242833 03/03/15 '+u " CITY OF CARMEL, INDIANA VENDOR: 00350958
i'r: ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $*******127.70*
;. �; CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK NUMBER: 242833
9Mf)UN 4A` ATLANTA GA 30353-0930 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355100 0000 24.84 PROMOTIONAL FUNDS
1120 4355100 2939 102.86 PROMOTIONAL FUNDS
SAM'S CLUB DIRECT CREDITRCIAL
Account: 040270240`1`159 statement Date:02120/15 Page:1 of 2
CITY OF CARMEL 4223
czoz
ATTNr ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032-2584
Customer Service Online at www.samsclubcredit.com
This account Is not registered.
The authentication code Is: SSNLC151
urrent Month's Invoices (Details Enclosed)
m I olce Original Due Date Club R�fer c
Amount
s
01/21/15 002939 102.86 03/08/15 8168 012115
01/21/15 000000 24.84 03/08/15 6279 1234
Past Due Invoices
Date Invoice Original Due Date Club Reference
Amount
10/24/14 000000 827.15 12/08/14 6279 2340
Currogrivolces: $127,70 Send payments to•
Past'Due#I voices: $827,15 $ P.O.Box 3
app d a menta& Atlanta�GA�3035 ' 930
$0,00 ® For b0l.O. �l 0 lb
CM. P.O.Box 26
Dayton 0 X54 1-8726
For Customer Service:
Call 1-800-362-6196
Credit Line $10000,00
i
Retain left hand portion for your records,send right hand portion noting items paid by a 0
with your payment,If not sending stub,note account number,Invoice number and amounts i
being paid on your check,
® -Continue-
PAGE 1 of 2
5966 0001 001 0
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COMMERCIAL
SAWS CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date:02/20/15 Page:2 of 2
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEL Date of Sale: 01/21/15
Account: . 0402 70240115 9 Invoice: 002939
Club/Name: 8168 P.O.: 012115
Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT. PRICE EXT.PRICE
002220661 EXTRA FINE SUGAR 2.00 EA 3.98 7.96
023436013 FOLGERS 5.00 EA 18.98 94.90
Subtotal: 102.86 Tax: 0.00 Balance Due: 102.86
SAM'S CLUB DIRECT
P.O. BOX 530930
AA LANTA, GA 30353=0930
CITY OF CARMEL Date of Sale: 01/21/15
Account: 0402 70240115 9 Invoice: 000000
= Club/Name: 6279 P.O.: 1234
-_ Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
004822824 COFFEE CREAMER 3.00 EA 8.28 24.84
Subtotal: 24.84 Tax: 0.00 Balance Due: 24.84
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59 0001 001 07 i COLR650A 4223
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF$
P.O. Box 530930
Atlanta, GA 30353
$127.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 0000 43-551.00 $24.84 1 hereby certify that the attached invoice(s), or
1120 2939 43-551.00 $102.86 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
M0 5
Alm
I
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
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An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
i
Terms
Date'Due
I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
0000 $24.84
2939 $102.86
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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