HomeMy WebLinkAbout240514 12/23/2014 0r Cqq'
''"° CITY OF CARMEL, INDIANA VENDOR: 354720
ONE CIVIC SQUARE COSTCO WHOLESALE'MEMBERSHIP CHECK AMOUNT: $......*165.00*
=a; CARMEL, INDIANA 46032 PO BOX 34783 CHECK NUMBER: 240514
9M��i0N�� SEATTLE WA 98124-1783 CHECK DATE: 12/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4355300 165.00 000111774019754
1
EXECUTIVE BUSINESS MEMBERSHIPC0,000
ANNUAL RENEWAL NOTICE �PJNMESALE
Business ard
�nrnaryGholder $55 RENEWAL MONTH:FEBRUARY 2015 MEMBER NUMBER: 000111774019754
HouseholdGardholder FREE CARDHOLDER'S NAME AMOUNT HOUSEHOLD MEMBER AMOUNT
Add orrGardholder $55each ROBERT HIGGINS $110.00 KEN MILLER $0.00
Addarik�ousehotdGartlfiolder FREE PAM LISTER $55.00 MELISSA A MONTGOMERY $0.00
Executive upgrade +$55
TOTAL RENEWAL FEE $165.00
If you dottt haue any changes to-;your
membership RENEW OIVLINEl4T
COSTGO COM. S�mply.,iog ott to Costco Com, '.. ,;:.
type RENEW to tha prodt{ct search b"' and
fallow the simple instructtans to renew your
mem4srship today Please see Instructions on reverse to add,remove or replace a cardholder.
Think Costco First
f3 MY BUSINESS SERVICES
t „" " •401(k)Plans •Business Phone Services •Payroll Services
:b
r •Business Checks •Merchant Credit Card •QuickBooks®Online
q' ; r •Business Health Processing •Water Delivery
". &Dental Insurance
Only in CA,Hl,OR&WA
Executive Member Exclusive!
. 13EX0420 A 3/13
Costco Business
12346
Renewal of your membership constitutes acceptance of Costco's Privileges and Conditions of Membership and its Privacy
Policy and Practices,which are available at our membership counter or online at Costco.com.Please provide all cardholders
with this information.
Renewal Policy—Memberships renewed within 2 months after expiration of the current membership year will be extended for
12 months from the expiration date.Memberships renewed more than 2 months after such expiration will be extended for 12
months from the renewal date.
All cardholder changes will be effective upon receipt of renewal payment.
New membership cards will not be sent unless new cardholders are added or changes are made to the account.
CHANGES TO YOUR ACCOUNT: Fill in the necessary information in the space provided below and adjust payment accordingly.
Changes to your membership cannot currently be made online at Costco.com.
If adding household member cardholder: Add household member's name in space below the primary cardholder.
*A household member card is available to primary cardholder's household member,domestic partner,or immediate family
member over the age of 18 and living atthe same address.Household member cardholders will be asked.to,presentproof that
they live atthe same address as the primary oradd-on cardholder.
NOTE: Limit one Executive Membership per household and/or business.
Have questions about your renewal? Call us at 1-800-774-2678.
EnEGSNR 1112
NO. WARRANT NO.
--- ALLOWED 20
Costco Membership
IN SUM OF$
P.O. Box 34783
Seattle, WA 98124-1783
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
NO. ACCT#/TITLE AMOUNT
PO#/Dept. INVOICEBoard Members a
1207 10001117740197 I 43-553.00 I $165.00 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
Thursday, December 18, 2014
/ � I
Director, Brookshir If Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
12/18/14 )00111774019754 Dues $165.00
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