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225964 11/05/2013 � .E CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1 ONE CIVIC SQUARE SAMS CLUB DIRECT CARMEL, INDIANA 46032 CHECK AMOUNT: $102.06 P 0 BOX 530930 ATLANTA GA 30353-0930 CHECK NUMBER: 225964 CHECK DATE: 11/5/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 040270240115 19 . 64 000718 601 5023990 040270240115 82 . 42 001355 SAWS CLUB DIRECT CREDITRCIAL PAYMENT STUB Page 1 of 2 Account: 0402 70240115 9 Statement Date:10120113 Page: 1 of 2 Account 0402 70240115 9 CITY OF CARMEL ATTN:ACCOUNTS PAYABLE TWO CIVIC SQUARE CARMEL,IN 46032-2584 PLEASE INDICATE ADDRESS CHANCES II.{..III{1{I"ill/{�{1{II{11{1{'1111"'li{"{{{I{'ll{'III{'ll�ll CITY OF CARMEL 9017 ATTN1 ACCOUNTS PAYABLE Q101 EATLANTA, T ADDRESS TWO CIVIC SQUARE CARMEL, IN 46032-2584 DIRECT 0930 A 30353-0930 Customer Service Online at www.semsclubcredit,com This account Is not registered. µ The- -hent l cat l on code I s: S6NLC651 DUE UPON RECEIPT Payments Received 09/20/13 0224118 169) 0) PAYMENT RECEIVED-THANK YOU OWNS Current Months Invoices (Details Enclosed) Date Invoice Original Due Date Club Reference Date Invoice Amount Amount Due Rosso Indicate by I] Invoices Paid 10/04/13 001355 62.42 11/08/13 6316 10052013 10/04/13 001355 O 82.42 10116/13 000718 19.64 11/08/13 8168 0 10/16/13 000718 19.64 Past Due Invoices Dateinvolce Original Due Date Club Refere co Date Invoice Amount Amount � ,� Due Pleaso Indicate by I]Invoices Paid 06/26(13 Q01782 125.38 08/08/13 8168 06/26/13 001782 0 125.38 08/19/13 002221 107.22 10/08/13 6316 8192013" 08/19/13 002221 0 107.22 SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:10120113 Page:2 of 2 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 10104/13 Account: 0402 70240115 9 Invoice: 001355 Club/Name: 6316 P.O.: 10052013 Buyer: PENNY DALEY S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 003065758 HEAVY DUTY SPONGE 1.00 EA 8.85 8.85 005431494 CLOROX CLEAN-UP 1.00 EA 10.68 10.68 005576790 PINE-SOL 175 OZ 1.00 EA 8.98 8.98 - 022909292 MM DISINFECT WIPES 1.00 EA 8.98 B.98 U-m_ "o "SWIFFFER DUSTER RFIL -V00 EA 14.79 14.79 028218216 PLEDGE 3 PK MIXED 1.00 EA 10.88 10.88 030623315 MM MICROFIBER TOWELS 1.00 EA 13.58 13.58 030884353 MM SPRAY BOTTLES 1.00 EA 5.68 5.68 �Subt�aot,a{ ti�2.42 Tax: 0.00 Balance Due: 82.42 SAM'S CLUB DIRECT\./' P.O. BOX 530930 ATLANTA, GA 30353-0930 r CITY OF CARMEL Date of Sale: 10116/13 Account: 0402 70240115 9 Invoice: 000718 CIublName: 8168 P.O.: 0 Buyer: NANCY HECK S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 002378701 DRY,ROASTED PEANUTS 1.00 EA 7.68 7.68 005517140 DIE.,'�:[��60KE 1.00 EA 7.98 7.98 031523753 NPL'BONUS ACK 1.00 EA 3.98 198 Subtotal: 19.64 Tax: 0.00 Balance Due: 19.64 O 47-'001 PAGE 2 of 2 COLR654A 9017 VOUCHER NO. WARRANT NO. ALLOWED 20 Sam's Club IN SUM OF $ P. O. Box 530930 Atlanta, GA 30353-0930 $19.64 ON ACCOUNT OF APPROPRIATION FOR Community Relations 040 ?11-Y-OW61 -( , PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1203 000718 43-590.03 $19.64 I hereby certify that the attached invoice(s), or I I 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 Friday, November 01,2013 Director, Com unity Relations/Economic Development 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 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)) 10/16/13 000718 $19.64 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 SAINTS C LU D DIRECT CRO EDITRCIAL Account: 0402 70240115 9 Statement Date:10/20/13 Page: 1 of 2 II'�"II1�1�1"IIII�'�I�11�11�1�'1111"'ll�"���1�'ll�'lll�'llrll CITY OF CARMEL 9017 ATTN: ACCOUNTS PAYABLE 0101 ° TWO CIVIC SQUARE CARMEL, IN 46032-2584 Customer Service Online at www.samsclubcredit.com This account is not registered. The--—hent i cation code i s: S6NLC651 e Payments Received 09/20/13 0224118 C(59,11 6), PAYMENT RECEIVED-THANK YOU Current Month's Invoices (Details Enclosed) Date Invoice Original Due Date Club Reference Amount ® 10/04113 001355 82.42 11/08113 6316 10052013 10116/13 000718 19.64 11/08/13 8168 0 s Past Due Invoices Date ",Invoice Original Due Date Club Reference 4 Amount 0 06/26/3' 0001782 125.38 08/08113 6168 08119/13/002221 107.22 10108/13 6316 8192013' Current Invoices: $102.06 $ Send payments to: Past Due Invoices: $231.0, P.O.Box 530930 Unapplied Payments& ` X Atlanta GA 30353-0930 Credits: x$0`.00 ` o Send inquiries(not payments)to: ' m P.O.Box 8726 Dayton OH 45401-8726 For Customer Service: Call 1-800-362-6196 7 Credit Line $10000.00 Retain left hand portion for your records,send right hand portion noting items paid by a with your payment.If not sending stub,note account number,invoice number and amou ' being paid on your check. 4 -C� n in ' 5966 0001 001 07 PAGE 1 of SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:10/20113 Page:2 of 2 r SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of ale: 10/04/13 Account: 0402 70240115 9 Invoice: 001355 Club/Name: 6316 P.O.: 10052013 Buyer: PENNY DALEY 0 S.K.U. DESCRIPTION Qt JANTITY UNIT PRICE EXT.PRICE 003065758 HEAVY DUTY SPONGE 1.00 EA 8.85 8.85 005431494 CLOROX CLEAN-UP 1.00 EA 10.68 10.68 005576790 PINE-SOL 175 OZ 1.00 EA 8.98 8.98 022909292 MM DISINFECT WIPES 1.00 EA 8.98 8.98 05!, u SWIFFER DUSTER RFIL 1.00 EA 14:79 14.79 028218216 PLEDGE 3 PK MIXED 1.00 EA• 10.88 10.88 030623315 MM MICROFIBER TOWELS 1.00 EA 13.58 13.58 030884353 MM SPRAY BOTTLES 1.00 EA 5.68 5.68 _ �`ublola�l: \82.42 Tax: 0.00 �` t Balance Due: 82.42 vai \ /. SAM'S CLUB DIRECT v P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of E ale: 10116113 Account: 0402 70240115 9 Invoice: 000718 Club/Name: 8168 P.O.: 0 Buyer: NANCY HECK S.K.U. DESCRIPTION Q0 JANTITY UNIT PRICE EXT.PRICE 002378701 DRY ROASTED PEANUTS 1.00 EA 7.68 7.68 �.�, . 005517140 DIET COKE R � 1.00 EA 7.98 7.98 031523753 NPL 80NU%PACK 1.00 EA 3.98 3.98 Subtotal: 19.64 Tax: 0.00 Balance Due: 19.64 •I I I I I I I II� I I 5966 0001 001 07 PAGE 2 of 2 I COLR654A 9017 I COMMERCIAL PAYMENT STUB SAW LUG DIRECT � i Page 4 of 2 Account: 0.4077024011159 Statement Date:40120/13 Page: 1 of 2 Account:0402 7024,0115 4 CITY OF CARMEL ATTN:ACCOUNTS PAYABLE TWO CIVIC SQUARE CARMEL.IN 46032-2584 Iii(fr,It�1�1i1#ill,�a�i(�I���IIF'itli„iii("��(t(rll�'II1�'ilrll PLEASE INDICATE ADDRESS CHANGES CITY OF CARMEL 9017 ATTN2 ACCOUNTS PAYABLE 9301 PAYMENT ADDRESS` TWO CIVIC .SQUARE CARREL, IN 46032-2584 SAM'S CLUB DIRECT P.O. BOX 530330 ATLANTA,GA 30353-0930 Customer Service Online at www,samaclubcredit.com ' Thin epcount Is not registered, ThR ...hem i=ca t i stn code Is: S6NLC651 Pa ime its Received 0417.0113 0 224118 PAYMFNi_RECEIVED-THANK YOU Current Mont h`s Invoices (Details Enclosed) Date Invoice Original Due Date Club Reference Date Invoice Amount Amount Due Please indicate by:7 invoices Pai 10104113 001355 82-42 11708/13 6316 10052013 10/04113 001355 ( 8212 SOW 10!16113 000718 19.64 11/08113 8168 0 10116113 000718 (._.1 19,64 wra Past Due Invoices ':r Date I voice Original Due Date Club Refere#09 Date Invoice Amount ' Amount Due F Riaasa Indiutta by a; Invoices Paid 061261„t ( 11782 125,38 08/08113 8168 w� 06126113 001782 125.38 0811911 D02221 107.22 10108!13 6316 819201 3 � 08119113 002221 107.22 Currant Invoices; $102-06 Send payments to; FDUE PAY.THIS - Past Dus Involcos: $232 6It P.O.Box 5301?30 UNT AA Unspplled Payments& s �. Atlanta GA 30353-0930 ,1 gs Credits Sr QO Send inquiries(not payments)to; N RECEIPT P 0,Box 8126 Dayton OFi+'A01 8726 PLEASE RETURN THIS STUB`WITH For Customer Service: YOUR PAYMENT Call 1-800.362.5186 Credit Line $1000000 AMOUNT ENCLOSED'S.............. . f. .. Purchases retvfrs and.ezymeMs made just prior to the siarement date may not appear until xi Retain lofl hand portion for your records,send right hand portion not Ing Items paid by a rmnffs s atemenj.Payments received al the. %Mth-your payment:if not sending stub,note account numbot,Invoice number and nnwurds uyir ss i±a.N ated above by 5 am will be crndted being paid on your check. as of the dale rema✓ed,If payment is made at a i0ration other than str.°h address.credit may be .� delayed. E W 'on U41, 59 ,,81101 001 07 PA61�I'of 2 COLR654A 9017 REDTFCItL M'S CLUB DIRECT COMMERCIAL Account: 0402 702401115 5 Statement Date:10(20113 Page:2 of 2 SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEU Dale of Sall: 10(04113 Aceofu,^t 0402 102401":5 9 lnvolce: 001355 Cfub7Name: 6316 P.O.: 10052013 Buyer: PENNY DAI.EY I 111.111.11= S:K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 003065758 HCAVY DUTY SPONGC 1DO EA 8.85 8.85 00543/494 CLOROX CLEAN-UP 1.00 EA 10.68 10.68 005576790 PINE-SOL 175 OZ 100 EA 8:98 8:98 0?7905292 A4MDISINFECT WIPES 1.00 EA, 8.98. Sv IFFER DUSTER-RFIL .. _ 1100 EA 14.19 14119 s 0282+8216 PLEDGE 3 PK MIXED 1.00 CA 10.88 %88 030623315 MM MICROFIBER TOWEt.S 1.00 EA 13.58 13.58 030884353 MM SPRAY BOTTLES 100 EA 5,68 5.68 ® SflI .82.42 Tax: 0.00 Balance Due: 82.42 -, y ' SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARErIFL Dale o!'Sale: 10116113 Account: 0402 70240115 9 Irvoice: 000718 0 Club/Name: 8168 P.O.: 0 • Bu y©t NANCY HECK S K:U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE. 002318701 DRY} tllS�"EOPEANUTS 1,00 CA 7.68 768 005517140 DIE V, Kb 1,00 EA 198 7.98 031523753 NPL`RpW&PACK 1.00 EA 398 3,98 Sublclat; 19,64 Tax: 0.00 Balance Due: 19.64 pt doz- �h - 5466 0001 401 0w PAGE 2 of 2 COLR654A 4017 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 correct and I have audited same in accordance with IC 5-11-10-1.6. /a Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. CARMEL, INDIANA Favor Of GA- Total Amount of Voucher $ i Deductions I b S is 9L XAZ Amount of Warrant $ ka Month of Yr VOUCHER RECORD Acct. No. Source of Supply I 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