219476 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1
t` ONE CIVIC SQUARE SAMS CLUB DIRECT
CARMEL, INDIANA 46032 P 0 BOX 530930 CHECK AMOUNT: $326.91
ATLANTA GA 30353-0930 CHECK NUMBER: 219476
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 003280 326 . 91 OTHER EXPENSES
SAWS CLUB DIRECT CR DITRCiAt
Account: 0402 70240115 9 Statement Date:03!20/13 Page: 1 of 2
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CITY OF CARMEL 0878
ATTNt ACCOUNTS PAYABLE 0109
TWO CIVIC SQUARE
CARMEL, IN 46032-2584
Customer Service Online at www,samselubcredit.com
This account Is not registered.
The authentication code I s: S7t&C951
"� ((::.Current Month's invoices (Details Enclosed.)
Date" " 'invoice Original Due Date Club Reference'.-,Z?�
Amount ,.".,-
03107/13 003280 326.91 04/08/13 6316 03072013
Past Due Invoices
® Date Invoice Original Due Date Club Reference
cis
Amount
02JI5113 006635 159.86 03/06/13 8168 021513
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Current Involees: $726,91 Send payments tos,
¢g P,0.Box 530930
PastAue trlyolces: 5159.88
UnapPiie lftymsnts d Atlanta GA,30353�0930
C7adits:
$0.00 a Send inquiries{apt paynieis)to:
r,.
es~ P.O.Box 87261.��
Pi7 Dayton OH d$01.8726
For Customer Servico:
Cali 1-800-362.6196
Credit Line $10000.00
Retain loft hand portion for your records,send right hand portion noting Items paid by a ✓I
with your paymont,If not sending stub,nota account numbnr,Invoice number and amounts
being paid on your check.
-Continue-
5966 0001 001 07 PACE r of 2
ERCIAL
SAWS CLUB DI RECT COMM CREDIT
Account: 04027024011 59 Statoment pate:03120M3 Page:2 of 2
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SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEN DAI a at Sale 03,1,17/13
Arx,aunl, 0402 10240115 9 Invoice, 003280
ChtMimt, 6315 pol 0.30,'2013
Buyer 'UNRY sm)I H
t
SKU, DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
00cr,!!5'?,5 SYS 11 M,SAW:i7 PF 1,1 J-T S 63 GG EA 3 tit) 249 418
OW.781115 AA/48 BATTER:ES I.W, EA 1798 17.98
01W27501 FORMULA 4091:36.2X32 i,W EA 10.92 10,93
025269$21 AIRINICK OILS I r 6 1,00 EA 9,98 9,98,
My.SW rArl*i-,R TOWELS ?.M EA 1498 14 v8
0755667 CASCAP-'-EA 105CT 1,0i EA 14,98 >498
0791E7254 GLX ill.CH SPLASHLESS 100 EA 8,58 8,58
suers sublola! 326 91 lax 000 Balance Due: 326 91
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5965;0001 001 07 WE"'Z of Z Cni.R654A
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CLUB MANAGER 1R'k URNIEL
INDIANAR(IL1I'5, IN
Visit Shcvitl'Lb,COln
03/07/.13 14::0&1280 6316 038:,'; 2637
tE MEMBER il OT411***u*.1,15
VT
'HAP,�K -:YOU:',,. . z:....
CI.TY W CAR MEL;'F•IRE>�DEFA TMEK
** RETRIENED;7RAN8A(iTICN?'*** +�**1:159.* '
676111;WATER i''SOF TN 99.98. E �?
26536T::.AA BATTEF'IE.,. 111.9.8-E i >
;84,9771�87"�::MM`TOWEL..,, 1.9;:;98;"E",,;•.;,;;�
•"�77`3&y,8LEACH; 8�:�t68;:a;E,`
•:" 931203`FORMULA"�09x' ;t, fi0�""93 E
496417,'CASCADE,, 105 °'14 98 E
* 434023:AIRWICK 1* `: 9 98arE,
RETR'IEVED'JTE MS.COMPLET
SUM TA
L 26.91
rITCTALw`, 2fi 91 �
� tii ti SAMS:'D CREDIT L =s 6 91 '' �'�4
<> 4,ACCOUNT #d ', 1159
APPROVAL"),# 000508
ERMI�NRL # »X103.192 r y
03/0171113 1 q:12;16
MM .DUE 0 00"
AGE
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•"WE VALUE YOUR )PINION. '
WE 1hANT`f0 KNOW ADOLIT YO
UF:SHOPPING
EXPERIENCE TODAY Al'SAM'S CLUB
Please:omplete a survey about today's club visit at:
surveysainsclucom'
IN RETURN FOR.YOUR IME YOU`COULD RECE1Vb rss
ONE OF'FINE.51;000,SAI4S''CLUB';SHOPPING CARDS
You must be 1B'6r.older and a legal resid:3nl of the
United States to enter. No,purchase necessary to win. -.
To enter without purchaie;ar;d for official rules visit:'.
't'''"k• f..
. ;wW'v{:'entrysumey;samsolub:com p
Sweep:rtakes piiiiod end'f on the, showeri1,In the
olticial'rules.'Survey'"+crud be taken wilhin TWO weeksd;;f
''of�loday.
Este enouesta tambiAn se encuenlra en'espaliol on la
pegina de Internet.
THANK YOU
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03/0 7/13 1q,12 16 s
** MEMBER COFY; *
VOUCHER # 131386 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
003280 01-6200-06 $326.91
Voucher Total $326.91
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 4/16/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/16/2013 003280 $326.91
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