HomeMy WebLinkAbout180257 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB.DIRECT
CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK AMOUNT: $15.63
ATLANTA GA 30353 -0930
CHECK NUMBER: 180257
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4355100 040270240115 15.63 PROMOTIONAL FUNDS
S AWS CLUB DIRECT COMMERCIAL
Account: 0402 702401159 Statement Date: 11/20/09 Page: 1 of 2
CITY OF CARMEL 4267
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
CARMEL, IN 46032 -2584
Current Mont Inv; as (Details Enclosed)
Date Invoice d Due Date Club Reference
ou-
10/23/09 01831 x 15.63 12/ 8168
Past Due Invoices
Date Invoice Original Due Date Club Reference
e
Amount
s
09123 001963 1 2 11/08/09 168 0923200
10/13/ 007240 11/08/ 6 6 10130
a
Current Invoices: $15.63 Send payments to:
Past Due Invoices: $22 P.O. Box 530930
Unapplied Payments x# Atlanta GA 30353 -0930
Credits: 1. ono Send inquiries (not payments) to:
est 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
with your payment. If not sending stub, note account number, invoice number and amounts
being paid on your check.
a °ti�iuer
594po01 001 07 PA of 2
SAINTS CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 11/20109 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 10/23109
Account: 0402 70240115 9 Invoice: 001831
Club /Name: 8168 P.O.:
0
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
MERCHANDISE /CONSUMABLES 1.00 EA 15.63 15.63
Subtotal: 15.63 Tax: 0.00 Balance Due: 15.63
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5966 0001 001 07 PAGE 2 of 2 ,CO1R654A 4267
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
12/7/09 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))
10/23/09 001 1
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.
12/7/09
ALLOWED 20
Sam's Club Direct IN SUM OF
P. 6. Box 530930
Atlanta GA 30353 -0930
15.63
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4355100
Promotional funds
Board Members
�b -ICI 15�j
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
001831 4355100 $15.63 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
P 20 c)�
re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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