189500 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $115.00
1, CARMEL, INDIANA 46032 P 0 BOX 530930
ATLANTA GA 30353 -0930
CHECK NUMBER: 189500
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 040270240115 85.00 ORGANIZATION MEMBER
1160 4355300 040270240115 15.00 ORGANIZATION MEMBER
601 5023990 040270240115 15.00 OTHER EXPENSES
SAWS CLUB DIRECT CRED TRCIAL
Account: 0402 70240115 9 Statement Date 08120110 Page: 1 of 3
CITY OF CAR14EL 5921
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
N CARMEL, IN 46032 -2584
k
Payments Received x�
OTW61 (182.42) PAYMENT RECEIVED THANKYOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
a 0700110 999999 65.00 09/08/10 6316 MEMBERSHIP FEE
07/22/10 CF100722 50.00 09/08/10 SERVICE FEE
Past Due Invoices
Date invoice Original b e Date Club Reference
Amountk'
06 /28/10 002373 587� 00 8168 062710
07101110 009423 116.15 "08/08/10 8168
Jnapplied Payments Credits
Date Reference Original Description
Amount
07/06/10 0186505CM (0.01) UNAPPLIED CASii
Continue-
5966 0031 001 07' PAGE of 3
SAWS CLUB DIRECT REDITR
1
Account: 040270240115 9 Statement Date: 08/20110 Page: 2. of 3
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Current Invoices: $115.00 Send payments to:
Past Due Invoices: $169;02a P.O. Box 530930
Unapplled Payments 8 Atlanta GA 30353.0930
Credits:b(O;t)i) 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 paid by a Q
with your payment. If not sending stub, note account number, Invoice number and amounts
being paid on your check.
If you have unapplied payments and credits, please call us at 800 362.6196 with your
InstnfclGN to apply. You do not need to contact us If you are paying the total amount now dui
1/0
Continue
5960031 001 07 PAGV of 3
SAM'S CLUB DIRECT C R EI )rr RCfAL
Acca?u,nt 0 2 ,10240 :1S 9 _8tatement Date. Q8fZ0110 Fagp,,3 0l 3
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Gals of Sate: 07/20/10
Oub/N 6316 Mvfte: 70240115 8 999999
ClublName; 6316
P.O.:
Buyer GARY CARTER
S.K.U. DESCRIPTION
QUANTITY UNIT PRICE UT. PRIG
000000106 GARY CARTER 1.00 EA 35.00
000000107 NANCY HECK 1.00 EA 35.00 5.. 0
000000107 JERRY SMITH 1.00 EA 15,00
15.00
5ubtalaL 6500
Tax: 000 Balanca Q�ae;
mom
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 303 *I nv oicw EL 0402 70240115 9 !e at 5818: 07122/10
CF1007
P.O.: INITIAL
S.KU.
am OW SERV FE E
DES Ta y QUANTITY UNIT PRICE EXT, PRICE
FE FEE
1.00 EA 50.00 50.00
Subtotal. 50.00 Tax: 0.00
Balance Due: 50.00
5966 0031 001 0 PAGE 3 of 3
COLR654A 5921
VOUCHER 102590 WARRANT ALLOWED
06350958 X4 IN SUM OF
SAM'S CLUB DIRECT
PO BOX 530930 0
ATLANTA, GA 30353- 0930ay°�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
999999 01- 6360 -06 $15.00
Voucher Total $15.00
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 8126/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/26/2010 999999 $0.00
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
r
Date Officer
SAM'S, CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 08120/10 Page: 1 of 3
CITY OF CARMEL 5921
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
a
Payments Received
07l26�1 7436 (182.42) PAYMENT RECEIVED- L 5 LS �K =YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
e 07/20/10 999999 65.00 09/08/10 6316 MEMBERSHIP FEE
s 07/22/10 CF100722 50.00 09/08/10 SERVICE FEE
e Past Due Invoices
Date Invoice Original Due Date Club Reference
Amount
0
06/28110 002373 52.B� 8168 062710
07101110 009423 116.15 "08/08/10 8168
Unapplied Payments Credits
Date Reference Original Description
Amount
07/06/10 0186505CM (0.01) UNAPPLIED CASH
o a
-Continue
5966 0031 001 07 PAGE 1 of 3
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PAYMENT STUB
SAM'S CLUB DIRECT COMM RCIAL Page of 3
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Account: 0402 70240115 9 Statement Date: 08/20110 Page: 2 of 3 Account: 0402 70240115 9
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Current Invoices: $115.00 Send payments to: PLEASE PAY THIS
Past Due Invoices: $169 02\ P.O. Box 530930 AMOUNT
Unapplied Payments X Atlanta GA 30353 -0930 $284.01
Credits: Send inquiries (not payments) to: DUE BY 09/08/10
P.O. Box 8726
Dayton OH 45401 -8726
PLEASE RETURN THIS STUB WITH
For Customer Service: YOUR PAYMENT
Call 1- 800 362.6196
Credit Line $10000.00 AMOUNT ENCLOSED
H
Purchases, returns and payments made just prior
to the statement date may not appear until next
Retain left hand portion for your records, send right hand portion noting items paid by a month's statement. Payments received at the
with your payment. If not sending stub, note account number, Invoice number and amounts address indicated above by 5 pm will be credited
being paid on your check. as of the date received. If payment is made at a
If you have unapplied payments and credits, please call us at 800 362 -6196 with your i location other than such address, credit may be
i delayed.
instrudio to apply. You do not need to contact us if you are paying the total arimount now due
4 I
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59t 001 07 PAGE of 3 COLR654A 5921
i
SAWS. CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 08120/10 Page: 3 of 3
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 07/20110
Account: 0402 70240115 9 Invoice: 999999
Club /Name: 6316 P.O.:
e
Buyer: GARY CARTER
W S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
r
,V', 000000106 GARY CARTER 1.00 EA 35.00 35.00
000000107 NANCY HECK 1.00 EA 15.00 15.00
000000107 JERRY SMITH 1.00 EA 15.00 15.00
Subtotal: 65.00 Tax: 0.00 Balance Due: 65.00
SAM'S CLUB DIRECT
P.O. BOX 530930
n m
ATLANTA, GA 30353 -0930
V
CITY CARMEL Date of Sale: 07/22/10
Accounk 0402 70240115 9 Invoice: CF1007
Club %Name: P.O.: INITIAL
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
e 000000000000000 SERVICE FEE 1.00 EA 50.00 50.00
i
Subtotal: 50.00 Tax: 0.00 Balance Due: 50.00
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5966 0031 001 0 PAGE 3 of 3 i COLR654A 5921
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Glub
IN SUM OF
P.O. 1'ox 530930
Atlanta, GA 30353
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #ITITLE AMOUNT Board Members
1120 CF1007 43- 553.00 $50.00 1 hereby certify that the attached invoice(s), or
1120 99999 43- 553.00 $35.00
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
AUG a
.tom r l r\
s
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))
CF1007 $50.00
99999 $35.00
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
PAYMENT STUB
SAI'L'S CLUB DIRECT CREDIT
Pagel of
Account: 040270240115:9 Statement Date: 08120110 Paget 1 of 3 Accoun 0402 70240115 9
CITY OF CARMEL
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
PLEASE INDICATE ADDRESS CHANGES
11111111I111loll 121111111111111 III 1ll..I[I. III IIIIIIIoil
CITY OF CARMEL 5921
ATTNr ACCOUNTS PAYABLE PAYMENT ADDRESS
TWO CIVIC SQUARE
SAM'S CLUB DIRECT
CARMEL, IN 46032 -2584 p,O, BOX 530930
U
ATLANTA, GA 30353 -0930
DUE QA'T1*�ti��10811+�
Payments Received
4 7436 (182.42) PAYMENT RECEIVED �I OU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Data Club Reference Date Invoice Amount
Amount 'Due
Please Indicate by invoices Paid
e 07120/10 999999 65.00 09/08110 6316 MEMBERSHIP FEE 07/20/10 999999 65.00
07rM10 CF100722 50.00 09/08/10 SERVICE FEE 07/22110 CF100722 50.00
Past Due Invoices
Date Invoice Original b s Date Club Reference Date Invoice Amount
Amatint` /A I Due
u Please Indicate by 0 Invoices Paid
06/28/10 002373 52.87 0/8110 8168 062710 06/28/10 002373 52
07/01110 009423 116.15 "08108!10 8168 07/01/10 009423 atE.15
Unapplied Payments Credits
Date Reference Original Description Date Reference Current
Amount Amount
Please Indicate by Q credits Applied
07/06/10 0186505CM (0.01) UNAPPLIED CASH 07106110 0186505CM (0.01)
1`1K
V
S-ec 9
-Continue
5966 11032 001 07 PAGE 1 of 3 COLR654A 5921
)4nj
SAWS CLUB DIRECT COMMERCIAL PAYM •Y'•' i STUB j CREDIT Page 2 of 3
Account: 0402 70240115 9 Statement Data: 08/20110 Page: 2 of 3 Account: 0402 70240115 9
e
y
t_
Current Involces: $115,00 Send payments to: PLEASE PAY THIS
Past Due Invoices: $16 P.O. Box 530930 AMOUNT
Una Iled P nts 8 AOanla GA 30353 0930 $284.01
Send inquiries (not payments) to: DUE BY 09/08/10
P.O. Box 8726
Dayton OH 45401.8726 PLEASE RETURN THIS STUB WITH
For Customer Service: YOUR PAYMENT
Call 1. 800.367 -6196
Credit Une $10000.00 AMOUNT ENCLOSED 5.
ai
Pwchaws, returns and payments made just prior
to the statement date may not appear unto ned
Retain left hand portion for your records, send right hand portion noting Items paid by a month's statement. Paymerds received at the
with your payment. If not sending stub, rote account number, Invoice number and amounts address Indicated atone by 5 pm rA l be credited
being paid on your check. as of the date received. If payment Is made at a
H you a unapplied'payrnerts and credits, please call us at 800- 362 -6196 vvotkyour d °ter than such dress, credit maybe
hslru to flppfy. You do not need to contact us it you are paying the total amount now due.
hnfi I
mow•
540031 001 07 PA 2 f 3 COLR654A 5921
SAM "S CLUB DIRECT CREDIITRCIAL
Account: 0402 702401159 Statement Date: 08120110 Page: 3 of 3
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Data of Sale: 07/20110
Aocount 0402 70240115 9 Invoice: 999999
Club/Name: 6316 P.0
Buyer. GARY CARTER
e
N S.ICU. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000106 GARY CARTER `y-°— 1.00 EA 35.00 35.00
000000101 NANCY HECK 1.00 EA 15.00 15.00
000000107 JERRY SMITH 1.00 EA 15.00 15.00
Subtotal: 65.00 Tax: 0.00 Balance Due: 65.00
SAM'S CLUB DIRECT
P.O. BOX 530930
iiiw
ATLANTA, GA 30353 p93b
1�� CARMEL to of Sale: 07/22/10
A�aQQ 0402702401159 v Invoice: CF1007
11 Cluitll+(ame: P.O.: INITIAL
m
S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000000000000 SERVICE FEE 1.00 EA 50.00 50.04
Subtotal: 50.00 Tax: 0.00 Balance Due: 50.00
ti
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5966 0031 Cox PAGE 3 of 3 COLR654A 5922
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sa:m's Club
IN SUM OF
P. O. Box 530930
Atlanta, GA 30353 -0930
$15.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 Statement 43- 553.00 $15.00 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
Monday, August 30, 2010
Ma y
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))
07/20110 Statement $15.00
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