA60.38RE—2584 SAM'S CLUB DIRECT CARMEL, IN P.O.BOX 530930 ATLANTA,GA 30353.0930 rTCustomer Service Online at wwtr.samsclubcredit.com This account Is not registered. ,; The authentication code Is: SONLC951 Payments Received 07125!14 0234968(17573j�=!P%1YMENTRECEIVED-THANK YOU 08111/14 0235485 (420:61)' PAYMENT RECEIVED-THANK YOU Current Month's Invoices (Details Enclosed) Date Invoice Original Duo Dato Club Reference Date Invoice Amount Amount Due !ra Flews indlesb'by Q InvoicesPaid 07!08114 000400 1199.00 09/08/14 6279 24560 07IM14 000000 0 1199.00 07=14 999899 90.00 09108/14 6316 MEMBERSHIP FEE 0720114 999999 13 90.00 �. 0722114 CF140722 50.00 OSMS114 SERVICE FEE 0722114 CF140722 11 50.00 Current Invoices: Send payments to: EPLEASEPAY THIS PastDue Invoices: fOAti P.O.Bwt 530930 UNT UnappOed Paymstlts 6 Atlanta GA 30353-CM39.00 Credits: -,riQ t�t Send Inquiries(not payments)to: 09108/14 * 1� P.O.Box 8726 Dayton OH 45401-8726 PLEASE RETURN THIS STUB WITH For Customer Service: YOUR PAYMENT Call 1-8 -362-6196 Credit Una $10000.00 AMOUNT ENCLOSED i H Purchases,mtums and payments made iwt prior to the statemord date may not appear unlP nod Retain left!sand portion for your records,send right haul portion toting Roma paid by a ® month's statement.Payments received at the with your payment if not sending stub,note account number.Invoke number and amounts address Indxated above by 5 pm wM be cradled being paid on your check. as of the date received.if payment is made at a location other than such address,credit may be delayed. 59" 10o1 001 07 PA6E4._Wf 2 .GOLR654A 7890 SAWS CLUB DIRECT CREDITRCIAL Account: 0402 70240116 0 Statement Date:08120114 Page:2 of 2 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 07/08114 Account: 0402 70240115 9 Invoice: 000000 ClublName: 6279 P.O.: 24560 Buyer. GARY CARTER S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 031601127 3 PK BOLD LKR G 1.00 EA 1199.00 1199.00 Subtotal: 1199.00 Tax: 0.00 Balance Due: 1199.00 SAM'S CLUB DIRECT = P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY CF-CARMEL , ` Date of sale: 07120114 �. AGCOu(d 4402 70240115 9 Invoice: 999999 'CIuiNName:°.,6316 t, :of i'.P.O.: Buyer. GARY CARTER S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000106 GARY CARTER 1.00 EA 45.00 45.00 000000107 NANCY HECK 1.00 EA 15.00 15.00 000000107 JERRYSMITH 1.00 EA 15.00 15.00 000000107 PENNY DALEY 1.00 EA 15.00 15.00 Subtotal: 90.00 Tax: 0.00 Balance Due: 90.00 SAM'S.CLUB DIRECT 'P O,"WX,530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale; 07/22/14 Account: 0402 70240115 9 Invoice: CF1407 ClublName: P.O.: INITIAL S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 000000m000m SERVICE FEE 1.00 50.00 50.00 Subtotal: 50.00 Tax: 0.00 Balance Due: 50.00 4 5966 0081 001 07` r,` PAGE 2 of 2 COLR654A 7890 CITY OF CARMEL, INDIANA VENDOR: 00350958 CHECK AMOUNT: $ 216.33• ,L ONE CIVIC SQUARE SAMS CLUB DIRECT CARMEL, INDIANA 46032 P O BOX 530930 CHECK NUMBER: 237670 ATLANTA GA 30353-0930 CHECK DATE: 09/30/14 �oN DEPARTMENT ACCOUNT PO NUMBER . INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 6108 ;63.93 . 8 OTHER MISCELLANOUS 1120 4239099 6331 OTHER MISCELLANOUS 1120 4355100 6331 .01.: PROMOTIONAL FUNDS SAWS CLUB DIRECT CREDITRCIAL � Account: 0402 70240115 9 Statement Date:09/20114 Page:2 of 3 SAM'S CLUB DIRECT P.Q. BOX 530930 ATLANTA,GA 30353-0930 CITY OF CARMEL Date of Sale: 08/27/14 Account: 0402 70240115 9 invoice: 006331 CIublName: 8168 2714 Buyer GARY CARTER S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 002220661 EXTRA FINE SUGAR 2.00 EA 4.23 BA6 005521020 DIAL COMPLETE FOAM 5.00 EA 6.58 32.90 023436013 FOLGERS 3.00 EA 18.98 56.94 025168992 KLEENEX ANTI-VIRAL 3.00 EA 13AS 40.44 026904697 DC XTRA RICH CREAMER 3.00 EA 5.87 17.61 040654365 ISS 3.00 OFF 3.00 EA (3.00) (9.00) Subtotal: 147,35 Tax: 0,00 Balance Due: 147.35 S�M�S CLUB DIRECT IU.BOX 530930 = TLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 09/19/14 = Account: 0402 70240115 9 Invoice: 006108 OubtName: 8168 P.O.: 090914 8uyer. GARY CARTER S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 031617691 MAX COLD 150 QT 1.00 EA 69.98 69.98 Ark69.98 Tax: 0.00 Balance Due: 69.98 A SAM'S CLUB DIRECTIV P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 09113114 Account: 0402 70240115 9 Invoice: 003043 Club/Name: 8168 P.O.: Buyer. PENNY DALEY S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT,PRICE 002746059 *AS L OZ 1.00 EA 8.28 8.28 005431494 LEAN-UP 1.00 EA 10.25 10.25 020820202 LEMON 1.00 EA 8.28 8.28 025642662 50105CT 1.00 EA 14.98 14.98 029156801 CLX LIQ BLEACH CONC 1.00 EA 8.49 8.49 031044418 FORMULA 409 1.00 EA 12.48 12.48 031215202 SCRUBBING BUBBLES 1.00 EA 9.47 9.47 031941398 BOUNTY HUGE ROLL 1.00 EA 25.98 25.98 H 036310270 KLEENEX ML 1.00 EA 14,98 14.98 040653613 ISS 2.75 OFF 1.00 EA (2.75) (2.75) i -C.oti S9 QOl 002 07 PAGE 2 of 3 COLR654A 3436 ti. VOUCHER NO. WARRANT NO. ALLOWED 20 Sams Club N' LIM OF P.O. Box 530930 J- Atlanta, GA 30353 $1,048.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 9176 43-551.00 $88.44 1 hereby certify that the attached invoice(s), or 1120 6331 43-551.00 $1.00 bill(s) is (are)true and correct and that the 1120 000000 102-630.00 $1,199.00 materials or services itemized thereon for 1120 000000 102-630.00 ($239.80) which charge is made were ordered and received except OCT 014 Fire Chief Title Cost distribution ledger classification if claim paid motor 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 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)) 9176 $88.44 6331 $1.00 000000 $1,199.00 000000 ($239.80) 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 , 20 Clerk-Treasurer