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Home My WebLink About238926 11/05/14 CITY OF CARMEL, INDIANA VENDOR: 00350958 2j ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $'***"**55.14* ?q; CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK NUMBER: 238926 9M,iTON.�. ATLANTA GA 30353-0930 CHECK DATE: 11/05/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 005379 55.14 OTHER EXPENSES AWS CLUB DIRECT CCO REOl7RCIAL Account: 0402 70240115 9 Statement:Date:10120/141 Page:1 of 4 111111111,r1r1r1rrhIjIj!II11111r>hi11111111rrll lilt 1111111isI CITY OF CARMEL 3227 ATTNt ACCOUNTS PAYABLE 0289 e TWO CIVIC SQUARE CARMEL, IN 46032-2584 Customer Service Onl Inc at www.sarnscluberedit.com this- .account is not rcgi'stered. The authenticatlon code 'i-s:- S7NCC651 - .a. Payments Received 6 Clio (216:33) PAYMENT Rf FI Y� b Current Month's Invoices (Details Enctbsed) [late tnvolce Original Duo Date Club Reference Amount 09123114 005380 61.08 11108/14 8168 00000 _ 09123!14 003379 55:14 11/08/14 8168 00000 10107114 009176 86A4 11/08114 8168 10022014 esoo ~ Past Du [ voices Date, Invoice Ari l Du Date Club Reference Ansi tW9108M4 071081/4 000000 1199.0 6279 24560 08127114 006331 147.38 10108/14 8166 082714 091,13114, 003043 104.44 10108114 8168 -09113114 003044 121A8 10108/14 8100 Vnapp#led Payments & Credits Date koferalico Orlginil Doscription Amount OT 0000 (239.80) CR MEMO �a -Continue- Vol 0 PATE 1 of 4 T COMMERCIAL PAYMENT STUB r4 cotutt: 04fl2 7P40115'9'' Statement ite:1=0114 P p�2 of 0115 flccount.*0402 lam: NOW 511 - :u ttt'titvotcas $204 Sen0+paympriis tri PLEASE PAS':THIS Past flus lnvolc6m $1 Ed O,Bax 530930 AMOUNT E1n pp13Dd Payments Atlanta GA 30353,0930 $1390.1 G flf edits: -ate For billiraglgrerleral irrquiri DUE BY 111fl0114 P.O.Box 8726 Clayton OH 45401-8726 PLEASE 1:>rruRN THIS sruB WITH For Customer Service: YOUR PAYMENT Cali 1-80M6216196 Crodit Uro $10000.00 AMOUNT ENCLOSED 5 Pumlwases,returns and payments made heel prior to tfro stater er t date may wl appear wdit next Retain left hand portion tnryour records,send rohl hand portitrn noting ltefna paid by a 4r m0rdWa statement, payments received at the m h,your paytcent.dr notsanding note account number,invulca number and flotauntp address incric aced above by S pm will be credit®d bolnq path on your-check, as of the date r=ived.id payment is maria u1 a tuaatian other titan such address,credit may be w eel aged. 1 S t�OD3" DOI D7 PA of 4 COLR654A 3227 WSCLUB I COMMERCIAL Aecount: 04021-7024,0115 9 _Stat ment'Date:40120194 Page:3 of 4 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 09/23114 Account 04412'702401159 Invoice: 005380 CtuoName; 8468 P.O.: 00000 Buyer: PENNY DALEY S>K lt, DESCRIPTION QUANTITY UNIT PRICE EXT,PRICE 000091895 HASHBROWNS,SHRED Of 1.00 EA 5,98 5.98 4104786()45 HONEY WHEAT SPLITTOP I DO EA 3.78 3.78 C04914664 HALF R HALF 2.00 EA 2.17 434 022488146 F C.QLOki BIAN K•CUPS 1.00 EA - 323.98 38.98` 033154162 MEXICAN SHREDS 1.00 FA 7.98 7:98 Subtotal: - 61,06 Tax:, 0.00 Balance Due: 61.06 SAM'S CLUB DIRECT � ��` P.4. BOX 530930 ATLANTA, GA 3035 CITY OF CARMEL Date of Sale: 09/23/14 Account: - 0402,70240115'9 Invoice: 0053741 elublName'. 8168 P;O.: 00000 Buyer: PENNY DALE-Y S:I�sU. DESCRIPTION QUANTITY UNIT PRICE Ut.'PRICE 065521020 DIAL COMPLETE FOAM 1.00 EA 6.58 6.58 025269821 AIRWiCK OILS1 i 6 2.00 EA 9.98 19.96 028218216 W0,00 2.00 Eft 10.89 2116 032776412 PK 1.00 EA 6.84 6.84 Subtotal: SS.td Balance Due: 55.14 SAM'S CLUB DIRECT P.O.BOX 53093.0 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 141/02114 FICC@t3ht _, 159_:- Invoice: 009176 Clutu'Name, 8168 P.O: .:_ -10022014 --- Boyer: GARY CARTER DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE . . A DIXIE 120007 NAPKIN _ 1.00 EA 11,88 11.88 89,. MM WATER 8OZ 12.00 EA 6.38 76.56 Sublolal, FBA4 Tax: 0:00 Balance Clue; 88.44 -Continue. 5966..00tf1. 641 PAGE 3 of 4 COLR6544 3227 SAWS CLUB DIRECT COMM RCIAL Aidauat:;0442 70240111 5 9_ Statement Oatet 10/20/14 Page:*of 4 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA,GA 30353-0930 CITY OF CARMEL Date of Sate: 07/08114 Account; 0402 702401 15 9 Invoice: 000000 ClubWame: 6279 P.O.: 24560 Buyer. GARY CARTER ® S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE MERCHANDISE/CONSUMABLES 1.00 EA (239.80) (238.80) S#olal: (238:811) Tax: 0.00 Balance[)us. (239.80) h � i -;59 5 QQT QQl. .Q7 PX 'of 4 COLR654A 3227 . VOUCHER # 142163 WARRANT# ALLOWED 00350958 IN SUM OF $ SAM'S CLUB DIRECT PO BOX 530930 ATLANTA, GA 30353-0930 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT* AMOUNT Audit Trail a I Code 005379 01-6200-06 $55.14 Voucher Total $55.14 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 00350958 SAM'S CLUB DIRECT Purchase Order No. PO BOX 530930 Terms ATLANTA, GA 30353-0930 Due Date 10/28/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/28/201, 005379 $55.14 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