164424 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
s� ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $50.00
?a CARMEL, INDIANA 46032 P 0 BOX 530930
ATLANTA GA 30353 -0930 CHECK NUMBER: 164424
CHECK DATE: 9/30/2008
DEPA ACCOUNT PO NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4355300 999999 A 50.00 ORGANIZATION MEMBER
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I SAINT CLUB DIRECT CREDT
Account: 0402 70240115 9 Statement Date: 08120/08 Page: 1 of 2
CITY OF CARMEL 3500
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
W CARMEL, IN 46032 -2584
Current Month'sAlnvoices (Details Enclosed)
Date Invoice Amount Due Date Club Reference
e 07/20/08 999999 A 50.00 09/08/08 6316 MEMBERSHIP FEE
07/22/08 CF080722 50.00 09/08/08 ADMIN FEE
Past Due Invoices
Date Invoice Amount Due Date Club Reference
06728/08999999 15.00 08/08/08 6316 MEMBERSHIP FEE
06/30/W'),001477 227.04 08!08/08 6316 063008.�'s
06!30/08!0 69.42 08/08/08 8168 063008
07102/08ir #000179 98.80 08/08/08 8168 07022008PN A
07/04108 008928 104.36 08/08/08 8168 070408
Curtent Invoices: Send payments to:
Past Due Invoices: $5 4 62 P.O. Box 530930
Unapplied Payments ��L�, Atlanta GA 30353 -0930
Credits: $0:00' Send inquiries (not payments) to:
t Rs' P.O. Box 8726
1p�p� t Dayton OH 45401 -8726
Total $614.62 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.
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-Continue-
5966,0012 001 07 PAGE 1 of 2
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SAM'S CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 08/20/08 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 07/20/08
Account: 0402 70240115 9 Invoice: 999999
Club /Name: 6316 P.O.:
Buyer: GARY CARTER
0
W S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000106 GARY CARTER 1.00 EA 35.00 35.00
000000107 NANCY HECK 1.00 EA 15.00 15.00
Subtotal: 50.00 Tax: 0.00 Balance Due: 50.00
i
SAM'S CLUB DIRECT
P.O. BOX 530930,,_
ATLANTA, GA 30353"'0930a
CITY OF,CARMEL Date of Sale: 07122/08
Account 0402 70240115 9 Invoice: CF0807
Club /Name: P.O.: INITIAL
wed Direct
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000000000000 ANNUAL ADMINISTRATIVE FEE 1.00 EA 50.00 50.00
Subtotal: 50.00 Tax: 0.00 Balance Due: 50.00
D; Pea
[Djrett Duren
5966 0012 001 07 IT)jrer� PAGE 2 of 2 COLR654A 3500
VOUCHER NO. WARRANT NO.
ALLOWED 20
teams Club
IN SUM OF
P.O. Box 530930
Atlanta, GA 30353
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 553.00 $50.00 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (R�-v. 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))
Membership Fee $50.00
1 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