181381 01/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
l� CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK AMOUNT: $35.72
4, o ATLANTA GA 30353 -0930 CHECK NUMBER: 181381
CHECK DATE: 1/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 040270240115 35.72 OTHER MISCELLANOUS
.1
SAM'S CLUB DIRECT CREDIT
AccQiant: 0402 70240115 9 Statement Date: 12121 /09 Page: 1 of 2
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CITY OF CARMEL 3545
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
w CARMEL, IN 46032 -2584
Nom
6 u Month's Invoices (Details E r� ci osec l
Da e a1 �j 3 1 e Original Due Date Club Rafe2ri S
Amount
11/20/09 001323 35.72 01/08/10 8168 11202009
12/17/09 006677 69.10 01/08/10 6318
Past Due Invoices
Date Invoice Original Due Date Club Reference
Amount
10/23/09 001831 15.63 g 2/08/09 8168
�F
Curren lnvolces: $104:82 Send payments to:
Past D`uio voices: $15.63 P.0. Box 59 3
1"
�l pgied tie meets to
Atlanta y� 3 353 930
c its i $0.00 a.n Send inquiries,( 1 ym nts) to
est. P.O. Box 826
Dayton OH 45;401 -8726
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 pald by a
with your payment. If not sending stub, note account number, Invoice number and amounts
being paid on your check.
40S
_`1!Tt115: Continue-
5966 0024 001 07 PAGE 1 of 2
SAM'S CLUB DIRECT CO MMERCIAL
Acccunt: 0402 70240115 9 Statement Date: 12/21/09 Page: 2 of 2
I
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 11/20/09
Account 0402 70240115 9 Invoice: 001323
Club /Name: 8168 P.O.: 11202009
Buyer: i GARY CARTER
e
LA S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
006117055 TUMBLER 20 OZ 2.00 EA 17,86 35.72
Subtotal: 35.72 Tax: 0.00 Balance Due: 35.72
i
SAM'S CLUB DIRECT I
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 12/17/09
Account 0402 70240115 9 46
Invoice: 006677
Club /Name: 6316 °9 Sa i Sr P.O.: t
c :mu,s:v
;1d.,.^ Buyer: JERRY SMITH
um S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
003680819 WINDEX 1 1.00 EA 8.88 8.88
005213963 THE WORKS TBC 1 1.00 EA 4.46 4.46
1W 006124460 CASCADE EA 110CT 1 1.00 EA 18.88 18.88
mug
006904111 KLEENEX FACIAL ULTRA 1.00 EA 12.78 12.78
017827020 BOUNTY 12 MR WHITE 1.00 EA 16.98 16.98
i.
020761324 DAWN AB 3PK/240Z EA 1.00 EA 7.12 7.12
S tl l 69.10 Tax: 0.00 Balance Due: 69.10
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5966 )024 001 07 PAGE of 2 C01R6544 3545
Ne
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
a IN SUM OF
P.Q. Box 530930
Atlanta, GA 30353
Qf" $35.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 001323 42- 390.99 $35.72 I 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
JAN 11 2010
0 V
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))
001323 $35.72
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