187436 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK AMOUNT: $182.42
'y ATLANTA GA 30353 -0930
CHECK NUMBER: 187436
CHECK DATE: 7/712010
DEPARTMENT ACCOUNT PO NUMBER INVOIC NU MBER AMOUNT DESCRIPTION
1120 4239099 9849 68.20 OTHER MISCELLANOUS
851 5023990 9849 114.22 OTHER EXPENSES
SAM'S CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 06/21/10 Page: 1 of 2
CITY OF CARMEL 3451
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
i CARMEL, IN 46032 -2584
v+
0
%Current Month's Invoices (Details Enc sed
Date Involce Original Due Date Club R terencre
Amount
e 06/11/10 009849 182.42 07/08/10 8168 061110
e
Past Due Invoices
Date Invoice Original Due Date Club Reference
Amount
04/20110 009218 218.73 06/08/10 8168 042010
04/29/10 001980 54.74 06/08/10 6316 1105689
05/13/10 005584 23.52 ,06/08/10 8168 051310
Curre $182.42 Send payments toff
Past /Due•lnvoices: $296.99 P.O. Box 530930
U�apilied Payments Atlanta GAt30353 0930
Credits'.p�, $0.00 Send inqu de t ents) to:
C\6d P.O. Box 87-26
Dayton 0445401 -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
with your payment. If not sending stub, note account number, Invoice number and amounts
being paid on your check.
-Continue
5966 0029 001 0T PAGE 1 of 2
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SAINTS CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 06/21110 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: 06111110
Account: 0402 70240115 9 Invoice: 009849
Gub /Name: 8168 P.O.: 061110
Buyer: 1 GARY CARTER
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i S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000665591 GRANULATED SUGAR 1.00 EA 5.34 5.34
004822824 COFFEE CREAMER 3.00 EA 5.30 15.90
005369078 CHARMIN ULTRA 4.00 EA 17.05 68.20
021567135 FOLGER DECAF PKTS 2.00 EA 19.76 39.52
021568260 FOLGERS COFFEE PKTS 3.00 EA 17.82 53.46
Subtotal: 182.42 Tax: 0.00 Balance Due: 182.42
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*P-f 59b6'0029 001 07 COLR654A 3451
V I
VOUCHER NO. WARRANT N
ALLOWED 20
Sams Ctjab
IN SUM OF
P.O. Box 530930
Atlanta, GA 30353
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 42 390.99 $68.20 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
9111 2 7 91 81
jz�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
$68.20
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