251239 11/04/15 %'��p''"� CITY OF CARMEL, INDIANA VENDOR: 00350958
''. CHECKAMOUNT: $*******197.54*
.I: ® � ONE CIVIC SQUARE SAMS CLUB DIRECT
r_ =a CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK NUMBER: 251239
�.�roN` ATLANTA GA 30353-0930 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355100 040270240115 197.54 008442
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SAM'S CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:10/20115 Page:1 of 2
�II'I�r�I'II�III�III�'I��I°II'�I�"'�I�I'lll�l"�II�I..1"I�IIIII .
CITY OF CARMEL 7494
ATTN: ACCOUNTS PAYABLE azlo
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 _
_ Payments Received
91{2 15 I418 346.00 PAYMENT RECENED TH'ANKaYOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
10/06/15 008442 197.54 11/08/15 8168 10062015
Past Due Invoices
Date Invoice Original Due Date Club Reference
Amount/,
08/27/15 005724 46.62a t1OF68115 8168 33080
09/08/15 000000 110.91U%08/15 6279
Curregtt Invoices: $197.54Send payments to:
Past'Due,lnvoices: $157.59 $ P.O.Box 536630
U applied Payments 8 Atlanta,GA 30353'0930
'r ✓(c� _
Cr nits, $0.00 For billinglgeneralJmquiries'
et P.O.Box,8726
Dayton O4,45401-8726
f�r1. For Customer Service:
Credit Line $10000.00 Call 1-800-362-6196
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.
-Continue-
5966 0001 001 07 PAGE 1 of 2
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SAM'S CLUB DIRECT CREDITRCIAL
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Account: 0402 70240115 9 Statement Date:10/20/15 Page:2 of 2
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
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CITY OF CARMEL Date of Sale: 10/06/15
Account: 0402 70240115 9 Invoice: i 008442
Club/Name: 8168 P.O.: 10062015
Buyer: I GARY CARTER
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S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
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030689482 COOKIE TRAY 6.00 EA 20.98 125.88
031964063 MM 120OCT NAPKIN 1.00 EA 10.46 10.46
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034073152 MM WATER 80Z 10.00 EA 6.12 61.20
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,—Subtotal.,-197-5-4—
.596 000
,_.Subtotal:19Z`i4-5960001 001 07 PAGof 2 COLR654A 7494
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF $
P.O. Box 530930
Atlanta, GA 30353
$197.54
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ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
o � .Z12' vlzs�
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 008442 43-551.00 $197.54 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
Nov ® z zoic
V 1W�
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))
008442 Open House $197.54
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