162489 08/07/2008 ±c. CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $465.82
CARMEL, INDIANA 46032 P 0 BOX 530930
ATLANTA GA 30353 -0930 CHECK NUMBER: 162489
CHECK DATE: 8/7/2008
DE PARTMENT ACCOUNT P NUM BER INV NUMBER AM DESCRIPTION
1120 4355300 35.00 ORGANIZATION MEMBER
1160 4355300 30.00 0402702401159
1160 4359003 400.82 0402702401159
i
COMMCIAL PAYMENT STUB a
SAW S (CLUB DIRECT CREDIT Pa of 3
Account: 0402 70240115 9 Statement Date: 07121/08 Page: 1 of 3 Account: 0402 70240115 9
CITY OF CARMEL
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
PLEASE INDICATE ADDRESS CHANGES
rur n run nrrnrrrrnnrr nnrrrrr
CITY OF CARMEL 6476
ATTN: ACCOUNTS PAYABLE PAYMENT ADDRESS
TWO CIVIC SQUARE SAM'S CLUB DIRECT
CARMEL, IN 46032 -2584
P.O. BOX 530930
ATLANTA, GA 30353 -0930
DATE; O>3108/08
Current Month's Invoices (Details Enclosed.).
Date Involce Amount Due Date Club Reference Yf Date Invoice Amount
Please Indicate by Invoices Paid o
9L Lb€ t1-eecl S
t. 06128108 999999 15.00 08108/08 6316 MEMBERSHIP FEE 06/28108 999999. 15.00 /3 SS3o o S
06/30/08 001477 227.04 08/08/08 6316 063008 06130108 001477 227.04
06/30/08 005365 69.42 06/08/08 8168 063008 06/30/08 005365 E) 69.42}
07/02/08 060179 98.80 08/08/08 8168 07022008 07/02/08 000179] 98:80f
07/04/08 008928 104.36 08/08/08 8168 070408 07/04/08 008928 104.36] Y 3 5 f o 0 3
0 07/20/08 999999 A 50.00 09/08/08 6316 MEMBERSHIP FEE 07/20/08 999999 A 50.00
0
tits' 1
Cunont Invoices: $564.62 Send pqym!:qts f E4.62 PAY THIS
Past Du lrroolces: $0.00
P.O Box 530930 UNT
Unapplled tayments 8 Atlanta GA� 0930
Credit $0.00 Send Inquiries (riot paments) to: 08/08/08
P.O. Box 8726.
fyriat Dayton OH 45401.8726 PLEASE RETURN THIS STUB WITH
Total $564.62 For Customer Service: YOUR PAYMENT
Call 1- 800 362 -6196
Credit Line $10000.00 AMOUNT ENCLOSED
Purchases, return s 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 e montMs statement. Payments received at the
with your payment. K not sending stub, rote account number, Invoice number and amounts address Indcated above by 5 pm will be credited
being paid on your chock. as of the date received. If payment is made at a
location other than such address, credit may be
delayed.
-Continue
5966 0011 Del 07 PACE 1 of 3 COLR654A 6476
it
SAM'S CLUB DIRECT REDITR
1
Account: 0402 70240115 9 Statement Date: 07/21108 Page: 2 of 3
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 06128108
Account: 0402 70240115 9 Invoice: 999999
Club/Name: 6316 P.O.:
Buyer: NANCY HECK
0
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000109 NEW DIRECT SECONDARY 1.00 EA 15.00 15.00
Subtotal: 15.00 Tax: 0.00 Balance Due: 15.00
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Dale of Sale: 06MM
Account 0402 70240115 9 t Invoice: 001477
CIub/Name: 6316 P.O.: 063008
Buyer: NANCY HECK
S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
s 002885230 ICE MOUNTAIN 1.00 EA 4.62 4.62
005987192 10'X 10' CANOPY 1.00 EA 197.54 19754
006051723 52 CAN COOLER 1.00 EA 24.88 24.88
Subtotal: 227.04 Tax: 0.00 Balance Due: 227.04
SAM'S CLUB DIREC -T
P.O. BOX 530930 yr4',,
ATLANTA, GA 30353- 0930'
CITYtOFr,CARMEL Ct Date of Sale: 06130108
Amount: 0402 70240115 9 Invoice: 005365
Club/Name: 8168 P.O.: 063008
Buyer: NANCY HECK
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
00237B701 DRY ROASTED PEANUTS 2.00 EA 5.76 11.52
004157958 BOB'S SWEET STRIPES 1.00 EA 5.84 5.84
004410556 CHILD'S PLAYTIME MIX 1.00 EA 7.88 7.88
004654226 �WFANGY:�CASHEW 1.00 EA 11.76 11.76
005710762 WONKA AgIXd1PS 1.00 EA 9.88 9.88
005930430 BIGJIME:FAVORITES 1.00 EA 9.88 9.88
005944226 DUBBLE BUBBLE B GUM 2.00 EA 6.33 12.66
Subtotal: 69.42 Tax: 0.00 Balance Due: 69.42
H
s COntlpt 8-
5966 0011 002 07 PACE.2 of 3 COLR654A 6476
SAWS CLUB DIRECT CRED
I TRCIAL
Account: 0402 70240115 9 Statement Date: 07/21108 Page: 3 of 3
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 07/02/08
Account: 0402 70240115 9 Invoice: 000179
Club/Name: 8168 P.O.: 07022008
Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
005710762 WONKA MIX -UPS 5.00 EA 9.88 49.40
005930430 BIG TIME FAVORITES 5.00 EA 9.88 49.40
Subtotal: 98.80 Tax: 0.00 Balance Due:_ '98:80
m SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 3035_3 -0930
4 Date of Sale: 07/04/08
CrTy CARMEL
=0402 70240115 9 q Invoice: 008928
o CNtilNime 8168 A P.O.: 070408
,/Buyer: NANCY HECK
S.KU DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000011469 TOOTSIE POPS 3.00 EA 7.47 22.41
004157958 BOB'S SWEET STRIPES 2.00 EA 5.84 11.68
0 004420556 CHILD'S PLAYTIME MIX 2.00 EA 7.88 15.76
_0 005710762 WONKA MIX -UPS 2.00 EA 9.88 19.76
005878367 KIDDIE MIX 2.00 EA 7.88 15.76
005944226 DUBBLE BUBBLE B GUM 3.00 EA 6.33 18.99
f
Subtotal: 104.36 0.00 Balance Due: 10436
SAM'S CLUB DIRECT
P.0. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 07/20/08
Account: 0402 70240115 9 Invoice: 999999
GublName: 6316 P.O.:
Buyer: GARY CARTER
S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT. PRIQ.E
X000000106 GARY CARTER. 1.00 EA 35.00 f
NANCY HECK
0000001074 ,f�, s 1.00 EA 15.00 15.00
G
Subtotal 50.00 Tax: 0.00 Balance Due: 50.00
f l
5966 0021 001 07 1 PAGE 3 of 3 COLR654A 6476
f'
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
8/4/08 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
Sam's Club Direct Purchase Order No.
P. 0. Box 530930 Terms
Atlanta, GA 30353 -0930 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/21/08 0402702401159 Sam's Club membership fee Mayor's office $15.00
(Nancy Heck)
7/21/08 0402702401159 Canopy, cooler, drinks, candy for Carmelfest $400.82
Total $415.82
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
VOUCHER NO. WARRANT NO.
8/4/08
ALLOWED 20
Sam's Club Direct IN SUM OF
P. 0. Box 530930
Atlanta GA 30353 -0930
A n
Ov.od-
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayors 4355300 4359003
Organization membership dues
Festival community events Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
ou
0402702401159 4355300 .00 bill(s) is (are) true and correct and that the
0402702401159 4359003 $400.82 materials or services itemized thereon for
which charge is made were ordered and
received except
Ab
v
4
20
-Sign ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
p r
SAkS CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 07121108 Page: 1 of 3
CITY OF CARMEL 6476
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
j rrent Month's Invoices (Details Enclo,
Date Invoice Amount Due Date Club Reference'
Direct D ;-t. 1
06128108 999999 15.00 08108/08 6316 MEMBERSHIP FEE
s 06130/08 001477 227.04 08108/08 6316 063008
06/30/08 005365 69.42 08108/08 8168 063008
07102/08 000179 98.80 08 /08 /08 8168 07022008
07/04/08 008928 104.36 08/08/08 8168 070408
e 07/20/08 999999 A 50.00 09/08/08 6316 MEMBERSHIP FEE
Direv
Current•Invoices: $564.62 Send payments to
PAr_Box'S30930
Past.Due invoices: $0.00
Atlanta GA 30353 -0930
Unappli6d.Payments 8 a
Credits, $0.00 Send inquiries (not payments) to:
P.O. Box 8726,/
t ^Ltd Dayton OHi45401 -8726
Total $564.62 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.
5
v Continue-
5966 0011 111 07 PAGE 1 of 3
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SAM'S CLUB DIRECT COMM ERCIAL i
i
Account: 0402 70240115 9 Statement Date: 07121/08 Page: 2 of 3
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 06/28/08
Account: 0402 70240115 9 Invoice: 999999
Club /Name: 6316 P.O.:
Buyer: NANCY HECK
0
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000000109 NEW DIRECT SECONDARY 1.00 EA 15.00 15.00
Subtotal: 15.00 Tax: 0.00 Balance Due: 15.00
I
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL ^�v Date of Sale: 06/30/08
Account: 0402 70240115 9 a y Invoice: 001477
Club /Name: 6316 c i P.O.: 063008
Buyer: NANCY HECK
nsYY r Y
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
002885230 ICE MOUNTAIN 1.00 EA 4.62 4.62
005987192 10'X 10' CANOPY 1.00 EA 197.54 197.54
006051723 52 CAN COOLER 1.00 EA 24.88 24.88
v
Subtotal: 227.04 Tax: 0.00 Balance Due: 227.04
SAM'S CLUB DIREUT
P.O. BOX 530930
ATLANTA, GA 30353 0930
CITYLOF�CARMEL Di of Sale: 06/30/08
Account 0402 70240115 9 Invoice: 005365
Club /Name: 8168 P.O.: 063008
Buyer: NANCY HECK
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
002378701 DRY ROASTED PEANUTS 2.00 EA 5.76 11.52
004157958 BOB'S SWEET STRIPES 1.00 EA 5.84 5.84
004420556 CHILD'S PLAYTIME MIX 1.00 EA 7.88 7.88
004654226 'FANCY'CASHEW 1.00 EA 11.76 11.76
005710762 7WOIVKA MIX UPS 1.00 EA 9.88 9.88
005930430
IX-UPS
1.00 EA 9.88 9.88
005944226 DUBBL'E BUBBLE B GUM 2.00 EA 6.33 12.66
Subtotal: 69.42 Tax: 0.00 Balance Due: 69.42
H
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Conti 4 �7
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596b 0�0�1�1 001 07 PAGE,➢ of 3 ICGLR654A 6476
S AM 'S CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 07/21/08 Page: 3 of 3
I
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 07/02108
Account: 0402 70240115 9 Invoice: 000179
Club /Name: 8168 P.O.: 07022008
Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
005710762 WONKA MIX -UPS 5.00 EA 9.88 49.40
005930430 BIG TIME FAVORITES 5.00 EA 9.88 49.40
Subtotal: 98.80 Tax: 0.00 Balance Due: 98.80_
i
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY.OF CARMEL ate of Sale: 07104/08
Account�:�0402 70240115 9 n� 008928
CluAke:/ 8168 P.O.: 070408
Buyer: NANCY HECK
v
S.K.CI� DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000011469 TOOTSIE POPS 3.00 EA 7.47 22.41
004157958 BOB'S SWEET STRIPES 2.00 EA 5.84 11.68
004420556 CHILD'S PLAYTIME MIX 2.00 EA 7.88 15.76
005710762 WONKAMIX -UPS 2.00 EA 9.88 19.76
005878367 KIDDIE MIX 2.00 EA 7.88 15.76
005944226 DUBBLE BUBBLE B GUM 3.00 EA 6.33 18.99
Subtotal: 104.36 3 1 -Tax: 0.00 Balance Due: 104.36
t" 1__r
SAM'S CLUB DIRECT
P.O. ff X 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
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
X000106 GARY CARTER 1.00 EA 35.00 5.00
�00000010fi4 NANCY HECK 1.00 EA 15.00 15.00
Subtotal: 50.00 Tax: 0.00 Balance Due: 50.00
Dwect IDirec4
5966 0011 001 07 E1U� Ptt PAGE 3 of 3 COLR654A 6476
VOUCH NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF
P.O. Box 530930
Atlanta, GA 30353
$35.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 43- 553.00 $35.00 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 (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))
FD Portion Dues $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