216188 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
4 ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $32.46
CARMEL, INDIANA 46032 P 0 BOX 530930
`o ATLANTA GA 30353-0930 CHECK NUMBER: 216188
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4230200 001860 22 .48 OFFICE SUPPLIES
851 5023990 001860 9 . 98 OTHER EXPENSES
SAM'S CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:12/20/12 Page:1 of 2
CITY OF CARMEL 9114
ATTN: ACCOUNTS PAYABLE 0109
TWO CIVIC SQUARE
CARMEL, IN 46032-2584
Customer Service Online at www.samsclubcredit.com
This account is not registered.
The authentication code is: S4NLC651
0
Payments Received
11/ � 5
/CC4
= 2 /12 021442 (111.92) PAYMENT RECEIVED THANN 0
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
® 12/06112 001860 32.46 01/08/13 8168 12062012
v
0
Current Invoices: $32,46 Send payments to:
Past Due1lnvolces: $0.00 $ P.O.Box 530930
Un pplied Payments 8 Atlanta 13 035N930
,Ciedits: $0.00 ogq Send inquiries(notspayments)to:
P.O.Box 8, :
Dayton OH 4501-8726
For Customer Service:
CIE 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 -Continue-
5966 0001 001 0 PAGE 1 of 2
SAWS I
SAWS CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:12/20/12 Page: 2 of 2
1
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEL Date of Sale: 12/06112
Account: 0402 70240115 9 Invoice: 001860
Club/Name: 8168 P.O.: 12062012
Buyer: ; GARY CARTER
0
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
000665591 GRANULATED SUGAR 2.00 EA 4.99 9.98
026637856 8GB USB FLASH DRIVE 1.00 EA 22.48 22.48
Subtotal: 32.46 Tax: 0.00 Balance Due: 32.46
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5966\000.01 001 07 PAGE\�,of 2 iCOLR654A 9114
I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF $
P.O. Box 530930
Atlanta, GA 30353
$32.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 001860 42-302.00 j $22.48 1 hereby certify that the attached invoice(s), or
1120 001860 120-851.00 $9.98 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
JAN 7 2013
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))
001860 Thumbdrives $22.48
001860 $9.98
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