HomeMy WebLinkAbout228941 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 367001 Page 1 of 1
ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $75.67
„o CARMEL, INDIANA 46032 PO BOX 5219
CAROL STREAM IL 60197-5219 CHECK NUMBER: 228941
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 PARKS—COSTCO 75 . 67 GENERAL PROGRAM SUPPL
Please Direct Inquiries To: 1-800-220-8594 cosyc® COSTCO
WHOLESALE
Account;Number New Balance PaymentDue AmountPasDe Due
7003-7311-0007 2984 $75-67:::: $:OQ $.QQ 02/20!2014
Billing,Date Credit Line Available Credit...
0
01/26/2014 $5;000 I$4 924.33
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TDD/Hearing Impaired: 1-800-365-0186
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STATEMENT OF YOUR ACCOUNT
0
0
FIRANCE:CHARGE SUMMARY
Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo
Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
Reg 00014 $4.88 0.00000% 00.00% $.00 00.00% $75.67 $.00 02/26/2014
ACCOUNT DETAIL
....... ...
Transaction Transaetian tnYoice aJser P.O Transaction
_._
. ate
Descrlptiti Number ID: Number Amount':
s
01/11/2014 COSTCO WHOLESALE-346 077235 00017 $75.67
s 00017 SUBTOTAL: $75.67
01/17/2014 PAYMENT-THANK YOU 00001 $49.17-
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FEB 0 3 2014
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-- Return the below Nation with payment.For billing errors or q:!estions please referto the back-of,tie siateh,ent_- _ page_1.of:2
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Important Notice:Promptly review this statement and notify Capital One Commercial in writing of any errors or unauthorized
purchases.If you do not notify Capital One Commercial within 60 days of errors or unauthorized purchases,this statement
will be presumed to be correct.
Write to Capital One Commercial at FO.Box 4160,Carol Stream, IL 60197-4160.
You may telephone Capital One Commercial at 1-800-210-8115,but it will not preserve your rights.
Notify Capital One Commercial in writing of the cancellation of a credit card or authorized user.
s
casyco COSTCO
ACCOUNT SUMMARY BALANCE SUMMARY
Outstanding
o CURRENT 1 29 DAVS..PAST Dl1E 30 59 DAYS PAST RUE Transaction $49.17
0
o $.00 $.00 $.00 Purchase(s)/Debit(s) $75.67
0
+New Fees $.00
v 60.89:DAY5 PAST DUE ' 90-1:19 DAYS;RAST DUE 120 149 DAY$PAST DUE
a _..
+Finance Charges $.00
$.00 $.00 $.00 Payment(s) $49.17
50-179 BAYS PAST DUE 180+DAYSPAST UUE;. Credit(s) $.00
0
0
0 $.00 $.00 =New Balance $75.67
0
0
0
c
e_
0
0
I
Important Notice:Promptly review this statement and notify Capital One Commercial in writing of any errors or unauthorized
purchases.If you do not notify Capital One Commercial within 60 days of errors or unauthorized purchases,this statement
will be presumed to be correct.
Write to Capital One Commercial at P.O.Box 4160,Carol Stream, IL 60197-4160.
You may telephone Capital One Commercial at 1-800-210-8115,but it will not preserve your rights.
Notify Capital One Commercial in writing of the cancellation of a credit card or authorized user.
22CAP720298(02/13)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND
DDIINUUMMBERS ONLY!
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Email Address
Street an Number if Street Name or the words TO BOX" Unit or PO BOX Number
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Bus,ness Phone
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JAN 2 2 2014
#316 CA S-T-LE-T-ON , I:N
6110 EAST 86TH STREET
CASTLETON; IN 46250
MEMBER /#,',111819846048
RESALE ON
E 5497 BAKED 30CT 11 .59
E10000089755 CPN/5497 3.45-
E 919157 FRUIT SNACKS 10.99
E 13587 JUICE BLAST 8.99
E 13587 JUICE BLAST 8.99
E 13587 JUICE BLAST 8.99
E 217299 RICE KRISPIE 10.99 Purchase _ S
E 663439 CHEEZ-ITS 11 .59 Description
E 998876 m*KS WATERmm 6.99orF
P.O.#
RESALE TOThL 75.67Budget C
oil
NON RESALE TOTAL, .00 Line Reser
TOTAL Purchaser Date j'l '14
VF Costco Who 1 esa l e 75.67 Approval _____Date_._._.
--------------------------- ------- I .l't • ��
xxxxxxxxxxxx
01/11/19 13:zv
Seg#: 000575 APP#° 077235
Costco Wholesale
Tran ID#: 401101770000
Merchant ID 99034611
APPROVED - PURCHASE
AMOUNT: $75.67
0346 006 0000000058 0216
CHANGE 00
COUPONS TENDERED 3.45
T TAL NU ER OF ITEMS SOLD - 8
ASHIER: nielle L. REG# 6
PA0�AK!11.; 13:29 0346 06 0216 58
ANK YOU !
PLEASE COME AGAIN !
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
(Costco) Purchase Order No.
367001 Capital One Commercial Terms
P.O. Box 5219 Date Due
Carol Stream, IL 60197-5219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/26/14 7003731100072984 General program supplies $ 75.67
Total $ 75.67
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
120
Clerk-Treasurer
Voucher No. Warrant No.
(Costco)
367001 Capital One Commercial Allowed 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 75.67
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-70 7003731100072984 4239039 $ 75.67 1 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
I�
6-Feb 2014
T Signature
$ 75.67 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund