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Home My WebLink About175118 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1 ONE CIVIC SQUARE SAMS CLUB DIRECT s'. a CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK AMOUNT: $158.71 a o ATLANTA GA 30353 -0930 CHECK NUMBER: 175118 CHECK DATE: 7/22/2009 DEPA AC P O NUMBER INVOICE NUMBER A MOUNT DESCRIPTION 601 5023990 005170 158.71 OTHER EXPENSES PAYMENT STUB COMMERCIAL p 1 of 2 SAM'S CLUB DIRECT CREDIT Page: 1 of 2 Account: 0402 7024011 9 Account: 0402 70240115 9 Statem ent Date: 06120109 CITY OF CARMEL ATTN: ACCOUNTS PAYABLE TWO CMC SQUARE CARMEL, IN 46032.25 PLEASE INDICATE ADDRESS CHANGES ��IIIIII�I oil Jill r11pIIIll lllllnull��lllm l l i nll l llll 3610 PAYMENT ADDRESS CITY OF CARMEL SAM'S CLUB DIRECT ATTN ACCOUNTS PAYABLE p gOX 530930 4 op CIVIiNS6032 -2584 N CARMEL, ATLANTA, GA 30353 -09 k DUE "DA►tE �II98109 payments Received C (184.01) PAYMENT RECE U 530 Details Enclosed) amount Current Month's Invoices Date Invoice Reference Invoices Paid Amount Due Dat e Club please indicate by 98.96 Date Invoice 05/26109 001579 37.62 98.96 07108109 8`168 8168 052509 05r2 7109 007737 aw 158.71 05!26109 001579 06!04/09 005170 L� 37.62 07/08109 05127109 007737 158.71 07108/09 6316 06042009 06104109 005170 O SAM'S CLUB DIRECT CREDIT Account: 0402 70240115 9 Statement Date: 06120109 Page: 2 of 2 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353 -0930 Date of Sate: 05126/09 CITY OF CARMEL Invoice: 001579 Account: 0402 70240115 9 P 052509 ClublName: 8168 Buyer: GARY CARTER S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE FOLGERS REG PCH GRD 4.00 EA 19.77 79.08 005045458 1.00 EA 19.88 19.88 001001818 5 GAL COOLER Subtotal: 98.96 Tax: 0.00 Balance Due: 98.96 SAM'S CLUB DIRECT c P.O. BOX 530930 LANTA, GA 30353 -0930 Date of Sate: 05/27109 CITY OF CARMEL Invoice: 007737 Account: 0402 70240115 9 P.O.: ClublName: 8168 I Bar: NANCYHECK QUANTITY UNIT PRICE EXT. PRICE S.K U. DESCRIPTION 5.7s 002378701 v 1.00 EA 5.76 DRY ROASTED PEANUTS S2 CAN COOLER 1'00 EA 2918 2918 010021527 Subtotal: 35.54 Tax: 2.08 Balance Due: 37.62 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 303 Date of Sale: 06104109 C F CARMEL Invoice: 005170 Account 0402 70240115 9 P.O.: 06042009 ClublName: 6316 Buyer: JERRY SMITH DESCRIPTION QUANTITY UNIT PRICE_ EXT. PRICE S.K.U. 1.00 EA 8.53 8.53 003680819 WINDEX 1,00 EA 7.58 7.58 004971574 CLOROX BLCH 31182 OZ t.00 EA 6.78 6.78 005103429 MR. CLEAN SUM CIT 3.00 EA 4.46 13.38 005213963 ORKS TBC 1 EA 16.93 16.93 005278116 48 AA TTERIES 100 EA 5.6B 5.68 005296226 TTLES 12,53 PACK 1.00 EA 12.53 005414489 1.00 EA 9.88 9.88 005770834 P FFS PLUS LOTION 1.00 EA 10.46 10.46 006027607 FORMULA 409 136+2X32 32.52 WISK 2X HE 110LD 172 2.00 EA 16.26 H 006106857 2 EA 17.22 34.44 017827020 BOUNTY 12 MR WHITE Balance Due: 158.71 Subtotal: 158.71 Tax: 0.00 001 07 *PAof COLR654A 3610 *59"9 CLUB MANAGER PATTI.MiTCHELL Y 31.7 71`'- 71`35 Fax and Pal l 7153 INDIANREJLIS, IN 06/04109 1 A �52 6170 6316, 004 $P 2054 E MEMBER 101- *tF #s0* *1159 THANK YOUR CITY OF CARMEL -FIRE OEPARTMPNT 705814 AAA -28 PACK E 265361 AA BATTERIES 16.93 E 246380 PUFFS 9.88 E 140251 WISK 2X HE 16.26 E 140251 WISK 2X HE 1 E 124185 THE WORKS 4.6 E' 124185 THE WORKS 4.46 E 769274 MR. CLEAN 6.78 E 931203 FORMULA 409 10,46 E 124185 THE WORKS 4.46 E 303284 SPRAY BOTT 5.68 E 400759 CLOROX ULTRA 7.58 E 658548 WINDEX COMBO 8.53 E 6+004 BOUNTY WHITE 17,22 E 618004 BOUNTY -WHITE 'i 17 .22 F 4 SUB1O1'P_ 168 'r1 TOTAL 158.71 SAMS_D CREDIT 158.71, P.0, 9 06042009 HCCOUNT 4 1159 APPROVAL ri 000428 CHANGE DUE 0.00 ITEMS SOLD 15 TC# 5366 6326 5563 4155 2840 7 IT r l l�lilllllli !il 1111 i it ll ill Illll lllil l ll ll� lil�illllll lllli llllll 1111 lllll!I lli P- r r WE VALUE YOUR OPINION WE WANT To,KtvuW A90U1' YOUR SHOF PING+ FxPEHILr4cE TODAY AT SAM'S CLUB s Pl a complote,a survey about today's cluh visit at t y, n 1d ..a9 h i• ..4 et• 2 uG ;ara htto:Ilwww. survey. srmsclub. cum IN RE I URN FOR YOUR I IMF YOU COULD RECEIVE ONE OF FIVE $t001l ':Ai-AS CLUB SHOPrriNG CARDS You must he IS or olrlrt and a legal resident of the United States to enter. No purchase necessary to win To enter without purchase and for official rules visit: L a r www- entry survey.sams club cum j a Sweepstake s period ends on the date shown in the official rules. T must he ken within TWO weeks of today. L sta encuesta tambien se encuentta an espariol en la pagina de Internet. THANK YOU Support. your chi- 1'dren's hospl -tal with a gtf.t to Children's Miracle Network. Y 06/04/09 14:54 MEMBER COPY.a# w •r.._'-'"'°'- -mac., 31 t'.°.,.'^"° 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 7/14/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/14/2009 005170 $158.71 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 Date Officer VOUCHER 092.315 WARRANT ALLOWED 00350958 V3E/? IN SUM OF SAM'S CLUB DIRECT PO BOX 530930 z -ATLANTA, GA 30353 -0930 0,0��'� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 005170 01- 6200 -06 $158.71 Voucher Total $158.71 Cost distribution ledger classification if claim paid under vehicle highway fund