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Home My WebLink About240655 01/07/2015 u �qq '. °� CITY OF CARMEL, INDIANA VENDOR: 354720 ® i. ONE CIVIC SQUARE COSTCO WHOLESALE MEMBERSHIP CHECK AMOUNT: $.......220.00* f• ?� CARMEL, INDIANA 46032 PO BOX 34783 CHECK NUMBER: 240655 '�P6n 8�, SEATTLE WA 98124-1783 CHECK DATE: 01/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4355300 PARKS 220.00 000111782210072 1 BUSINESS MEMBERSHIP ANNUAL RENEWAL NOTICE � G a[ i wflIIi�LkOG1�8l if J1A8 DIYI A�11�` Busyness Pnmary Cardholder $55 RENEWAL MONTH:FEBRUARY 2015 MEMBER NUMBER: 000111782210072 Household Cardholder FREE Add on.Cardholder +:`$55 each, CARDHOLDER'S NAME AMOUNT HOUSEHOLD MEMBER AMOUNT Add' Household Cardholder FREE AUDREY KOSTRZEWA $55.00 JENNIFER BROWN $0.00 . BEN JOHNSON $55.00 AMANDA JACKSON $0.00 TRACI BROMAN $55.00 MICHELLE YADON $0.00 JORDAN HILL $55.00 TOTAL RENEWAL FEE $220.00 ,f�1�1t� 71�T� �/ l.Asx y/ 1GJL1� .: ip`:on '0 # PorF DEC 17 2014 G.L.#. r 13�,ecot If you dont have any changes to;your BY: i_tC1e Desc membership,RENEW',ONLINE ATr,;,. .. COSTCO CONI: Simpiy log onto costco:com;'i Purchaser Date type RENEW m"the product search box and :p rova.lDate � follow'the simple instructions to renew your o- membership today Please see Instructions on reverse to add,remove or re ce a cardholder. Think Costco First MY BUSINESS SERVICES .; � •401(k)Plans o Business Phone Services e Payroll Services 17 a Business Checks o Merchant Credit Card o QuickBooks®Online ° Processing j Business Health Water Delivery & Dental Insurance Only in CA,Hl,OR&WA Executive Member Exclusive! -Y -, xi,,; t Y: ° a-� E :m.^ 1° .`.+#n.0 r - T• 4 ��>aa s - "b _ 61-1 13EX0420 A 3/13 �.i •..s �^ .ifs "3 .. �.i,. 1236 1 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 present proof that they live atthe same address as the primary or add-on cardholder. NOTE: Limit one Executive Membership per household and/or business. Have questions about your renewal? Call us at 1-800-774-2678. EnEMR 1/1? 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 Purchase Order No. 354720 Costco Membership -- (NOT Capital One) Terms P.O. Box 34783 Seattle, WA 98124-1783 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 12/17/14 111782210072 Annual Membership renewal $ 220.00 Total $ 220.00 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 Voucher No. Warrant No. 354720 Costco Membership-- (NOT Capital One) Allowed 20 P.O. Box 34783 Seattle, WA 98124-1783 In Sum of$ $ 220.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 111782210072 4355300 $ 220.00 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 January 2, 2015 Signature $ 220.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund