HomeMy WebLinkAbout216872 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
`. ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $115.20
CARMEL, INDIANA 46032 P 0 BOX 530930
ATLANTA GA 30353-0930 CHECK NUMBER: 216872
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 8879 115 .20 0402-702401159
SAM'S CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:01/20/13 Page: 1 of 2
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CITY OF CARMEL 8821
ATTN: ACCOUNTS PAYABLE a109
° TWO CIVIC SQUARE
CARMEL, IN 46032-2584
Customer Service Online at www.samselubcredit.com
This account is not registered.
The authentication code Is: S6NLC651
Current Month's1nvoices (Details Enclosed)
Date Invoice O�Iginal`Due Date Club Reference
Amount/
01/08/13 008879 115.20 02/08/13 6316 01082012
Past Due Invoices
Date Invoice Original Due Date Club Reference.
Amount
12106112 001860 32.46 01/08/13 8168 12062012
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Current Invoices: $115.20 Send payments to:
Past Due Invoices: $32A6~, $ P.O.Box 530930
Unapplied Payments 8 \ Atlanta GA 30353-0930
Credits: $0:00 `y® Send inquiries(not payments)to:
i WL P.O.Box 8726
Dayton OH 45401-8726
For Customer Service:
LIE 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 Vj
with your payment.If not sending stub,note account number,invoice number and amounts
being paid on your check.
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45966;0001> 001 07 PAGE 1 of 2
SAWS CLUB DIRECT CCOMME
REDITRCIAL
Account: 0402 70240115 9 Statement Date:01/20/13 Page: 2 of 2
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEL Date of Sale: 01/08/13
Account: 0402 70240115 9 Invoice: I 008879
Club/Name: 6316 P.O.: ; 01082012
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Buyer: PENNY DALEY
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
005278116 AA/48 BATTERIES 1.00 EA 17.98 17.98
024674515 BARMOP 16"X 19" 1.00 EA 12.88 12.88
025168992 KLEENEX ANTI VIRAL 3.00 EA 13.48 40.44
025358535 FOIL SHEETS 9" 1.00 EA 5.94 5.94
`02675594 —`— "BOON T Y SR SAS _ 2.T0 EA 18.98 37.96
Subtotal: 115.20 Tax: 0.00 Balance Due: 115.20
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5966 0001 001 0 PAGE 2 of 2 ICDLR654A 8821
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VOUCHER # 123412 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
I
Board members
i
PO # INV# ACCT# AMOUNT Audit Trail Code
008879 01-6200-06 $115.20
Voucher Total $115.20
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 1/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2013 008879 $115.20
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
i /'8113
Date Officer