240641 01/07/15 �qq.
a`.
*f! CITY OF CARMEL, INDIANA VENDOR: 367001
b ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $**.......5.99*
f r° CARMEL, INDIANA 46032 PO BOX 5219 CHECK NUMBER: 240641
9M�_roN Via, CAROL STREAM IL 60197-5219 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4359000 PARKS 5.99 7003-7311-0007-2984
APR
e_
#347 NW INDIANAPOLIS
I 9010 MICHIGAN ROAD
' INDIANAPOLIS, IN 46268
MEMBER- #111782210072
RESALE ON
38227 16X20 ONLINE 5.99
RESALE TOTAL 5:99
' NON RESALE TOTAL .00
TOTAL
VF ( stco Wholesale 5.99
XXXXXXXAXX2984
11/26/14/20:18
S8923 APP#: 078924
Cos co Wholesale Resp: AA
Tran ID#: 433045258000
Merchant ID 99034711 , ..
APPROVED - PURCHASE
AMOUNT: $5.99
0347 008 0000000079 0368
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD m 1
CASHIER: Joey REG# 8
if/i_,i141-44LI 20:18 0347 08 0368 79
Thank You! - �) , ,
Please Come Again h�fc
�3
'- cWec� v' p-DT
Please Direct Inquiries To: 1-800-220-8594 COSTC01 COSTCO
.VVNCLES"E
.. .. ... ... . ....1 .... ....._4 Numccount_Number:z New,Balance Payment:Due:: Amount:Paist D(j Wi�:Date
ate:
..........................
........ ...
. . . . . . . . . . .
7003-7811-0007-2984:
.:.
.. .... .. ... ... .... .. _.
.. .. ....
... ... . ......... ............
.. .. ...Credit
... . Credit........ ..
.... .........
................... ..
... BillinDate*g�:
vailable Credit:.
..... .... ....... .....
. .......... ... . .. ...... .....
. . . . . . ... ............. . ................ .
. .. . .. ............. .
12126/2014
VOOO: .$4,994:01
.. ................ ...
U
TDD/Hearing Impaired: 1-800-365-0186
0
C? STATEMENT OF YOUR ACCOUNT
C? ............. ............. ...... .... ..
FINA ...........
NCE,CHAR .......
�GF
_SUMMARY .... ...... ........
...... .......................... .. . ........ ......... .. ................ . .................. ......... ..
FINANCE ANNUAL Minimum
Credit Credit Average Daily Corres- New Promo
Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
I
Reg 00014 $.20 0.00000% 00.00% &00 00.00% $5.99 $5.99 12/26/2014
ACCOUNT DETAIL
T ............ .....
?0h
........................�%%.� �� �'. -. �...... . .-T
. . .. ..................... .......
... .... ............ . ....
Date
De' s rpi
Num
..........
. . . ... ..........
. ... .............
11/26/2014 COSTCO WHOLESALE-347 078924 00001 $599
00001 SUBTOTAL: $ .99
12/19/2014 PAYMENT-THANK YOU 00001
o T'X Tom.
JAN 0 2. 2015
B7Y:
11"IeW 7)-.�jj'n With navgng2t, errors or questions please-refer to the back of the statement. Page 1 of 2
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.
COS M0. COSTCO
WHOLE—SME
ACCOUNT SUMMARY BALANCE SUMMARY
............. . .. ... ..... . ....... .. .. .......... .............
......... -%�..... . .... ...... ........ ......... ............ Outstanding
CLI
RRENT : DUE 30::WDAYSPAST DUE
... ........--...... ...... .............-.--......... Transaction $221.34
2 +New
0
1� $5.99 $.00 $.00 Purchase(s)/Debit(s) $5.99
0
0 ..... ........... ..... ..
U WMI)AY .... J5UE-:: U0449.DA YS::PA ST..DUF,.... +New Fees $.00
+Finance Charges $.00
$.00 $.00 $.00
Payment(s) $221.34
... . ... . ..
*I5079.DAYS:.P. SUV..A..,80..4..0..A. Y
S PASl :DUFCredits) $.004 ......... ......... ............. ..............
C? $.00 $.00 =New Balance $5.99
_Page 2 of 2
----- --------- - --------- - -------------- ---- --- - --- - --- -- - -- -- ----- -- ------ - - ----
$D El El 111:1.1:11:1
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 NUMBERS ONLY!
conr :L.,mo
F mo,'Add,ess
❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑
S'-cc•\umber n^ S�cet Nar o cr the wo,ds'PO BOXUnit or PO BOX Number
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C* State
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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
12/26/14 7003731100072984 Speical projects $ 5.99
Total $ 5.99
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) 20
367001 Capital One Commercial Allowed
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 5.99
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
Dept#
1125 7003731100072984 4359000 $ 5.99 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
January 2, 2015
�OA&"A—
Signature
$ 5.99 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund