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CITY OF CARMEL, INDIANA VENDOR: 00350958 *iti*�x+ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $ 24.51
CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK NUMBER: 244987
ATLANTA GA 30353-0930 CHECK DATE: 05/05/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 402702401159 24.51 FESTIVAL COMMUNITY EV
SAM'S CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:04/20/15 Page:1 of 2
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CITY OF CARMEL 7559
ATTN: ACCOUNTS PAYABLE 9204
TWO CIVIC SQUARE
CARMEL, IN 46032-2584
Customer Service Online at www.samsclubcredit.com
This account is already registered
See your Online Admin to get a User ID & Password
Pa, -ents Received
Y
CZ
03/19/15 0242833 `v ?Tb PAYMENT RECEIVED-THANK YOU
p 04/17/15 0243806 (6 PAYMENT RECEIVED-THANK YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
04/13/15 009619 114.44 05/08/15 6316 04132015
04/14/15 005276 24.51 05/08/15 8168 041415
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Current Invoices: $138.95 Send payments to:
Past Due Invoices: $0.00 $ P.O.Box 530930
Unapplied Payments& j Atlanta GA 30353-0930
Credits: $O . ?', o„o For billing/general inquiries:
i' 0, P.O.Box 8726
Dayton OH 45401-8726
"furl 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 10
with your payment.If not sending stub,note account number,Invoice number and amounts
being paid on your check.
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59660001 001 07 PAGE�.yl of 2
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SAM'S CLUB DIRECT CREDITRCIAL
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Account: 0402 70240115 9 Statement Date:04/20/15 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: 04/13/15
Account: 0402 70240115 9 Invoice: 009619
Club/Name: 6316 P.O.: ; 04132015
Buyer: PENNY DALEY
e
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
004858662 LYSOL TOILET CLEANER i 2.00 EA 7.87 15.74
029156801 CLX LIQ BLEACH CONC i 1.00 EA 8.62 8.62
030884353 MM SPRAY BOTTLES 1.00 EA 5.68 5.68
031430006 QUANTUM AAA 24 PACK ; 4.00 EA 16.98 67.92
_ 04292658E MM SAT PAPER TOWELS 1.00 EA _- 16.48 16.48 _-
Subtotal: 114.44 Tax: 0.00 i Balance Due: 114.44
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SAM'S CLUB DIREC
P.O. BOX 530930
ATLANTA, GA 30353.0930
CITY OF CARMEL Date of Sale: 04/14115
Account: 0402 70240115 9 Invoice: ; 005276
Club/Name: 8168 P.O.: 041415
Buyer: i NANCY HECK
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
p 005517140 DIET COKE 1.00 EA 9.79 9.79
021773596 NPL 2.00 EA 3.98 7.96
030089094 MM PU IFIED WATER 2.00 EA 3.38 6.76
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Subtotal: 24.51 x: 0.00 Balance Due: 24.51
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5966 0001 001 0 PAGE 2 of 2 COLR654A 7559
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CLUB MANAGER RYAN SIMPSON
(317) 58571619
INDIANAPOLIS, IN
114/14/15 10:38 5276 (3168 005 1576
;,ITY OF CARMEL FIRE DEPARTMENT
E 924071 0 COKE 32 CF 9.79 L-
E 561914 MM WATER F 3.38 ,N
E 561914 MM WATER F 3.38-N
E 353646 NESTLE WATEF 3.98 N
E 353646 NESTLE WATEF 3.98 34
SUBTOTAL 24.51
TOTAL 24.51
SAMS D CREDIT 24.51
P.O. # 041415
ACCOUNT # **x* xxxx **_* - S
APPROVAL # '000244
TERMINAL # 281100892
CHANGE DUE 0.00
Visit samsclub.com tb see your savings
# ITEMS SOLD 5
TC# 5121 4962 4367 3453 3714
IIINII IIII IIIII IIIII IIII III II IIIII II IIIII,IIIIIIi 11111 l l 11 11 l 11111 11 11 11111 111 111
Please tell us about your shopping experience
http://www.survFy.samsclub.com
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONE OF FIVE$1,000 SAM'S CLUB SHOPPING CARDS
Must be 18 or older and a legal resident of the 50 US or
DC to enter.No purchase necessary to enter or win. fo
—- enter without purchase andofficial rules visit:
www.entry.survey.s 11sclub. rn
Sweepstakes period ends on the date shown in the
official rules.Survey must betaken within
TWO weeks of today.
Esta encuesta tambien se-encuentra en espanol en la
ptigina de Internet.
xx* MEMBER COPY xxx
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sam's Club
IN SUM OF$
P. O. Box 530930
Atlanta, GA 30353-0930
$24.51
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 005276 43-590.03 $24.51
I hereby certify that the attached invoice(s), or
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bill(s) is (are)true and correct and that the
materials or services itemized thereon for
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which charge is made were ordered and
received except
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nday, May 04,2015 i
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Director,Communi441ations/IQ0nomic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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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))
04/14/15 005276 $24.51
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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