246602 06/18/15 ry CITY OF CARMEL, INDIANA VENDOR: 367001
ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $r r r r r r'843.1 2r
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CARMEL, INDIANA 46032 PO BOX 5219 CHECK NUMBER: 246602
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CAROL STREAM IL 60197-5219 CHECK DATE: 06/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 PARKS 843.12 7003731100072984
Please Direct Inquiries To:1-800-220-8594
cbsyco COSTCO
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AcaounitNamber.. . . .:,.._...1Vew 13a1arlce .. .... PaytnettDue : ... . ... :_Amount Pali Dae ...:..:: _ faueDaC
7002 731 i 0007 213$4 $.843 12 �ipQ $00 ... ..
De/21)/2015 ..:
RIIUrtg nate Credit L�i1e Ava114bTe Credit
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05/2612015 $5;000 $4,15G 8a
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Manage your account online at www.hrscommercial.com.
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7 TDD/Hearing Impaired:1-800-365-0186
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STATEMENT OF YOUR ACCOUNT
..................................................................._.................................._.................._........_.........._.._....................._............................................................................................................................................................................................................
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N Credit Credit Average Daily Cones- 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 $56.21 0.00000% 00.00% $.00 00.00% $843.12 $.00 06/26/2015
ACCOUNT DETAIL
a3� .................... . .................................................._ .. :.:.:.:.:_:fi:l.umber..:...:.:...:.:.....:.:.:.:...:.:.:.:.:.:.:.:.:.:.:.:.:..#.D..:.:.:.:.:.:._-..:.:.:.:.:..:.:.�.
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05/07/2015 COSTCO WHOLESALE-346 066590 00005 $577.22
v 00005 SUBTOTAL: $577.22
05/06/2015 COSTCO WHOLESALE-347 019743 00006 $265.90
00006 SUBTOTAL: $265.90
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JUN - 4 2015
Y:RetBY.-
Return
urn 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.
COSTCO
WHOLESALE
ACCOUNT SUMMARY BALANCE SUMMARY
..................................................
.........................................................................................................................................
Outstanding
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':]DAY :P.. V
:z:1:12 PA ZUE, Transaction
WHRENITH' S. .
............................................................................... ....................................=1........................... ................. $.00
p +New
0 $.00 $.00 $.00 Purchase(s)/Debit(s) $843.12
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+ ew Fees $.00
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1 49., Ip DUE
........................................................... . ............
o +Finance Charges $.00
$.00 $.00 $.00
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Payments) $.00
iAST US DAYS FAST' u Credits) $.00
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C? $.00 $7 =New Balance $843.12
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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(02/13)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND NUMBERS ONLY!
I 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
5/26/15 7003731100072984 Program supplies $ 265.90
5/26/15 7003731100072984 Program supplies $ 577.22
Total $ 843.12
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
20_
Clerk-Treasurer
f
Voucher No. Warrant No.. . . -
(Costco)
367001 Capital One Commercial Allowed . 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 843.12
I
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO ACCT#/TITLE AMOUNT Board Members
Dept#
1081-9 7003731100072984 4239039 $- 265.90. 1 hereby certify that the attached invoice(s), or
1081-99 7003731100072984 ., 4239039 $ 577.22 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
June.11, 2015
'P
Signature
$ 843.12 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund