218224 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
ONE CIVIC SQUARE SAMS CLUB DIRECT
CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK AMOUNT: $159.88
ATLANTA GA 30353-0930 CHECK NUMBER: 218224
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 5023990 040270240115 159. 88 OTHER EXPENSES
SAWS CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:02/20/13 Page: 1 of 2
Il�rllillllll�ll��'I�'ll�l"III'll"�I�I'lllll'I�'I�"I"11��"I�
CITY OF CARMEL 8902
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: S8NLC851
\ J
�^ Payments Received ^\
01\283 0 16188 (32.46) PAYMENT RECEIVED FItAN�KiYOU
C 02/08/1\3/0216872 (115.20) PAYMENT RECEIVED-T�HANK YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
= Amount
02/15/13 006635 159.88 03/08/13 8168 021513
m
Current invoices: $159.88 Send payments to:
Past We Invoices: $0.00 P.O.Box,530930\
/Unapplied Payments& A(Ianla;GA 30353 0930
1.ie(not�-�
Credits: $0.00 0,.� Send inquiries(not�payments)to:
t��su — P.O.BoJ 26�
Dayton 011`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 [J
with your payment.If not sending stub,note account number,Invoice number and amounts
being paid on your check.
°\ -Continue-
5966 0001 001 07 PACE 1 of 2
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SAWS CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:02/20/13 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: 02/15/13
Account: 0402 70240115 9 Invoice: 006635
Club/Name: 8168 P.O.: 021513
Buyer: GARY CARTER
0
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
000665591 GRANULATED SUGAR ; 2.00 EA 4.69 9.38
004822824 COFFEE CREAMER 2.00 EA 5.98 11.96
022116136 PUFFS PLUS FAMILY 3.00 EA 12.88 38.64
023436013 FOLGERS 5.00 EA 19.98 99.90
Subtotal: 159.88 Tax: 0.00 _ _^ Balance Due: 159.88
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596v 001 001 07 PAGE Iof 2 COLR654A 8902
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF $
P.O. Box 530930
Atlanta, GA 30353
$159.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
ft � 71)a Lk/j S9
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1 120-851.00 I $159.88 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
MAR 112013
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
4n 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))
$159.88
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