159581 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
0 CHECK AMOUNT: $77.08
CARMEL, INDIANA 46032 P 0 BOX 530930
ATLANTA GA 30353 -0930 CHECK NUMBER: 159581
CHECK DATE: 5/1412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 77.08 OTHER EXPENSES
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SAM'S CLUB DIRECT C COM
REDITRCIAL
Account: 0402 70240115 9 Statement Date: 04/21/08 Page: 1 of 2
Great news Sam's Club Direct Credit is now
accepted online! Shop 24/7 at samsclub.com
CITY OF CARMEL 3433
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
e
Payments Received
C 03/25108 57238 (107.04) PAYMENT RECEIVE ANK"YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Amount Due Date Club Reference
04/10/08 007052 77.08 05108/08 8168 041008
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Current Invoices: $77.08 Send payments to:
Past Invoices: $0.00
P.O. Boz 5530930
4Un plied Payments Atlanta GQ`30353-0930
Credits: $0.00 0 Send inquid st(not- payments) tc
ess P.O. Box 8726
X11 1 Dayton OV,45 -8726
Total $77.08 For Customer Service:
Call 1- 800 362 -6196
Credit Line $10000.00
Retain left hand portion for your records, send right hand portion noting items paid by a
with your payment. If not sending stub, note account number, Invoice number and amounts
being paid on your check.
Continue-
5966 0008 001 07 PAGE 1 of 2
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'SAWS CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date: 04/21/08 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 04110/08
Account: 0402 70240115 9 Invoice: 007052
Club /Name: 8168 P.O.: i 041008
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Buyer: GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
005045458 REG POUCH GROUND 4.00 EA 19.27 77.08
Subtotal: 77.08 Tax: 0.00 Balance Due: 77.08
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5966 0008 001 07 PACE 2 of 2 COLR654A 3433
V �C$ 1g6 G'S
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))
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
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Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund