HomeMy WebLinkAbout214425 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
CARMEL, INDIANA 46032 P O BOX 530930 CHECK AMOUNT: $111.92
ATLANTA GA 30353-0930 CHECK NUMBER: 214425
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 000000 111 . 92 0402-702401159
i
COMMERCIAL
SAWS CLUB DIRECT EDI
Account: 0402 70240115 9 Statement Date:10120/12 Page: 1 of 2
(I1�'II����'Ilrlr�l�rr�rl�'��Irrl��ll�llrl�l'��lirrrll��l'�'llllr
CITY OF CARMEL 2808
ATTN: ACCOUNTS PAYABLE
° -TWO._CIVIC •SQUARE
CARMEL, IN 46032-2504
Customer Service Online at www.samsclubcredit.com
This account is not registered.
The authentication code is: S9NLC251
Payments Received
a i 10 $ 3648 (196.03) PAYMENT RECEIVED�MVII�-ISANVY;0U
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
® 09/27/12 000000 111.92 11/08/12 6279 24351
0
Current.lnvoices: $111.92 Send payments to^
Past'Due tinvoices: $0.00 P.O.Box 530930\
Atlanta GA 30353-0930
�U a�ws,,.9 plied Payments& l"mss Qa
Cre $0.00 ® Send inquiries,(not,payments)lo:
esa P.O.Boz 87iO
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.
-Continue-
5966 0001 001 07 PAGE 1 of 2
I
SA CLUB DIRECT CREDITRCIAL SAWS
Account: 0402 70240115 9 Statement Date:10/20/12 Page:2 of 2
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEL Date of Sale: 09/27112
Account: 0402 70240115 9 Invoice: ; 000000
Gub/Name: 6279 P.O.: 24351
Buyer: ; GARY CARTER
0
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
026399953 COFFEE,FILTER,DECF 4.00 EA 27.98 111.92
Subtotal: 111.92 Tax: 0.00 Balance Due: 111.92
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5966,0001 001 07 PAGE`2 of 2 ICOLR654A 2808
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF $
P.O. Box 530930
Atlanta, GA 30353
$111.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I 1 120-851.00 I $111.92 1 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
NOV - 5 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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))
$111.92
1 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