186505 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $242.26
CARMEL, INDIANA 46032 P 0 BOX 530930
ATLANTA GA 30353 -0930 CHECK NUMBER: 186505
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4238900 005584 23.53 OTHER MAINT SUPPLIES
1120 4238000 009218 218.73 SMALL TOOLS MINOR E
W S CLUB DIRECT CREDIT
SAW
Account: 0402 70240115 9 Statement Date: 05/20110 Page: 1 of 2
CITY OF CARMEL 3319
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
w CARMEL, IN -2584
r
v,
Current Month's Invoices (Details Enclosed)
D" s F lip nice Original Due Date Club Re errence
J Amount
m
04/20/10 009218 218.73 06/08/10 8168 042010
04/29110 001980 54.74 06/08/10 6316 1105689\h-_c�
0
05/13/10 005584 23.52 06/08/10 8168 051310
Past Due Invoices
Date Invoice Original Due Date Club Reference
Amount
03/29110 002618 119.36 05/08/10 8168 32910
[past u rent Invoices: $296.99 Send payments toy
Dua $119.36 P.O. Box.0930
Jna` �f Pa ments 8 Atlan Gk 3!0
da is' ;UQ'� $0.00 Send inquire. i(not ents) to:
P.O. Box��72'
Dayton OH•45401 -8726
For Customer Service:
Call 1 -800- 362 -6196
Credit Line $10000.00
Retain left hand portion for your records, send right hand portion noting items paid by a i1
with your payment. If not sending stub, note account number, Invoice number and amounts
being paid on your check.
f
Continue-
5966 0028 001 07 PAGE 1 of 2
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.SAM'S CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 05/20/10 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 04/20/10
Account: 0402 70240115 9 Invoice: 009218
Club /Name: 8168 P.O.: 042010
Buyer: GARY CARTER
0
W S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
r 004270690 COFFEE BREWER
1.00 EA 218.73 218.73
Subtotal: 218.73 Tax: 0.00 Balance Due: 218.73
I
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 04/29/10
Account: 0402 70240115 9 Invoice: I 001980
Club /Name: 6316 P.O.: 1105689
Buyer: JERRY SMITH
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
003680819 WINDEX 1.00 EA 8.88 8.88
005032708 POM PAPER TOWELS 1.00 EA 25.98 25.98
005213963 THE WORKS TBC 1.00 EA 4.78 4.78
005217234 NO RINSE FLR CLEANER 1.00 EA 4.64 4.64
006027607 FORMULA 409136 +2X32 1.00 EA 10.46 10.46
Subtotal: 54.74 Tax: 0.00 Balance Due: 54.74
SAM'S CLUB DIR4
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 05/13/10
Account: 0402 70240115 9 Invoice: I 005584
Club /Name: 8168 P.O.: 051310
Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
019072232 MM ANTIBAC 1GAL VJ 2.00 EA 5.88 11.76
019077231 MM 1 GAL VI-JON 2.00 EA 5.88 11.76
of I
Subtotal: 23.52 n Tax: 0.00 Balance Due: 23.52
t$suur
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5966/0028 001 07 PAGI�,2 of 2 i COLR654A 3319
VOUCHER NO. `JVARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF
P.O. Box 530930
Atlanta, GA 30353
$242.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 005584 42- 389.00 $23.53 1 hereby certify that the attached invoice(s), or
1120 009218 42- 380.00 $218.73
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
N 7 20
o
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))
005584 $23.53
009218 $218.73
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