HomeMy WebLinkAbout179400 11/11/2009 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: $224.12
ATLANTA GA 30353 -0930 CHECK NUMBER: 179400
CHECK DATE: 1111112009
D EPART MEN T A CCOUNT PO N IN VOICE NUM AMOUN DESCRIPTION
851 5023990 001963 144.72 0402702401159
601 5023990 007240 79.40 0402702401159
SAIWS dLUD DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 10/20/09 Page: 1 of 2
1, 1111111,rllrr11Jlr1J111111IJJ1I r1Jrrl1Jll,rrr11JJ1r11
CITY OF CARMEL 3665
ATTN: ACCOUNTS PAYABLE
TWO CIVIC SQUARE
u CARMEL, IN 46032 -2584
Received
09124/09 0177384 7: PAYMENT RECEIVED THANK YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
09/23/09 001963 144.72 11/08/09 8168 09232009
s
10/13/09 007240 79.40 11/08/09 6316 101309
a
Current Invoices: $2 Send payments to:
Past Due Invoices: $000 P.O. Box 530930
Unapplied Payments Atlanta GA 30353 -0930
Credits: Send inquiries (not payments) to:
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.
i e-
5966 0023 001 07 PAGE 1 of 2
SAWS CLUB DIRECT CREDIT
Account: 0402 70240115 9 Statement Date: 10/20/09 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 09/23/09
Account: 0402 70240115 9 Invoice: 001963
Club /Name: 8168 P.O.: 09232009
Buyer: GARY CARTER
e
w S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000665591 EX FINE CANE SUGAR 1.00 EA 5.36 5.36
004822824 COFFEE CREAMER 2.00 EA 5.30 10.60
005045458 FOLGERS REG PCH GRID 5.00 EA 19.77 98.85
005770834 PUFFS PLUS LOTION 3.00 EA 9.97 29.91
Subtotal: 144.72 Tax: 0.00 Balance Due: 144.12
SAM'S CLUB DIRE
o P.O. BOX 530930
a ATLANTA, GA 30353 IT
CITY OF CARMEL Date of Sale: 10113/09
Account: 0402 70240115 9 Invoice: 007240
Club /Name: 6316 P.O.: 101309
Buyer: JERRY SMITH
s S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
005302364 KLEENEX FACIAL WHITE 1.00 EA 12.78 12.78
005410122 MM PAPER TOWELS 1.00 EA 14.22 14.22
006106857 WISK 2 E 11OLD 172 2.00 EA 14.88 29.76
006904111 KLE EX AL ULTRA 1.00 EA 12.78 12.78
020876558 M 1.00 EA 9.86 9.86
Subtotal: 79.40 Tax: 0.00 Balance Due: 79.40
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5966 0023 001 07 Y PAGE 2 of 2 COLR654A 3665
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
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
S A W S IJ�I�G4.aT COMMERCIAL PAYMENT STUB,
S S CLU Page 1 of 2
Account: 0402 70240115 9 Statement Date: 10120109. Page 1 of 2 Account: 0402 702401.16.9
CITY OF CARMEL
ATfN: ACCOUNTS PAYABLE=
TWO CIVIC SQUARE
CARMEL, IN 48032 -2584
PLEASE INDICATE ADDRESS CHANGES
ItIt, I fill tllr1r,. Ih. fill 1I sill III lf 11 11111111
CITY OF CARMEL 3665
ATTN: ACCOUNTS PAYABLE FATLANTA, T ADDRESS
TWO CIVIC SQUARE SAW B DIRECT
CARMEL, IN 46032 -2584
0930
GA 30353 -0930
gg
Qp l� ;;1$109,
Received
0924109 0177384 7. PAYMENT RECEIVED THANK YOU
Current Month's Invoices (Details Enclosed
Date Invoice Original Due Date Club Reference Date Invoice Amount
Amount Due
Please Indicate by Invoices Paid
0923109 001983 144.72 11/08/09 8168 09232009 0923109 001963 144.72
10113/09 007240 79AO 11108/09 6316 101309 10!13!09 007240 79AD
i®
Current Invoices: '72R Send payments to:. EDUE PAY THIS
Past Due Invoices: 900 P.O. Box 53� OUNT
Unapplied Payments Atlanta GA 30353'0930 24.12
Credits: Send inquiries (not payments) to: 11/08/09
P.O. Box
Dayton OH H 45 45
401 -8726
PLEASE RETURN THIS STUB WITH
For Customer Service: YOUR PAYMENT
Call 1- 800-362.6196 M
Credit Line 51000fl.00 AMOUNT ENCLOSED
Purchases, returns 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 pntd by a month's statement Payments received at the
with your payment. If not sending stub, note account number, Invoice number and amounts address Indicated above by 5 pm will be credited
being Won on your check. as of the date received. If payment Is made at a
location other than such address, credit may be
delayed.
ti e-
5 0023 Dal 07 PAGE 1 of 2 COLR654A 3665
SAWS. CLUB DIRECT CREDIT
ACC04ant: 0402 7024011 S 9 Statement bate: 10120/09 Page: 2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353 -0930
CITY OF CARMEL Date of Sale: 091230
Account 0402 70240115 9 Invoice: 001963
Cluh/Na ne: 8168 P.O.: 09232009
Buyer: GARY CARTER
w S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
000665591 EX FINE CANE SUGAR 1.00 EA 5.36 5.36
004822824 COFFEE CREAMER 2.00 EA 5.30 10.60
005045458 FOLGERS REG PCH GRD 5.00 EA 19.77 98.85
005770834 PUFFS PLUS LOTION 3.00 EA 9.97 2991,
S 14d'Y2 ax; 0:00 T Batanee Due. 144:72
SAM'S CLUB DIRE
P.O. BOX 530930
ATLANTA, GA 30353-
CITY OF CARMEL Date of Sale; 101130
Account: 0402 70240115 9 Invoice: 007240
CluhfName: 6316 P.O.: 101309
Buyer: JERRY SMITH
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
005302364 KLEENEX FACIAL WHITE 1.00 EA 12.78 12.78
005410122 MM PAPER TOWELS 1.00 EA 14.22 14.22
006106857 WISK 2WE 110LD 172 2.00 EA 14.88 29.76
006'904111 KL FJf FA L ULTRA 1.00 EA 12.78 12.78
020876558 1.00 EA 9.86 9.86
Subtotal: 79.40 Tax: 0.00 Balance Due: 79.40
5966 0023 001 07 PAGE 2 of 2 COLR654A W,65
CLUB MANAGER PRTTI MITCHELL
Fax end 3Pull {3 17)871 5 -7153 f
10/13/09 14I N 6I 7240�b3s6 0 N
E MEMBER 2222r
y;
THA�l i
FIRE D ENT
140251 WISK 2'
140261 WISK 14,88 E
695618 PAP EL 14.88 E
317761 KLE 14 .22 E.:
280176 KLK ULTRA 1 2.78 E
933732 BATTERIES 12 .78 E
SUBTOTAL 9,86-E
TOTAL 79.40
SAM D C 79 40
P.O. 101309 REDIT 79.40;
'ACCOUNT
APPROVAL 1169
CHANGE.DUE 000480
0.00
ITES ,,SOLD 6
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WE VAL WE WA I�VION
EXPE NC TOD
AY AT SAM'BRCLUBPPfNG
Please complete a survey about today's club visit at:
hTMo•Nwww.survey, sarrmaclub.com
IN RETURN FOR YQUR
VE TIME YOU COULD RECEIV
ONE OF FIN $1,000 SAMS CLUB E
SHOPPING CARDS.
You must be 16 ar uldei and a legal resident of the
United States to enter. No
To enter without Purchase necessary to win.
Purchase and for official rules visit:
�4 a S w.entr y .au rvey.samaclub. co
t� 'i4�` +'hi k s 4y ,J' i r ti i• m E w x weepstakes Period ends on
r k official r
Su rvey must be ules. S the date shown in the
r'
taken within TWO weeks
OF today.
Esla encuesta tambibn se encuentra en es a
a Pbgina de Interne!. Pariol on la
s THANK YOU k
New Now ew
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out t now samsclub. CO
10113109
14:17:32
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VOUCHER 093541 WARRANT ALLOWED
00350958 IN SUM OF
SAM'S CLUB DIRECT
PO BOX 530930 z
0
ATLANTA, OA 30353 -0930
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
007240 01- 6200 -06 $79.40
5
Voucher Total $79.40
i
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 11/13/2009
I nvoice I nvoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/13/200! 007240 $79.40
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
r
Date Cfi