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Home My WebLink About212363 08/28/2012CITY OF CARMEL, INDIANA ONE CIVIC SQUARE CARMEL, INDIANA 46032 VENDOR: 00350958 SAMS CLUB DIRECT P 0 BOX 530930 ATLANTA GA 30353 -0930 Page 1 of 1 CHECK AMOUNT: $409.70 CHECK NUMBER: 212363 CHECK DATE: 8/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 851 5023990 3392 88.34 OTHER EXPENSES 601 5023990 3728 191.36 OTHER EXPENSES 1120 4355300 999999 35.00 ORGANIZATION & MEMBER 1203 4355300 999999 15.00 MEMBERSHIP 601 5023990 999999 30.00 MEMBERSHIP 1120 4355300 CF120722 50.00 ORGANIZATION & MEMBER O SAM'S CLUB DIRECT COMMERCIAL CREDIT Account: 0402 70240115 9 Statement Date: 08/20/12 Page: 2 of 3 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353 -0930 CITY OF CARMEL Account: 0402 70240115 9 Club /Name: 6316 Date of Sale: 07/20/12 Invoice: 999999 P.O.: Buyer: ; GARY CARTER S.K.U. 000000106 000000107 000000107 000000107 DESCRIPTION GARY CARTER n 1� NANCY HECK 'O JERRY SMITH VD PENNY DALEY (00 Tax: 0.00 QUANTITY UNIT PRICE EXT. PRICE 1.00 EA 35.00 35,00 1.00 EA 15.00 15.00 1.00 EA 15.00 15.00 1.00 EA 15.00 15.00 i Subtotal:` 80:00 -_ Balance Due: 80.00 /SAM'S CLUB DIRECT '�P,O\BOX 530930 S� AT1r,LANTA, GA 30353 -0930 CITY OF CARMEL Account : 0402 70240115 9 Club /Name: 8168 Date of Sale: 07/20/12 Invoice: 003392 P.O.: 07202012 Buyer: GARY CARTER , S.K.U. 005152734 005297712 006053331 Subtotal; 88.34 DESCRIPTION VANITY FAIR NAPKIN 150 QUART WHITE FORK Tax: 0.00 QUANTITY UNIT PRICE EXT. PRICE 1.00 EA 8.48 8.48 1.00 EA 69.98 69.98 1.00 EA 9.88 9.88 Balance Due: 88.34 l is R8a lla CITY OF CARMEL Account : 0402 70240115 9 ClublName: SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353 -0930 Date of Sale: 07/22/12 Invoice: CF1207 P.O.: INITIAL S.K.U. DESCRIPTION 000000000000000 rn S ^^ERVICE FEE Subtotal: 50.00 0 n nn RO Tax: 0.00 V % 001 07 QUANTITY UNIT PRICE EXT. PRICE 1.00 50.00 50.00 Balance Due: 50.00 PAGE 2/of 3 COLR654A 5421 MEM MEN EIMER EMI Mal SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date: 08/20/12 Page: 3 of 3 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353 -0930 CITY OF CARMEL Date of Sale: 08/09/12 Account : 0402 70240115 9 Invoice: 003728 Club /Name: 6316 P.O.: ; 08092012 Buyer: JERRY SMITH S.K.U. 003680819 003891886 004971574 005278116 005349696 - _020761324. 025168837 025352314 026795945 027096150 028218216 Su,tosel: 191.36 DESCRIPTION WINDEX LYSOL SPRAY CLOROX BLCH 3/182 OZ AA/48 BATTERIES COMMERCIAL FILTERS PAWN.AB.3PK'240Z EA KLEENEX ULTRA MM SAT PAPER TOWELS BOUNTY SR SAS CASCADE EA AP 95CT PLEDGE 3 PK MIXED Tax: 0.00 QUANTITY UNIT PRICE EXT. PRICE 1.00 EA 9.17 9.17 3.00 EA 10.69 32.07 2.00 EA 8.49 16.98 1.00 EA 17.84 17.84 2.00 EA 5.98 11.96 - - -1:00- -EA - 7778 7.78 1.00 EA 12.98 12.98 1.00 EA 15.98 15.98 1.00 EA 18.98 18.98 1.00 EA 14.98 14.98 3.00 EA 10.88 32.64 Balance Due: . 191.36 5966 0001 001 07 PAGE 3 of 3 COLR654A 5421 prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by vhom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Date Invoice Number 99999 C F 1207 003392 Description (or note attached invoice(s) or bill(s)) Amount $35.00 $50.00 $88.34 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. Sams Club P.O. Box 530930 Atlanta, GA 30353 $173.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# / Dept. INVOICE NO. ACCT #/TITLE AMOUNT 1120 99999 43- 553.00 $35.00 1120 CF1207 43- 553.00 $50.00 1120 003392 120- 851.00 $88.34 6c I fv:m1 G6-4 3010 6,01 - eturthu)k-es Cost distribution ledger classification if claim paid motor vehicle highway fund ALLOWED 20 IN SUM OF $ Board Members 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 AUG 2 7 2012 I`) Fire Chief Title ` Savings, Made Simple CLUB MAN3AGER (',17 ) Fax.and:Pull . INDIAN 08/09/12'11:20'37 PAT ''MITCHELL 87. - 7135 (317 )871 -7163 OL'IS, IN 1.6316 009 2607 E MEMBER' .101**** **1159 THNRUE .DEPARTMENT 416641'.KLEENEX`ULT: 12.98 E 422519:COFFEEFLTRS 5.98 E 42251.9 COFFEEFLTRS. 8 5.9 E 747561 DAWN AB .3PK • 7.78 .E E 658648 YINDEX COMB 917 E 431009:PLEDGE.3PK- 10.88 E - 431009 :PLEDGE 3PK 10.88 E 964879: LYSOL`-3- PAC', - ' 10.69 E 431009. PLEDGE-3PK 10.88 E . 964879 LYSOL- 3. PAC:',.: : ' 10.69 E 964879. LYSOL- 3'1PRC .- 10:69 E 26536141A1 17.84 E 961970 CASCADE195Ct 1.4.98 E 449787.,MM,: TOUEL.:: 15.98 E • 769397 BOUNTY WHIT 18.98 "E 400769',.000ROX ULTR: 8.49.E 400759-CLOROX. ULTR .'_ : 8:49 E ''' _._'SUBTOTAL • 191:36 'TOTAL 191.36 :.`SAMS,D'CREDIT 191.36 P.O. 8.,: -08092012 . ACCOUNT 8-. ' :- `' : 1159 APPROVAL 4-000528. TERMINAL 8-MX76591,9 08/09/12- -,: 11:23:44 ' -.CHANGE.DUE 0.00 Visit salnsclub.cor' to: view eValues I ITEMS .SOLD 17 'I 9177'3977 I 678 2729 8329 IIH1IU11 I I I I I WE VALUE YOUR OPINION WE WANT TO KNOW ABOUT YOUR SHOPPING EXPERIENCE TODAY AT:SAM'S CLUB Please complete a survey about today's club visit at: htia-//www.survey.samsclub.coin IN RELURN FOR YOUR TIME YOU COULD RECEIVE ONE OF FIVE $1.000 SAMS CLUB SHOPPING CARDS You must be 18 or older and a legal resident of the United States 10 enter. No purchase necessary to win. To enter without purchase and for official rules visit: www.entry.survey.samsclub.com Sweepstakes period ends on the date shown in the official rules. Survey must be taken within TWO weeks of today. Esta encuesla lambien se encuentra en espaliol en la pagina de Internet. THA NK YOU Use code 3197 8 btfe.con /clickandearn to earn 5 eBoxTops for your schools AA VOUCHER # 121994 WARRANT # ALLOWED 00350958 IN SUM OF $ SAM'S CLUB DIRECT PO BOX 530930 ATLANTA, GA 30353 -0930 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO # INV # ACCT # AMOUNT Audit Trail Code 003728 01- 6200 -06 003728 01- 6360 -06 $191.36 $30.00 Voucher Total $221.36 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL City Form No. 201 (Rev 1995) 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 PO BOX 530930 ATLANTA, GA 30353 -0930 Purchase Order No. Terms Due Date 8/27/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/27/2012 003728 $221.36 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