190945 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
�o CARMEL, INDIANA 46032 CHECK AMOUNT: $124.88
P O BOX 530930
ATLANTA GA 30353 -0930 CHECK NUMBER: 190945
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 003432 124.88 0402702401159
SAM'S CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 09120/10 Page: 1 of 2
As of Oct 19, 2010, your online account management
login and registration will now require an
authentication code. The authentication code is
located in the box below your business name and
address on your most recent statement.
CITY OF CARMEL 3371
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
w CARMEL, IN 46032 -2584
r
o
Customer Service Online at www.samscluberedit.com
This account is not registered.
The authentication code is: S8NLC751
_j
Payments Receive
0 9/13/1`0 O 115.00 PAYMENT R ECEIVED TH
\v Current Month's Invoices (Details Enclosed)
e Date Invoice Original Due Date Club Reference
Amount
0 08120110 003432 124.88 10/08/10 6316 08192010
Unapplied Payments Credits
Date Reference Original Description
Amount
07/06/10 0186505CM (0:01•) E;R MEMO
v u'
current•Invoices: $124.88 Send payments to:
P�tTte nvolces: $0.00 P.O. Box 530930
l unapplied- Payments 8 Atlanta.(Ai30353 -0930
credits! S �lfnnLC�
%b Lb $(0.01) o f Send inquiries�(noPpayments) to:
es� P.O. Box 87.26
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 Wj
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, pleas call us at 800 362 -6196 with your
Instructions to apply. You do not need to contact us'if�you are paying the total amount now due.
a
-Continue
5966 0032 001 07 PAGE 1 of 2
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SAM'S CLUB DIRECT CREDIT
Account: 0402702401159 Statement Date: 09/20/10 Page: 2 of 2
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 08/20/10
Account: 0402 70240115 9 Invoice: 003432
Club /Name: 6316 P.O.: 08192010
0
Buyer: JERRY SMITH
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
004864494 SWIFFER DUSTER 1.00 EA 11.95 11.95
005213963 THE WORKS TBC 1.00 EA 4.78 4.78
005296226 SPRAY BOTTLES 1.00 EA 5.68 5.68
006018476 FINISH PWRBALL 90LD i 1.00 EA 13.78 13.78
006027607 FORMULA 409136 +2X32 1.00 EA 10.46 10.46
006146742 BARMOP 16"X 19" i 1.00 EA 10.36 10.36
012480881 CLX CL -UP SPRY 2X32 1.00 EA 9.24 9.24
015935191 DAWN 56 +10.30Z 1.00 EA 4.98 4.98
021455180 MM FACIAL TISSUE 1.00 EA 9.47 9.47
021800911 �AA/24'B�T ;ERIES 1.00 EA 9.98 9.98
021818462 BOUNT 12SR SAS 1.00 EA 18.48 18.48
021820697 MM\SAT PAPER TOWELS i 1.00 EA 15.72 15.72
Subtotal: 124.88 Tax: 0.00 Balance Due: 124.88
0
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59660032 001 07 PAGE\ "f 2 COLR654A 3371
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VOUCHER 102888 WARRANT ALLOWED
00350958 IN SUM OF
SAM'S CLUB DIRECT'
PO BOX 530930
ATLANTA, GA 30353 -0930
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
003432 01- 6200 -06 $124.88
Voucher Total $124.88
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 10/4/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1014/2010 003432 $124.88
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 fficer