182989 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
J P 0 BOX 530930 CHECK AMOUNT: $392.51
CARMEL, INDIANA 46032
�.o ATLANTA GA 30353 -0930 CHECK NUMBER: 182989
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 040270240115 52.14 008884
601 5023990 040270240115 340.37 006584
SAWS CLUB DIRECT COMMERCIAL
Account: 0402 70240115 9 Statement Date: 02/20/10 Page: 1 of 2
CITY OF CARMEL 5414
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
*AYMENT Received
01/25/10 0181380 AYMENT RECEIVED THANK YOU
01/25/10 0181381 RECEIVED THANK YOU
0
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
01/22110 006584 340.37 03108/10 6316 01222010
02/01/10 008884 52.14 03/08/10 8168 020110
Past Due Invoices
Ice Original Due Date Club r
Amount
01/12/1 009414 131.11 02/08/10 8168 0112
Current Invoices: $392 F Send payments to:
Past Due Invoices: 3 14 P.O. Box 530930
Unapplled Payments 8 w Atlanta GA 30353 -0930
Credits: 0 Send inquiries (not payments) to:
wL P.O. Box 8726
Dayton OH 45401 -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.
tttIn
59 0001 001 07 PA GiI of 2
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SAM'S CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 02/20/10 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 01/22/10
Account: 0402 70240115 9 Invoice: i 006584
Club /Name: 6316 P.O.: 01222010
0
Buyer: JERRY SMITH
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000015735 SYSTEM SAVER PELLETS 63.00 EA 4.18 263.34
003891886 LYSOL SPRAY 1.00 EA 9.98 9.98
005420325 LEMON PLEDGE 1.00 EA 9,97 9.97
005837977 FORCE FLEX 13 GAL DS 1.00 EA 11.98 11.98
i
005695992 O -TIPS COTTON SWABS --2.00- -EA- 6,67— 13.34
a
006986914 POWER GRID DRUM LINER 1.00 EA 14.78 14.78
017827020 BOUNTY 12 MR WHITE 1.00 EA 16.98 16.98
btota: 340.37 Tax: 0.00 a Balance Due: 340.31
-41 4
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 02/01/10
Account: 0402 70240115 9 Invoice: 008884
Club /Name: 8168 P.O.: 020110
Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
005369078 CHAR LTRA 3.00 EA 17.38 52.14
Subtotal: 52.14 0 x: 0.00 Balance Due: 52.14
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5966 0001 001 07 PAGE 2 of 2 COLR654A 3414
Prescribed by Slate 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))
$52.14
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF
P.O. Box 530930
Atlanta, GA 30353
$52.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
o w) ca 4DW57
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 42 390.99 $52.14 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
FEB 2 6 2010
d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
SAM'S CLUB DIRECT CREDIT
ACCOUM: 0402 TOM11 S O Statement Date: 02120MO Page: 1 of 2
tltrh{ Inl laudlrtt rlmill ri III {r III rittllir oil t {#Litt
C ITY OF CARMEL 3414
TWO CIVIC ACC OUNTS AYABLB
CARMEL, IH 446032 -1564
s�
Received
01125110 0181380 PAYMENT RECEIVED THANK YOU
01/26110 0181381 PAYMENT RECEIVED THANK YOU
Current Month's Invoices (Details Enclosed)
t� Dab Invoke Original Due Date Club Reference
Amount
01122/10 008684 340.37 03108/10 8318 01222010
07101/10 008884 52.14 03/08110 8 020110
Past Due Invoices
Aahh- Original Due Date Club
Amount
0111211 009414 131.11 02/08110 8188 0112
l:llrraM InY01Cea: Send payRnt)r116 t0:
P,0. Box 5309'30
Past Due Invtll�es: Atlanta GA 30353.0930
UnapP>� PWffwf is ti Send Inquiries (Trot payments) to:
craft: WL P.O. Box 8726
Dayton OH 45401.8726
leff For Customer Service,
Call 1. 800-362.6198
Credit Line $10000.00
Retain left band poMon for Your records. send rVA hand PO tlon n0tln9 Kerns paid by a Q1
wth y our payment. If rot sertdlrty stub, rote account rwmber. Invoice number and amounts
beirt4 Paid on your d*&.
4
SAM'S CLUB DIRECT CREDITR
Account: 0402 70240116 9 Statement Date: 02120/10 POge: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 01122110
A=unt: 0402 70240115 9 I nvalce: 006584
CkUName: 6316 P.O.: 01222010
Buyer: JERRYSMITH
S.Ku. DESCRIPTION QUANTITY UNIT PRICE EU. PRICE
000015735 SYSTEM SAVER PELLETS 63.00 EA 4.18 263.34
0038848M LYSOL SPRAY 1.00 EA 9.98 9.98
005420325 LEMON PLEDGE 1.00 EA 9.97 9.97
DOW977 FORCE FLEX 13 GAL DS 1.90 EA 11.98 11.98
X92 I- FIPS COTTON SWABS -2.00 EJ� &67... 13.34
p069W4 POWER GRD DRUM LINER 1.00 EA 14.78 14.78
017827020 BOUNTY 12 MR WHITE 1.00 EA 16.98 16.98
340 37 Tax: 0.00 Balance Due: 340.37
ra SAM'S CLUB DIREC
P.O. BOX 530930
ATLANTA, GA 30353 -0930
Date of Safe: 02101110
Q CITY OF CARMEL Imrotce: 006884
Accourd 0402 70240115 9 P 020110
Club►NName: 8166 8vyer: GARY CARTER
DESCRIPTION QUANTITY UNIT PRICE E%T. PRICE
S.KU.
3.00 EA 17,38 52.14
005369078 CHAR TRA
Subt". 52.14 0,00 Balance Due 52.14
5986 aYOl Sol '7 PACE 2 04 2 CUP654A 3r�14
:S
Llc
Savings Made Simple
CLUB MANAGER PATTI MITCHELL
Fax and3Pull #l(317)975 -7153
01/22/10 13 5 6 1 6684 6316 038
1714
E MEMBER 101 *11:1169
THANK YOUR:`;
CITY OF CARMEL FIRE DEPARTMENT
6761 WATER SOFTNR
63683 QTIPS 1376CT 63.34 E
63683 QTIPS 131'6CT 6'67 E
4 40965 DRUM LINER 6.67 E
718382 LEMON PLEDGE 14.78 E
964879 LYSOL 3 PACK 9.97 E
925468 GLAD 136 FF 9,98 E
638009 BOUNTY .WHITE 11'98 E
SUBTOTAL 340.37 E
TOTAL 5AMS D CREDIT 34
ACCOUNT 01222010
APPROVAL 1159
CHANGE DUE 0004007
ITEMS SOLD 70
TC# 6934 9143 7085 8061 5480 6
III I
WE VALUE YOUR OPINION
WE WANT TO KNOW ABOUT YOUR SHOPPING
EXPEgfENCE TODAY AT SAM'S CLUB
Please complete a survey about today's club visit at:
http:i www.survey.safnsclub.com
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONE OF FIVE 51.000 SAMS CLUB SHOPPING CARDS
You must be 18 or older and a legal resident of the
United States to enter. No purchase necessary to win.
To enter without purchase and for official rules visit:
www.eniry. sunrey.sams club.00m
Sweepstakes period ends on the date shown in the
Official rules. Survey must be taken within TWO weeks
Of today.
Esta ancuesta lambign se encuentra on espafloi on la
pitgina de Internet.
THANK YOU
From chips and dip to pizza and snore,
same day's a treat with Sam's Club.
01/22/10 13:68:00
MEMBER COPY
VOUCHER 094436 WARRANT ALLOWED
00350958 IN SUM OF
SAM'S CLUB DIRECT
PO BOX 530930
ATLANTA, GA 30353 -0930 o ovtf�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
ql 01- 6200 -03 $340.37
C
Voucher Total $340.37
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 2/26/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/26/2010 006584 $340.37
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