HomeMy WebLinkAbout220850 06/05/2013 a�4, 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: $202.48
?� ATLANTA GA 30353-0930 CHECK NUMBER: 220850
CHECK DATE: 6/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 040270240115 53 . 20 001760
851 5023990 040270240115 149 . 28 002199
SAM'S CLUB DIRECT CCOMME
REDITRCIAL
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Account: 0402 7024011 S 9 Statement Date:05/20113 Page:1 of 2
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CITY OF CARMEL 9050
ATTN- ACCOUNTS PAYABLE 0109
° TWO CIVIC 8 UARE
CARMEL, IN 46032-2584
Customer Service Online at www.samsclubcredit.com
This account is not registered.
The-authent i cation code- I s•:-SONLC951 -- --
P .yments Received
05/10/13 0219478 891 PAYMENT RECENED-THANK YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
a
05/13/13 001760 53.20 06/08/13 6316 05132013
05/16/13 002199 149.28 08/08/13 8168 051613
ri
�= Past Due Invoices
Data" 'aInvoice Original Due Date Club Ref,
Amount
04 3 812 136.52 05/08113 8168 04 3. '
Current Invoices: $202.48 Send payments to:
Past Due Invoices: $176 52� $ P.O.Box 530930
Unapplied Payments 8 Atlanta GA 30353.0930
Credits: 00 Send inquiries(not payments)to:
w P.O.Box 8726
Dayton OH 45401-8726
For Customer Service:
i
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 17J
with your payment.It not sending stub,note account number,invoke number and amounts
being paid on your check.
i
tplE 0-Cal 07 dl o1 2 coF
SAM'S CLUB DIRECT CREDITRCIAL
Account: 0402 7024011 5 9 Statement Date:05120113 Page:2 of,2 i
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEL Date of Sale: 05/13113
Account: 0402 70240115 9 Invoice: 001760
ClubfName: 6316 P.O.: 05132013
Buyer: ; PENNY DALEY
0
S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
006949290 CLASSIC ROAST 1.00 EA 11.35 11.35
021940786 8OZ FOAM CUP 1.00 EA 13.39 13.39
025395887 MM FACIAL TISSUE 1.00 EA 9.48 9.48
_ 026795945- ._-- _ _ BOUNTY SR SAS- __ _ 1.00 EA 18.98 18.98
e Subtotal: 53.20 Tax: 0.00 Balance Due: 53.20
C
SAM'S CLUB DIRECT ,..,
P.O. BOX 530930
ATLANTA, GA 303 30930
#0* RMEL Date of Sale: 05116/13
Account: 0402 70240115 9 Invoice: 002199
Club/Name: 8168 P.O.: 051613
Buyer. GARY CARTER
S.KU. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
e '000015028 SWEET'N LOW 1.00 EA 11.48 11.48
e 004822824 COFFEE CREAMER 4.00 EA 5.98 2392
023436013 FOLGERS 6.00 EA 18.98 113.88
Subtotal: 149.28 Tax: 0.00 Balance Due: 149.28
tl O
F 1.
5966 0681 001 0 T PACE 2 of 2 COLR654A 9050
Savin s Made Simple
CLUB MANAGER TRACY DANIEL
INDIANAPOLIS, IN
Visit SamsClub.com
05/13/13 12:13 1760 6316 019 2539
E MEMBER 101-******#1159
THANK YOU#
CITY OF CARMEL FIRE DEPARTMENT
452986 MM FACIAL 9.48 E
497555 80ZFOAMCUP 13.39 E
E 365642 FOLGERS F 11 .35 N
769397 BOUNTY WHIT 18.98 E
SUBTOTAL 53.20
TOTAL 53.20
SAMS D CREDIT 53.20
P.D. # 05132013
ACCOUNT # 1159
APPROVAL # 000301
TERMINAL # MX124128
05/13/13 12:15:23
CHANGE DUE 0.00
Visit samsclub.com to see sour savinss
ITEMS SOLD 4
TC# 6278 0617 7706 9784 066
1 1111111 111 it i III 111011111111111111111 Illll IIII 1111111111 II((II it Illillii 1111 III I{!{l IIII
WE VALUE YOUR OPINION
WE WANT TO KNOW ABOUT YOUR SHOPPING
EXPERIENCE TODAY AT SAM'S CLUB
Please complete a survey about today's club visit al.
http:lhvww.surve y.samsclub.com
IN RETURN FOR YOUR TIME YOU COULD RECEIVE
ONE OF FIVE$1.000 SAMS CLUB SHOPPING CARDS
You must be 16 or older and a legal resident of the
United States to enter. No purchase necessary to win
To enter without purchase and for official rules visit
www.entry.survey.s am sclub.com
Sweepstakes period ends on the date shown in the
official rules. Survey must be taken within TWO weeks
of today.
Esta encuesta iambiPn se encuentra an espahol an la
pagina de Internet.
THANK YOU
Like us on Facebook at
Facebook.com/samsclub
05/13/13 12:15:23
*** MEMBER COPY ***
Prescribed by State Board of Accounts
Form No.301 (Rev.1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
Mo. Day Yr. Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are)true and orrect and I have audited same in accordance
with IC 5-11-10-1.6.
Mo. Day Yr. ficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
SQ-°mS C—\0 _Favor Of
+�LVJC�
A-I 3r\ cq &A- 30353-i�13�,
Total Amount of Voucher $
Deductions
► b
00
•lc, -Gl.�
Amount of Warrant $
Month of Yr
VOUCHER RECORD Acct.
No.
Source of Supply
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation-Maintenance
Utility Plant in Service
Constr.Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title '
BOYCE FORMS•SYSTEMS 1-800-382-8702 325
SAWS CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:05/20/13 Page: 1 of 2
CITY OF CARMEL 9050
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: SONLC951
Payments Received
® 05/10/13 0219476 6 ) PAYMENT RECEIVED-THANK YOU
Current Month's Invoices (Details Enclosed)
Date Invoice Original Due Date Club Reference
Amount
® 05/13/13 001760 53.20 06/08/13 6316 05132013
05/16/13 002199 149.28 06/08/13 8168 051613
Past Due Invoices
Date" Invoice Original Due Date Club Reference
c
\\ e
Amount
04/05812 136.52 05/08113 8168 040213,,,.;1
Current Invoices: $20248 Send payments to:
Past Due Invoices: $136:52 $ P.O.Box 530930
Unapplled Payments 8 Atlanta GA 30353-0930
Credits: $�0 0�0Q 0 IpTT—.;q Send inquiries(not payments)to:
P.O.Box 8726
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 VJ
with your payment.If not sending stub,note account number,Invoice number and amounts
being paid on your check.
ont
-conti�ue-
596/0001 001 07 PAGE 1/of 2
SAM'S CLUB DIRECT CREDITRCIAL
Account: 0402 70240115 9 Statement Date:05/20113 Page:2 of 2
I
I
SAM'S CLUB DIRECT
P.O. BOX 530930
ATLANTA, GA 30353-0930
CITY OF CARMEL Date of Sale: 05/13/13
Account: 0402 70240115 9 Invoice: 001760
Club/Name: 6316 P.O.: 05132013
Buyer: ; PENNY DALEY
e
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
006949290 CLASSIC ROAST 1.00 EA 11.35 11.35
021940786 80Z FOAM CUP 1.00 EA 13.39 13.39
025395887 MM FACIAL TISSUE 1.00 EA 9.48 9.48
026795945 BOUNTY SR SAS 1.00 EA 18.98 18.98
Subtotal: 53.20 Tax: 0.00 Balance Due: 53.20
SAM'S CLUB DIRECT
P.O. BOX 530930 "wm
ATLANTA, GA 303530930
o I
CIT.Y,OF CARMEL Date of Sale: 05/16/13
Account: 0402 70240115 9 Invoice: I 002199
Club/Name: 8168 P.O.: ; 051613
Buyer: I GARY CARTER
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
000015028 SWEET'N LOW 1.00 EA 11.48 11.48
004822824 COFFEE CREAMER 4.00 EA 5,98 23.92
023436013 FOLGERS 6.00 EA 18.98 113.88
Subtotal: 149.28 ./' ,_ Tax: 0.00 Balance Due: 149.28
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407 U I
5966 0001 001 PAGE 2 of 2 COLR654A 9050
VOUCHER NO. WARRANT NO.
ALLOWED 20
Sams Club
IN SUM OF $
P.O. Box 530930
Atlanta, GA 30353
$136.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 005812 1 120-851.00 I $ — I 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
JUN 0 3 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
✓hom, 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))
005812 $1-36-52
ti
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