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226806 12/03/2013
CITY OF CARMEL, INDIANA VENDOR: 00350958 Page 1 of 1 ONE CIVIC SQUARE SAMS CLUB DIRECT CHECK AMOUNT: $565.86 CARMEL, INDIANA 46032 P O BOX 530930 ATLANTA GA 30353-0930 CHECK NUMBER: 226806 CHECK DATE: 12/312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4239099 040270240115 246 . 56 4291 601 5023990 040270240115 135 . 76 780 851 5023990 040270240115 183 . 54 00000 OMMERCIAL SAWS CLUB DIRECT CcRE,,T Account. 0402 702401155 9 StatomontDato:11121DM3 Page: I of 3 CITY OF CARMEL 9092 ATTN: ACCOUNTS PAYABLE 0101 1'1^761 civic SQUARE CARMEL, IN 46012-2584 Customer Service Online at www,,,nmsr-ititieredit.com This -cou is not registered, The authentication code Is: S9NLC251 , Pa yip Al"plis Received 'N I REGr,IVED-'rHANK YOU IW4113 025077 Current Month's Invoices (Details Enclosed) Date Invoice Original Duo Date Club Reference Amount 10122113 000000 183 54 12/08113 6219 12,155 10/251113 0-04291 246,51 12108113 8168 10128113 000780 135,76 1:)/08!13 63116 102813 smm Past Due Invoices AE", 21 ato—%, Invoice Original Due Date Club Ref Amount ,of, 10/0-if 001355 811,42 11109113 6316 10052013 10116/13 000118 19.&1 IV081113 W18 0 Current InvoIr9s: S5b5.86 S(ead oaymenls to Past bug Invoices: $10246'K $ P.0,Sox ,31093(l 'aft" U Pm Ailama GA 3(353 0�4`4,30 mapplied ayents Credits: 1A. ,40,00-', Sendirq fna'pllyrrenis)is P 0 Boy 8726 (,'my�olj 4540?-8126 For llustcjm&r Servk-,e Ca15 1-800-362 6196 Credit Line $1 DOW00 Retain left hsnd po'llan for your r,,vartfs,sond flaht hrml portion noting llernq paki bv n villh your paymem,If nol seryjIng slab,nole account number,Invoico nwnt)er arui atnownls being paid Ott your chrc k, C on inue -V Dal 07 PACE% 6f 3 C CLUB DIRECT CREDIT RCtAL Account: 0402 70240115 9 Statement Data:11120113 Page: 2 of 3 am SAM`S CLUES DIRil"ICT P.0� BOX 530930 ATLANTA, GA 30353-0930 CPT,YOF(;A!f0F(_ s ' 'Sa'. 101271:3 A ou G.>_702 v i'5 9 i'V,(rY+: (All X- �'.0. I4�5 GARY CAR`F� S.K.U. DESCRIPTION QUANTITY UNIT PRICE t;XT.PRICE 00 (:'A $'3.!S. 183-54 uclaia 8:51 ,.,' lax 0 7: r%a`a 3ce i<; : 163.54 P,53, BOX 530930 Al LANTA, CAA 30353-0930 CITY='OF^13.N4R.. 'si Of M 3t�mri 3,58 t p 0 02 6 GARY k"C ?? R S.K. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 004764010 POCKET EA 528 .za 006027597 NQi Hltlsi„'N 2" E'A 7.,`i i 8 i W6027544 SS UTILr Y.ONGS 1a 836 010()02807 i I,?BAK'*C.S F I E T M 609,1242 HIGH #"Al SPATl3i"A ? G A 718 4.5c Ci4•873,0 BUFF[I'W ;f 1-"SE 1 ) A 8..6a 17 t; 0267a(3t172 V`,�'/i3Nif3ra KNI 02577 Cod S7 f l 1 C,0 :A 9.98 4 Q287Ft}078 )APUIf`i l{N UES 0 3 A r 598 026MG18 ij11L11 Y KIN!V(ES DI CCl "A i; 6 698 0275!50;1 322 ti`dF i`f: E''UR( t.1 iN 00 EA 9,98 sir c 028127710 62 CTA''i.'7s_(JNICS ) cft ": 5 1996 6 _ax: 00"') �.a( .'1,711': 46-1(6 SAM'S CLUB DIRECT R0. BOX 530930 ATLANTA, GA 30353 0930, G P IEL �N17"t:r of Sal, !UfM,1 3 A ` 0102 1!59 10281:7 S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 00',`x43'1,94 CL0R(3X C,,;cAN-'j17 i'j CA 01 68 10.65 0253523;41 tV`MSACfI TJZ?C)l (-,t.�, I 0" if t '3 C.91 026195w.; BOUN f Y S!i SAS ) A F i}a 18.98 01P077213 1 ii,,w 0 Q,KS Tay U0566272 GAEN L(01 t'22101Z 1 C, EA 7 .s 40.E -Continue- 5466 0001 001 0 9 PAGE 2 of 3 Cat,kh54A ?D9? SAWS DIRECT CREDITRCIAL Account: 0402, 70240115 g 5tatonjont Date:11720113 Page:3 of 3 S.K.U, DESCRIPTION QUANTITY UNIT PRICE EXT,PRICE 0314299,16 AA 4,8 PACK 00 :A 98 .7.98 G31r29974 AAA 114 PACK {) i; i 1° 1 24 GL��S ESi3(: `.3`.:.:M 1:c PGB )tJt 31`?.7f=. am am f ? 4 A� aat 07 pAcc 16 f 3 COL0654A 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. i �r by Mo. Day Yr. Officer Title Voucher No. Warrant No. ACCOUNTS PAYABLE DETAILED ACCOUNTS MUNICIPAL WATER DEPT. ACCT. NO. Qj g�CARMEL, INDIANA Favor Of 'S GIVV'CJ�`rLC� e6 I 5 3L>9 C;� prtlaOca A- 36 53-C�3G Total Amount of Voucher $ Deductions n ZgU 35 Amount of Warrant $ l 5 7l, Month of Yr VOUCHER RECORD Acct. No. Source of Supply Water Treatment Transmission and Dist. Customer Accounts Administrative and General O eration-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 SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:11/20/13 Page: 1 of 3 Il�lrl�ll�rinllilrlr�lrlllrl��lrlllr�rlll I�nl�rl�'I��'��Irlllrl CITY OF CARMEL 9092 ATTN: ACCOUNTS PAYABLE 0101 TWO CIVIC SQUARE CARMEL, IN 46032-2584 Customer Service Online at www.samsclubcredit.com This account Is not registered. The authentication code is: S9NLC251 Payments Received 10/24/13 0225077 (237.60) PAYMENT RECEIVED-THANK YOU c�ae1�- Current Month's Invoices (Details Enclosed) = Date Invoice Original Due Date Club Reference Amount ® 10/22/13 000000 183.54 12108/13 6279 12455 10/25/13 004291 246.56 12/08/13 8168 1025 ® 10/28/13 000780 135.76 12108/13 6316 102813 Past Due Invoices ice, Date 'Invoice Original Due Date Club Reference• . \ Amount ~° 10104/\135 82.42 11/08/13 6316 10052013` 10116/13 000718 19.64 11108/13 8168 0 Current Invoices: $565.86 Send payments to: Past Due Invoices: $102:06 $ P.O.Box 530930 Unapplied Payments& `\ Atlanta GA 30353-0930 Credits: �$0.-- j�' o„� Send inquiries(not payments)to: 1. M 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 IZ with your payment.If not sending stub,note account number,invoice number and amounts being paid on your check. - 596601 001 07 PAGE,,!/of 3 SAM'S CLUB DIRECT CREDITRCIAL Account: 0402 70240115 9 Statement Date:11/20113 Page:2 of 3 i SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 CITY OF CARMEL Date of Sale: 10/22/13 Account: 0402 70240115 9 Invoice: 000000 Club/Name: 6279 P.O.: 12455 Buyer: GARY CARTER 0 S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE MERCHANDISE/CONSUMABLES 1.00 EA 183.54 183.54 i i Subtotal: 183.54 Tax: 0.00 Balance Due: 183.54 i .� SAM'S CLUB DIRECT '- P.O. BOX 530930 _= ATLANTA, GA 30353-0930 CI.T:Y OF CARMEL ', Date of Sale: 10/25113 ° AccountE\0402 70240115 9 .k Invoice: 004291 GIublName; 8168 u �P O. 1025 ° °Buyer: GARY CARTER S. U. DESCRIPTION v QUANTITY UNIT PRICE EXT.PRICE ® 004764070 POCKET THERMOMETER 1.00 EA 5.28 5.28 006027597 WIRE WHIPS 10"&12" 1.00 EA 7.58 7.58 m 006027599 SS UTILITY TONGS 2.00 EA 4.18 8.36 ® 006027603 SS TURNERS 1.00 EA 6.88 6.88 006028071 1/2 BAKING SHEET 1.00 EA 10.78 10.78 006096242 HIGH HEAT SPATULA 2.00 EA 7.78 15.56 014058739 BUFFE%WARE SET 2.00 EA 8.88 17.76 026760072 7"SANNTOKU KNIFE-DI 1.00 EA 11.48 11.48 026760074 CO�OK oKNIVES-DI 1.00 EA 9.98 9.98 026760076 PARING 4N`fVESi -DI j 1.00 EA 5.98 5.98 026760078 UTILITY KNIVES-DI 1.00 EA 6.98 6.98 027505011 32PC WHITE PORCELAIN 2.00 EA 59.98 119.96 028727710 62PCTAKEALONG SET 1.00 EA 19.98 19.98 i Subtotal: 246.56 Tax: 0.00 Balance Due: 246.56 i SAM'S CLUB DIRECT P.O. BOX 530930 ATLANTA, GA 30353-0930 61 1+Y"OF CARMEL a Date of Sale: 10/28/13 Account{ 0402 70240,15 9 Invoice: 1 000780 Club/Naame: 6316 P.O.: 102813 Buyer: PENNY DALEY S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 005431494 CLOROX CLEAN-UP 1.00 EA 10.68 10.68 025352314 MM SAT PAPER TOWELS 1.00 EA 14.98 14.98 026795945 BOUNTY SR SAS 1.00 EA 18.98 18.98 028077213 THE WORKS TBC 3.00 EA 6.98 20.94 030566272 GAIN LIQUID 2250Z 2.00 EA 20.48 40.96 �n i -Continue- 5966 0001 001 07 PAGE 2 of 3 COLR654A 9092 i SAWS CLUB DIRECT CO REDITRCIAL 1 Account: 0402 70240115 9 Statement Date:11/20/13 Page:3 of 3 i S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 031429936 AA 48 PACK 1.00 EA 17.98 17.98 031429974 AAA 24 PACK 1.00 EA 11.24 11.24 Subtotal: 135.76 Tax: 0.00 Balance Due: 135.76 i i e i i i i i _ t — a i i i v i i i ® i a i e � o i — i i i a i i i i i i i i i i i i i i i i i i i H i i i i i i i i S966\0001 001 07 PAGE,,�/of 3 iCOLR654A 9092 Snyder, Denise W From: mserve @samsclub.com Sent: Tuesday, October 22, 2013 10:21 AM To: Snyder, Denise W Subject: SamsClub.com order confirmation Cameras I Electronics I Furniture I Mattresses I office I Outdoor Thank you for our order Dear Gary, Thank you for shopping at SarnsClub.corn. We've successfully received your order and will send you an additional confirmation email when it ships or, if using our Click 'n' Pull@ or special order service, when it's ready to be picked up at your selected Club. To check the status of your order anytime, view your Order History. Order Number: 1541495786 Items you are paying for now Items we're shipping to you Shipping (1 of 1) to: GARY CARTER 2 Civic Square, \ CARMEL IN, 46032 (317) 571-2600 ITEM DETAILS QTY GIFT SHIPPING PRICE METHOD Folgers Classic Roast Ground Coffee Packets - 4 No Standard $18.98 1.2 oz. - 42 ct. - 991425 _._... .. . _.. . ....... . ... ... ...... 1 Folgers Coffee Filter Packs - Decaffeinated 3 No Standard $26.98 Classic Roast - 0.9 oz. - 40 ct. - 671042 Puffs Plus Lotion 8 pk. - 632277 1 No Standard $12.88 ............ ..............- Splenda - No Calorie Sweetener Packets - 100 1 No Standard $5.48 Count - 604245 .......... Shipment 1 Sub-Total (Paid Now): $175.22 Sales Tax: $0.00 Product Fees: $0.00 Instant Savings Pending: $0.00 Shipment Total: $183.54 Totals Shipping: $8.32 Sales Tax: $0.00 Product Fees: $0.00 Instant Savings Applied: $0.00 Grand Total: $183.54 Your Billing Payment Method: PO NUMBER:DIRECT CREDIT:12455 Billing to: Gary Carter 4748 Bishopsgate Dr, CARMEL IN, 46033 (317) 848-5777 Please Note DELIVERY ORDER SHIPPING SEPARATELY For items that will be shipped, please note that due to various fulfillment locations, shipping methods, and item availability some items may ship separately. You'll be notified by a second email when your order ships. PRODUCT FEES These are taxes levied by the state and/or government, based on your shipping addresses, on select items in your order. MEMBER RATINGS AND REVIEWS Please feel free to return to SarnsClub.corn any time after you have received your order to rate the item(s) you purchased and/or submit a review. 2 COMMUNICATION PREFERENCES Please visit the 'My Preference' page to manage or make updates to your communication preference settings. Our number-one goal is to provide members with superior service and low prices on great merchandise. If you have any questions regarding this receipt, or if we can assist you in any way, please contact a Member Services representative, or call 1.888.746.7726, and we'll be glad to help. Thanks We appreciate your order and look forward to seeing you again soon. Sincerely, - Your Sam's Club Member Services Team o • • Need help with electronics? Do • . • a oa fret thr answers you Reed frorn our experts. Discover an easier way to shop Download CLICK JOIN LIKE FOLLOIN Sam's Club Member Services 2101 SE Simple Savings Drive, Bentonville, AR 72716-0745 © 2000- 2013, Sam's West, Inc. All rights reserved. Privacy Policy and Terms & Conditions Sam's Club wants to protect your security and privacy. Be assured that we will never ask for personal information (such as passwords or credit card numbers) in an email newsletter. If you receive such a request, please do not respond to that email. See our Privacy Policy and Terms and Conditions to learn more. For questions about returns and refunds, see our Return/Refund Policy. 3 VOUCHER NO. WARRANT NO. ALLOWED 20 Sams Club IN SUM OF $ P.O. Box 530930 Atlanta, GA 30353 $430.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 00000 120-851.00 j $183.54 1 hereby certify that the attached invoice(s), or 1 7v 120-851.00 i jC� bill(s) is (are) true and correct and that the 1120 ` 4291 { 42-390.99 I $246.56 materials or services itemized thereon for which charge is made were ordered and received except DEC -2 2013 "/Aml �6 4 6LW1 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 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)) 00000 $183.54 4291 I I $246.56 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