246601 06/18/15 CITY OF CARMEL, INDIANA VENDOR: 367001
hl ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $********30.28*
CARMEL, INDIANA 46032 PO BOX 5219 CHECK NUMBER: 246601
9gtroN CAROL STREAM IL 60197.5219 CHECK DATE: 06/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 GOLF 30.28 7003731100074683
Please Direct Inquiries To:1-800-220-8594 cbsnol
COSTCO
M/if101ESALE
Arouln Number New Satanc Payment Due :: Amount Fast Uue l?ue Dade
.
OQ3 7 �f Q4Q7 4683 .......::...... .. ` $3Q 2& +ffQ Q6L U/20a 5
Bllhng;[>ate Credo tr>ne Ayatable Oredtt
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Q5126f2Qf 5 : . ... ..::_ .._..-$2tI00.. 1 X9692
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_ Manage your account online at www.hrscommercial.com
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TDD/Hearing Impaired:1-800-365-0186
0
STATEMENT OF YOUR ACCOUNT
_......_................_.............................................................................................._......_.._............................................................................................................................_.................................................................. ....
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t=tivAt+tO�:CI.1 RGE25UMMA�E....._........ ........................................:..........................................._.._..............:................................................:.:.:::._:::.:::.:.: ::.::::::__:::::::-:::::::::::::::::::::::::: :::::::::::::::::::
Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo
M Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
Reg 00014 $2.02 0.00000% 00.00% $.00 00.00% $30.28 $.00 06/26/2015
ACCOUNT DETAIL
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05/12/2015 COSTCO WHOLESALE-346 054994 00003 $30.28
00003 SUBTOTAL: $30.28
0
Return the below portion with payment.For billing 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.
C05=01 GOSTCO
WIMLESALE
ACCOUNT SUMMARY BALANCE SUMMARY
..............................................
......................................................... ...........................................................
Outstanding
DUE.
................. $.00
........................................... ==:
................. ............................................................................ ....... Transaction
2 +New
0 $.00 $.00 00 Purchase(s)/Debit(s) $30.28
8
................................................................................................................. w Fees
..................
................... ........................................ +New $.00
U .4 ME
Ip ST
........................ A
..................................................
16
$.00 $.00 $.00 1 Finance Charges $.00
Io
Payment(s) $.00
.. ...............
C? .;
:i ' ST i:!T! a
I Credits) $.00
C? $.00 $.00 New Balance $30.28
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Page 2 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.
22CAP720298(02113)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND NUMBERS ONLY!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Capital One Commercial
IN SUM OF $
P.O. Box 5219
Carol Stream, IL 60197-5219
$30.28
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1207 I 054994 I 43-501.00 I $30.28 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
Wednesday, June 10, 2015
14
Director, Brookshir Golf Club
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))
05/12/15 054994 Air Fresheners I $30.28
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