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225077 10/08/2013
CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1 ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $232.60 CARMEL, INDIANA 46032 P 0 Box 530930 ATLANTA GA 30353-0930 CHECK NUMBER: 225077 CHECK DATE: 10/8/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 125 .38 001782 601 5023990 107 . 22 0402702401159 COMMERCIAL SAWS CLUB DIRECT IT Account: 0402 70240115 9 Statement Data:09120/13 Page:1 of 2 i rllllili�nuilfllf�II��IIIIf�I�In�IIII�IrIII1II�lIINIIIIIIII CITY OF CARMEL 9025 ATTN: ACCOUNTS PAYABLE Dial ° TWO CIVIC S DARE CARMEL, IN 46032-2584 Customer Service Online at www.samsclubcredit.com This account s not registered. �. The authentication code Is: S3NLC651 �+ 1 M. Current Month's Invoices (Details Enclosed) at* -'.-&InV6Icq Original Duo Date Club Refersncor _ Amount .M , ,V .... 08/78!13 007-227 10777 10/08/13 631!1 819 7013 a — t Past Due Invoices r Date Invoice Original Duo Dato Club Reference �.° Amount ; — i 06776/13 001782 125.38 08/08713 8168 07!20113 999999 90,00 09708/13 6316 MEMBERSHIP FEE 07/22113 CF130722 50.00,,09108/13 SERVICE FEE 07/24113 001465 19..9 ` 0911)8 13 8168 s Current Invoices: $107.22 Send payments to: Past oue'fnvolces: $285.14 ?0.Box 530930 U tapplioit t?aymonts& Atlanta GA 30353=0930 lCredr7s:w'&3 $0.00 Send Inrfuirtes(net pdymeiri b ' * F Dayton 00:d en For Customer Service: Cali 1-800-362.6196 f Credit tine $10000.00 Retain ton hand portion for your records,send right hand portton noting llama pall by a VI with your payment.It not sending stub,note account number.Invoke number and amounts being paid on your check, aYt r -Continue- 5966 Oral 001 07'x»4 PACE 1 of 2 COMMERCIAL SAWS CLUB DIRECT CREDIT Account. 0402 70240115 9 Statement Date:09/20/13 Page:2 of 2 SAM'S CLUB DIRECT P,O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL OateotSate. Account: 0402 10740115 9 invoice: 002221 ClubiName. 6316 p 0: 8192013 Buyer: PENNY DALEY S.K.U. DESCRIPTION' QUANTITY UNIT PRICE EXT.PRICE 02075403 FEBRCZE AE 319,707 100 EA 684 684 025395881 MM FACIAL CUBE 1.00 EA 9.48 9.48 111111161 CASCADE 1A 115CT 1,00 EA 1198 11.98 026367260 9 VOLT BATTERIES 1.00 EA 13,81 1181 026378561 AAA 32PK MAX 1.00 EA 110.611 10.61 026195945 BOUNTY SR SAS 1.00 EA 18,98 18,98 0291834110 BLUE WASHCLOTH 1.00 EA 12.56 12-56 030573634 AIRWtCK OILS 100 EA 998 9,98 031283495 KLEENEX ML 1,00 EA 1298 12.98 ,00 Subtolal: 10722 Tax: 0 Balance Ou© 10722 001 07 PACE.`2 Of 2 COLR654A 9025 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 10/2/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/2/2013 002221 $107.22 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 VOUCHER # 132966 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 002221 01-6200-06 $107.22 Voucher Total $107.22 Cost distribution ledger classification if claim paid under vehicle highway fund GE CAPITAL FXO1/C13 9/30/2013 1 : 28 : 12 PM PAGE 2/002 Fax Server Sam' s Club Direct Fax Invoices Report Date:30-SEP-13 :urrency: US $ Page: 1 Of 1 Zompany: CITY OF CARMEL ro: JIM Fax: (317)571-2409 From: DOUG S EXT 3602773 Phone: (800) 338-1296 Send Inquiries to: Send Payments to: Sam's Club Direct Sam' s Club Direct P.O. Box 8726 P.O. Box 530930 Dayton, OH 45401-8726 Atlanta, GA 30353-0930 Name: CITY OF CARMEL Invoice Date: 26-JUN-13 Address: ATTN: ACCOUNTS PAYABLE Due Date: 08-AUG-13 TWO CIVIC SQUARE Invoice #: 001782 GFKMJK CARMEL IN 46032-2584 P.O.#/Job Name: Account #: 0402702401159 Buyer Name: NANCY HECK Store: 8168 Cust Agree #: 0000000000 SKU Description Quantity Unit Price Ext.Price -------------- ------------------- ----------- ---- ------------ ---------- 002378701 DRY ROASTED 2 . 000 EA 7 .6800 15.36 PEANUTS 003920882 TWIZZLER 2. 000 EA 7 .2400 14 .48 STRAWBERRY 004420556 CHILD'S PLAYTIME 2 . 000 EA 9.7800 19.56 MIX 005944226 DUBBLE BUBBLE B 3. 000 EA 6.8800 20. 64 GUM 020723834 BOB'S SWEET 3. 000 EA 6. 9800 20 . 94 STRIPES 020824879 SKITTLES/STARBURST 2 . 000 EA 10 . 9800 21. 96 026378657 LAFFY TAFFY 145 CT 2 . 000 EA 6.2200 12.44 Subtotal: 125.38 I Tax: 0 . 00 Total: 125.38 Adjustments: 0. 00 Payments Applied: 0 .00 Total Amt Outstanding: 125.38 ********** End of Invoice ********** Copy of Original Invoice 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)) 06/26/13 001782 $125.38 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 VOUCHER NO. WARRANT NO. _ ALLOWED 20 Sam's Club IN SUM OF $ P. O. Box 530930 Atlanta, GA 30353-0930 $125.38 ON ACCOUNT OF APPROPRIATION FOR Community Relations PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 I 001782 I 43-590.03 I $125.38 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 Sunday, October 06, 2013 Director, Community Relations/Economic Development Title Cost distribution ledger classification if claim paid motor vehicle highway fund