HomeMy WebLinkAbout300231 07/12/16 i
I
4. CITY OF CARMEL, INDIANA VENDOR: 00351028
® ONE CIVIC SQUARE SIMON AND COMPANY INC CHECK AMOUNT: $*****3,781.20*
r• ice: CARMEL, INDIANA 46032 1660 L STREET NW,SUITE 501 CHECK NUMBER: 300231
9�'�TON�°
WASHINGTON DC 20036 CHECK DATE: 07/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 062816 1,350.37 OTHER EXPENSES
651 5023990 062816 1,350.38 OTHER EXPENSES
1160 4340400 33441 JUNE2016 1,080.45 PROF CONSULTING SERVI
I
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357028
SIMON & COMPANY INC. Purchase Order No.
1660 L Street, N.W., Ste 501 Terms
Washington, DC 20036 Due Date 7/6/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/6/2016 062816 1,350.38
hereby certify that the attached invoice(s), or bill(s) is (are)true and
,orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
357028
SIMON &COMPANY INC. Purchase Order No.
1660 L Street NW, Ste 501 Terms
Washington, DC 20036 Due Date 7/5/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/5/2016 062816 1,350.37
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
Date Officer
SIMON AND COMPANY
INCORPORATED
b:tergovernmel:tal Relations and Federal Affairs
1660 L Street N.W.•Suite 501 •Washington,D.C.20036
(202)659-2229•Fax(202)659-5234•e-mail:len.sin:on(7asintoncoinpany.com
June 28, 2016
i
Mayor James Brainard
One Civic Center Square
Carmel, Indiana 46032
STATEMENT
June 2016
Summary ofMaior Activities Undertaken in the Last Month for Carmel Utilties
Activi Date ! Description
USCM Annual Meeting May 31 —June 1 Worked with Mayor and staff and USCM
staff in connection with USCM Annual
meeting in Carmel;
June 14-20 Worked with the staff of Rep. Susan
Brooks and USCM staff regarding her
participation in the USCM Annual
meeting event in Carmel on June 24;
4 i
June 23-27 Assistance to Mayor and staff during U.S.
Conference of Mayors Annual meeting in
Indianapolis;
USCM Resolution May 23-25, June Formatted and submitted a resolution to
24-27 the U.S. Conference of Mayors on behalf
of the Mayor,titled,"Support for the Land
and Water Conservation Fund: Reviving
an Urban Parks and Recreation
Partnership;"
First Lady's Piano June 8,14, 15, 17, Worked with Mayor, Palladium staff,
20,21 Great American Songbook Foundation and
Michael Feinstein's office regarding the
First Lady signing the First Lady's Piano
and assistance in arrangements regarding
the actual signing;
1
Redevelopment Commission May 31 Worked with City of Madison staff
regarding meetings from June 29-30 in
Madison for Carmel Redevelopment
Commission Executive Director;
Opioid and Heroin Abuse June 8 Participated in a teleconference with
National Drug Policy Director Michael
Botticelli for an update on actions the
Administration is taking to address the
prescription opioid abuse and heroin
epidemic, and prepared a summary;
DOL America's Promise Job- June 7 Prepared and forwarded a grant memo on
Driven Grants the Department of Labor (DOL)
Employment and Training Administration
(ETA) release of a Funding Opportunity
Announcement (FOA) for the America's
Promise Job-Driven (America's Purpose)
Grant Program;
DOE Fiscal Year 2016 June 17 Prepared and forwarded a grant memo on
Alternative Fuel Vehicle the Department of Energy Office of
Community Partner Projects Energy Efficiency and Renewable(DEER)
issuance of a Funding Opportunity
Announcement(FOA)for the Fiscal Year
(FY) 2016 Alternative .Fuel Vehicle
Community Partner Projects under the
Vehicle Technologies Multi-topic
Solicitation;
NEH Media Projects June 17 Prepared and forwarded a grant memo on
Development and Production the National Endowment for the
Grants Humanities (NEH) release of Program
Guidelines for Media Projects
Development and Production Grants;
National Park Service June 17 Prepared and forwarded a grant memo on
Historic Preservation Fund the Department of Interior National Park
Grants to Underrepresented Service (NPS) release of a Funding
Communities Opportunity Announcement (FOA) for
Fiscal Year (FY) 2016 Historic
Preservation Fund ' Grants to
Underrepresented Communities;
2
Washington Friday Report May 27 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: WRDA in the
j House, House Appropriations Shaken by
Energy-Water Debate, House THUD Bill
Approved by Committee,House CJS Bill
Approved by Committee, House Interior-
i
Environment Appropriations, Senate
Homeland Security Appropriations,
Implementing ESSA, 21st Century
Community Policing, Grants This Week,
FASTLANE Overview,Airport Screening,
Food Waste, and CNCS Accountability;
June 3 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects:Deal for 50%Jump
in LIHTC, Army Corps WOTUS
Decisions Can Be Challenged,Challenges
of Zika Virus Testing, Veterans Legacy
Program, Key Dates in Washington,
FHWA/FTA Final Rule on Transportation
Planning,FTA Webinar to Discuss Transit
Worker Assaults,National Traffic Volume
Trends,Grants This Week,Dedicated Tax
for DC Region's Metro System, and
President Obama Returns to Elkhart;
June 10 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: House GOP "A
Better Way" Policy Proposals,
Appropriations Update: Labor-HHS-
Education and Homeland Security,Champ
Leaves the Ring - Muhammad Ali, DOL
America's Promise Grant Competition,
TIGER and FAST Act Implementation,
Reducing Opioid and Heroin Abuse,
Public Data Platform Launched to Fight
Cancer, $100 Million MacArthur
Foundation Competition, Reviewing the
H-2B Visa Program, Grants This Week,
Oversight of EPA Unfunded Mandates,
3
Washington Friday Report Improving Education and Safety for
Young People, Preparing Local
Governments for Cyber Threats, Pay for
Success and CDFIs, and Regulating
Homelessness;
June 17 Prepared and forwarded the Washington
Friday_Report to the Mayor,which covered
the following subjects: Tragedy in
Orlando, Senate to Vote on Gun Control
Amendments,FYI Interior-Environment
Appropriations, District Court Upholds
Net Neutrality Rules, United State of
Women Summit, House GOP Policy on
Regulations and Constitution,Criteria and
Benchmarks for Ending Chronic
Homelessness, Proposed State-by-State
Anti-Opioid Funding- Levels, MBK
Success Mentors Initiative Expands,
Grants This Week, National Healthy
Homes Month,White House Highlights its
LGBT Support, Patent and Trademark
Advisory Committee Nominations,
Economic Impact of Freight Railroads,and
GSA Administrator with Local
Government Roots;
June 24 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: Gun Control
Debate Takes Center Stage, Supreme
Court Rejects Obama Immigration
Actions, FY17 Appropriations Update,
Small Unmanned Aircraft Regulations
Finalized, Major Chemical Safety
Legislation Enacted, Zika National Week
of Action,National Week of Making,FTA _
Updates Capital Investment Grants
Guidance, FirstNet Implementation
Oversight, Grants This Month, Global
Covenant of Mayors for Climate &
Energy, FCC Plans to Increase Wireless
Data Speeds, Economic Benefits of
National Parks, and Interagency
Collaboration to Promote Opportunity.
4
i
Professional Services for the Month of June 2016...................................$2,083.00
Expenses (see attached summary and receipts 71.4%)...................................$617.75
i
TOTALAMOUNT DUE...........................!.........................................................$2,700.75
LEONARD S. SIMON
President
i
i
I
i
�S
5
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
SIMON AND COMPANY INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
1660 L STREET NW, SUITE 501 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
WASHINGTON, DC 20036 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$1,080.45 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Mavoes Office Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
33441 STATEMENT 43-404.00 $1,080.45 1 hereby certify that the attached invoice(s),or 6/28/16 STATEMENT $1,080.45
1160 101 1160 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which_chame is made were ordered and
received except
Tuesday,July 05,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
i
S IMON AND COMPANY
INCORPORATED
Intergovernmental Relations and Federal Affairs
1660 L Street N.W.•Suite 501•Washington,D.C.20036
(202)659-2229•Fax(202)659-52134•e-mail:len.simon@simoncompany.com
June 28, 2016
Mayor James Brainard
Carmel City Hall
One Civic Square
Carmel, Indiana 46032
Purchase Order#32615
i
STATEMENT
June 2016
I
i
Summary of Maior Activities Undertaken in the Last Month for the City of Carmel
Activi Date Description
USCM Annual Meeting May 31 June 1 Worked with Mayor and staff and USCM
staff in connection with USCM Annual
meeting in Carmel;
June 14-20 Worked with the staff of Rep. Susan
Brooks and USCM staff regarding her
participation. in the USCM Annual
meeting event in Carmel on June 24;
June 23-27 Assistance to Mayor and staff during U.S.
Conference of Mayors Annual meeting in
Indianapolis;
USCM Resolution May 23-25,June Formatted and submitted a resolution to
24-27 the U.S. Conference of Mayors on behalf
of the Mayor,titled,"Support for the Land
and Water Conservation Fund: Reviving
an Urban Parks and Recreation
Partnership;"
1
I
First Lady's Piano June 8,14, 15, 17, Worked with Mayor, Palladium staff,
20,21 Great American Songbook Foundation and
Michael Feinstein's office regarding the
First Lady signing the First Lady's Piano
and assistance in arrangements regarding
the actual signing;
Redevelopment Commission May 31 Worked with City of Madison staff
regarding meetings from June 29-30 in
Madison for Carmel Redevelopment
Commission Executive Director;
Opioid and Heroin Abuse June 8 Participated in a teleconference with
National Drug Policy Director Michael
Botticelli for an update on actions the
Administration is taking to address the
prescription opioid abuse and heroin
epidemic, and prepared a summary;
DOL America's Promise Job- June 7 Prepared and forwarded a grant memo on
Driven Grants the Department of Labor (DOL)
Employment and Training Administration
(ETA) release of a Funding Opportunity
Announcement (FOA) for the America's
Promise Job-Driven(America's Purpose)
Grant Program;
DOE Fiscal Year 2016 June 17 Prepared and forwarded a grant memo on
Alternative Fuel Vehicle the Department of Energy Office of
Community Partner Projects Energy Efficiency and Renewable(DEER)
issuance of a Funding Opportunity
Announcement(FOA)for the Fiscal Year
(FY) 2016 Alternative Fuel Vehicle
Community Partner Projects under the
Vehicle Technologies Multi-topic
Solicitation;
NEH Media Projects June 17 Prepared and forwarded a grant memo on
Development and Production the National Endowment for the
Grants Humanities (NEH) release of Program
Guidelines for Media Projects
Development and Production Grants;
National Park Service June 17 Prepared and forwarded a grant memo on
Historic Preservation Fund the Department of Interior National Park
Grants to Underrepresented Service (NPS) release of a Funding
Communities Opportunity Announcement (FOA) for
Fiscal Year (FY) 2016 Historic
Preservation Fund Grants to
Underrepresented Communities;
2
I
Washington Friday Report May 27 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: WRDA in the
! House, House Appropriations Shaken by
Energy-Water Debate, House THUD Bill
Approved by Committee, House CJS Bill
Approved by Committee, House Interior-
Environment Appropriations, Senate
Homeland Security Appropriations,
Implementing ESSA, 21st Century
Community Policing, Grants This Week,
FASTLANE Overview,Airport Screening,
! Food Waste, and CNCS Accountability;
I
June 3 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects:Deal for 50%Jump
in LIHTC, Army Corps WOTUS
Decisions Can Be Challenged,Challenges
of Zika Virus Testing, Veterans Legacy
Program, Key Dates in Washington,
FHWA/FTA Final Rule on Transportation
Planning,FTA Webinar to Discuss Transit
Worker Assaults,National Traffic Volume
Trends,Grants This Week,Dedicated Tax
for DC Region's Metro System, and
President Obama Returns to Elkhart;
June 10 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: House GOP "A
Better Way" Policy Proposals,
Appropriations Update: Labor-HHS-
Education and Homeland Security,Champ
Leaves the Ring - Muhammad Ali, DOL
America's Promise Grant Competition,
TIGER and FAST Act Implementation,
Reducing Opioid and Heroin Abuse,
Public Data Platform Launched to Fight
Cancer, $100 Million MacArthur
Foundation Competition, Reviewing the
H-213 Visa Program, Grants This Week,
Oversight of EPA Unfunded Mandates,
3
i
Washington Friday Report Improving Education and Safety for
Young People, Preparing Local
Governments for Cyber Threats, Pay for
Success and CDFIs, and Regulating
Homelessness;
June 17 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: Tragedy in
Orlando, Senate to Vote on Gun Control
Amendments,FYI Interior-Environment
Appropriations, District Court Upholds
Net Neutrality Rules, United State of
Women Summit, House GOP Policy on
Regulations and Constitution,Criteria and
Benchmarks for Ending Chronic
Homelessness, Proposed State-by-State
Anti-Opioid Funding Levels, MBK
Success Mentors Initiative Expands,
Grants This Week, National Healthy
Homes Month,White House Highlights its
LGBT Support, Patent and Trademark
Advisory Committee Nominations,
Economic Impact of Freight Railroads,and
GSA Administrator with Local
Government Roots;
i
June 24 Prepared and forwarded the Washington
Friday Report to the Mayor,which covered
the following subjects: Gun Control
Debate Takes Center Stage, Supreme
Court Rejects Obama Immigration
Actions, FY17 Appropriations Update,
Small Unmanned Aircraft Regulations
Finalized, Major Chemical Safety
Legislation Enacted, Zika National Week
of Action,National Week of Making,FTA
Updates Capital Investment Grants
Guidance, FirstNet Implementation
Oversight, Grants This Month, Global
Covenant of Mayors for Climate &
Energy, FCC Plans to Increase Wireless
Data Speeds, Economic Benefits of
National Parks, and Interagency
Collaboration to Promote Opportunity.
4
i
Professional Services for the Month of June 2016.................. ...... $833.00
...... .......
Expenses (see at summary and receipts 28.6%)...................................$247.45
TOTAL AMOUNT DUE........................I.................................... ........... ........$1,080.45
i
i
LEONARD S. SIMON
President
I
i
i
i
I
i
i
I
i
I
I �
i
5
i
SIMON AND I COMPANY,INC.
i
Carmel Expenses Summary
Ju'ne2016
I
EXPENSE DATE DESCRIPTION TOTAL
Telephone& 05/21/16 Telecommunications& $25.06
Internet Internet
Postage 05/19/16-06/22/16 Postage Due $1.83
i
Photocopy 05/19/16-06/22/16 Photocopying Expenses $11.85
Overnight Delivery 05/23/16 Delivery Charges $31.24
Publication 06/16 Indystar.com Subscription $12.00
06/16 (prorated) Wall Street Journal $1.62
05/16/16-08/14/16 i The New York Times $12.08
(prorated) (Weekend Service)
09/01/16-06/01/17 Federal Yellow Book $30.72
(prorated) Subtotal: $56.42
Meal Expenses 06/23/16 (prorated) USCM Meeting Briefmg $125.00
in Indianapolis with
Mayor
Travel Expenses 05/13/16(prorated) Roundtrip airfare for Len $58.43
j Simon and one way
airfare for Jen Covino,
U.S. Conference of
Mayors Annual Meeting,
Indianapolis,June 22-28
06/21/16 Travel from the Office of $10.00
the First Lady
i
06/21/16 Travel to/from the office $17.71
i
i
of First Lady
i
06/22/16-06/27/16 Hotel in Indianapolis for $400.00
(prorated) L. Simon and J. Covino at
U.S. Conference of
Mayors Annual Meeting,
June 22-27
06/22-23/16 Auto Rental in Carmel for $127.66
meetings with Mayor,
staff and Performing Arts
Center
Subtotal: $613.80
i
TOTAL CARMEL $865.20
EXPENSES:
i
I
I
i
I
I
i
i
Stephanie Carter
I
From: Len Simon <len.simori@simoncompany.com>
Sent: Monday,June 13, 2016 5:58 PM
To: Stephanie McIntosh
Subject: FW:Your receipt from Apple.
Wall Street Journal
From:Apple [mailto:no_reply@email.apple.com]
Sent: Monday,June 13,2016 5:50 PM
To: len.simon@simoncompany.com
Subject:Your receipt from Apple.
meceuolt
APPLE ID
len.simon@simoncompany.com BILLED TO
Visa....2007
DATE LEONARD SIMON TOTAL
Jun 13,2016 1660 L Street N.W. $24.31
Washington, DC 20036-5603
ORDER ID DOCUMENT NO. USAF
ML5T913NDB 120128899896
App Store TYPE PURCHASED FROM PRICE
The Wall Street Journal—Breaking news
headlines,stock market updates&financial
WSJcoverage, plus business analysis.,The Wall In-App
Street Journal(Automatic Renewal) Purchase $22.99
Monthly I Jul 9, 2016
Report a Problem
Subtotal $22.99
Tax $1.32
TOTAL $24.31
Learn how to manage your password preferences for iTunes. iBooks; and App Store purchases at
https://support.apple.com/HT204030.
Apple ID Summary . Purchase History^Terms of Sale • Privacy Policy
Copyright O 2016 Apple Inc.
All rights reserved
' 1
e7h -NAtt Mark e7imes INVOICE 9
e • e
Account Number 409167343
Billing Date 5/15/16
Due Date 6/5/16 Previous Balance $157.09
Service from 5/16/16 to 8/14/16 i >
Number of days in billingPayments-Thank You $157.09 CR
period � 91
Payments received after 5/13/16 will not appear on this notice. Credits $0.00
Service adjustments occurring after 5/15/16 will appear on future notices. New Charges
Make checks payable to:The New York Times. g $157.09
026411 000010995 Amount Due $157.09
409167343 051516 90 R112 SS 1 For Customer Care,call 7 days a week:
I'llll�ll�l'I'1111'��1" 'III�IIII'1���'�II�II�II'll'll�ll��lll� I 'f 1-800-NYTIMES(1-800-698-4637)
Email:customercare@nytimes.com
SIMON&CO
DEL:SIMON/WILSON LN/DC I Monday-Friday 5AM-12 Midnight ET
23 1660 L ST NW STE 501 Saturday&Sunday 5AM-513M ET
WASHINGTON DC 20036-5662 or visit our Web site:
http://homedelivery.nytimes.com
I
(see reverse for more information)
SUBtC • •RTANT INFORMATION'
Previous Balance $157.09 Subscriber Name:
LEONARD SIMON
Payment Received 3/09/16 Thank You $157.09 CR
Weekend Service Charges 5/16/16 - 8/14/161 $148.20
Tax-Newspaper
$8.89
Amount Due I $157.09
i
i
I
i
Nil 60515-26411-0000109
---------- -------- I--_—
i
I
I
i
I
I
I
i
e
j Date: 05/13/16 B651
Leadership Directories, Inc.
1` y k, Account Number in any correspondence.DIEM number
1407 Broadway, 318,New York,NY 10018
Tel:(212)627-4140 Fax:(2,12)645-0931
E-mail:info@leadershipdirectories.com 427021
® Internet:www.leadershipdirectories.com
F
427021 Publication:
B:t. 11in Addi esu Federal Yellow Book
1.660 L S• NW S•T'E 501 Current Expire Date:
WASHINGTON, DC 20036-1662 06/bi/17
I
I
Date Ordered:
j
05113/16
I
Due Date:
06/12/16
Sh igp?nq Ace res s:
LEONARD S SIMON
1660 i ST NW S i"E 5031 Invoice Number:
WASHINGTON, DC 200i6"5662 10261467
l
Bill Code:
B651—F"YB 028
Update Fax Number (202)659-52 14
1 ( plate E--Mail! Address: .ten. _ imam_'-.:s7.monruiTtpfsnV . c_m
SUBSCRIPTIONS AMOUNT
PO:
Federal Yellow Book
Start Date — 00/01/201.6 — End Late — 06/01/2017
Renewal 4 Issues
1 coPV 623. 0t1_
1
SALES -JAX 35. 8c'
I
I
I
�I
r
Invoice reflects pay nvents rexei ed through 05e13/16.
if invoice was paid after above date, please ignore.
Choose your method of payment:
When mailing,please return one copy of this invoice.Our Federal ID number is 520888981.
Check Enclosed(Please make checks payable to Leadership Directories,Inc.and write your account number on the check.)
Credit Card: _Visa _Mastercard American Express
i
I Card Number: Expiration Date:
I I
Signature:
Make a payment online at: ,
wwvor.leadershipdirectories.com
When you make a payment online,you will need your
account number indicated above.
�L' ms@
� �� �m Account Number 09529 439216- -
Billing Date 05/21/16 01 3
Service ®stella Total Amount Due $651.62
Payment Due by 06/12/16
Page 2 of 3
Contact us: www.business.comcast.com 800.391.3000
TV Preferred 5 Basic Voice Line 06/02- 07/01 39.95
Business Video, Includes Analog C n/erte07/01 84:9 Business Voice.
- .... ..
Additional Outlet Fee 06/02 07/01 59.7,0 Basic Voice Line 06/02 07/01 199.60
6 @$9.95 each Business Voice.
........................................
.............................................._,........,... 8
666-Digital AO 06/02 07/01 29.85 @ .
$2495 each....................................................0'..2-0'7/0'j'
....
Basic ...............................................
..,
3 @$9.95 each . Voice Line 06/02- 07/01 79.90
......................................................................................................... Business Voice,
DVR Service 06/02- 07/01 10.00
................. I......... ......................06/02- 07!01.................5... 2 @$39.95 each
HDTechnologyFee 0 ......................................................................................................................................................
Total Comcast Cable Television $189.5 Equipment Fee 06/02- 07/01 14.95
5 V y Voice/Data„Modem Rental 06/02- 07/01 0.00
.= _ �� ti,, q
5 � s eha � X Service Discount 06/02- 07/01 0.00
:... 6 @$0.00 each
5 .............:........................................................................................... ........................._............
..
Internet Deluxe 50 Pkg Service Discount 05/27 06/26 24.95
IncludesPromotional Discount. 06/02 07/01 89.9 ......"..........................................................................................................................................
......................................................".... - .... Service Discount 05/27- 06/26 -45.00
0 ...........................0...
Business Wi-FI 06/02 07/01 0.0
............
..................
..........
-.........
...........6'/""'2".,.....
0. 3 @-$15.00 each
Total Comcast High-Speed Internet �6l02- 07/01 $109;95
View Voice (Detail at
0 www.business.comeast.com/myaccount
' -� r � s
,q� �, � � � Total Comcast Digital Voice $264.45
o o ® a r _
,0,0,
r
For Telephone(s): (202)293-6317 � � .
(202)293-9160
(202)496-9610 (202)496-96111 Universal Connectivity 05/27- 06/26 -2.66
(202)496-9622 (202)659-22219 Charge.............................................................................................
(202)659-4457 (202)659-4596 Regulatory Recovery Fee 05/27- 06/26 -8.51
(202)659-5234 5 ...........�....................................................................................................................................
(202)969-1691 Regulatory Recovery Fee 06/02- 07/01 38.85
(202)969-2090 2 $19.43 each
Franchise Authority Customer Service Center Location:
Government of the District of Columbia I Rhode Island Row Xfinity Store
Office of Cable Television, Film, Music and Entertainment 2350 Washington Place NE
1899 9th Street, NE Washington, DC 20018
Washington, DC 20002 Mon-Sat gam-bpm;Sun 12pm-6pm
(202) 671-0066 Mon-Fri 9am- 5pm Cleveland Park Xfinity Store
after 5pm HOTLINE (202) 671-1 OCT www.oct.dc.gov 3400 Connecticut Ave NW,Washington, DC 20008
Your FCC Community Code is DC0002 Mon-Sat 10am-7M;Sun 12pm-5pm
Late Charge For all inquiries/questions concerning your cable TV, Internet or
A late fee of$5.95 will be assessed for any balance that Digital Voice service, please call: (800)391.3000
has not been paid in full by 06-20-16.
Please send all written correspondence to:
5801 Metro Drive, Baltimore, MD 21215
Hearing Impaired/Speech Impaired Call 711
(somcast. Account Number 09529 438216-01-3
Billing Date 05/21/16
Total Amount Due $651.62
Payment Due by 06/12/16
Page 1 of 3
Contact us: www.business.comcast.com 800.391.3000
wgNiNSIMON COMPANY � �
PreyEous Balance 651 62
For service at: Payment Q5/'11/16 fihank you 69 62
1660 L ST NW STE 501 k
WASHINGTON DC 20036-5662 ! New,Charges see bele 69 6 '
1
Tot�IrAmolpnt Dlu� r i ,: 0�1<.�2
News from Comcast j xPaymenfi pue by a6/fi2/16
For quick and convenient ways to manage your account,view UM-
and pay your bill, please visit 10
www.business.comcast.com/myaccount.
Comcast Cable TelE3ulsior] f&9Q
Comcast Business Online Account:Service at fingertips, '
mYour � Comcast HEgh S�; d Internet 1D9 9Q
Use' online account to manage services, pay your bill, c,
and shop for business-grade apps.Simply go to CprnC`ast Digital VQlce® 26145
business.comcast.com/mvaccount to register.
_OtherCharges MID 81
Taxes, Surcharges&Fees _ �9 96 .
s Total Nevd``Charges ` � `- ��1 62
5 Y$
u I::"'
I les'r;
I
I
Detach and enclose this coupon with your payment.Please write your I ccount number on your check or money order.Do not send cash.
�cI
®mcastm Account Number 09529439216-01-0
Payment Due by 06/12/16
8098 SANDPIPER CIRCLE
BALTIMORE,MD 21236-4928 Total Amount Due $651.62
i
AV 01 006997 86841B 31 A**5DGT Amount Enclosed $
'I�II�II�II�II��II�I���L�I�III�����1"�II��IIIIII��I�III1�"�I�' Make checks payable to Comcast
SIMON COMPANY
SIMON COMPANY
1660 L ST NW, SUITE 501
WASHINGTON DC 20036-5662 COMCAST
PO BOX 3005
SOUTHEASTERN PA 19398-3005
I
09529 439216 01 3 1 065162
i
INDYT,A►R
BRANDON KEY
June.2016
Share digital access
1Manage account
INDYSTAR
Newsletter settings i
Full access=Digital only
Access eNewspaper i
Billing info
1, Monthly rate: 512.00 j
Need help?Call Customer Service at 1-888-357-7827 J
i
or email them at indianapolisstar@gannett.com I
I
I
Interested in print delivery?
Upgrade today to enjoy the convenience of home delivery,with money- Call Customer Service at
saving coupons,ad inserts and more- 1-888-357-7827 to add print delivery.
I
A
$12 Monthly Subscription Charge
for the Indianapolis Star
�I
I
i
I
I
Len Simon
From: American Airlines@aa.com.<notify@aa.globainotifications.com>
Sent: Friday, May 13, 2016 5:38 PM
To: LEN.SIMON@SIMONCOMPANY.COM
Subject: E-Ticket Confirmation-YRVZWL 22JUN
American Reservation; Redeem Miles My Account Deals
I
Itinerar y a►
ReceiptConfirmation
Ticket ISSLied: May 13, 2016
Leonard S Simon, - . F
Thank you for choosing American Airlines/American Eagle, a member of the
oneworld0 Alliance. Below are your itinerary and receipt for the tickets)
purchased. Please print and retain this document for use throughout your trip.
You have purchased a Choice Essential Bundle. For more infonration, please
visit www.aa.com/travelo tions.
p Cltl Ad�rarttage 4
You may check in and obtain our boarding Earn 30,000 gib€nus P)gles,
Cec
Y y g pass for U.S. domestic electronic
tickets within 24 hours of'your flight time online at AA:com by using Pius Waive ylfi7k. d
www.aa.com/checkin or at a Self-Service Check-InImachine atthe Dag 2e
airport. Check-in options maybe found at www.aal.com/options. For Learn'more»
information regarding American Airlines checked baggage policies, please visit
www.aa.com/baggageinfo. For faster check-in at the airport,scan the Up to 35%off plus 500
barcode below at any AA Self-Service machine. AAdvantagel'bonus miles.
To receive updated flight status notifications, please visit � � °
www.aa.com/notifications.
You must present a government-issued photo ID and either your boarding pass k
or a priority verification card at the security screening checkpoint.
You can now Manage Your Reservation on aa.com;where you can check in mduarltag+
and purchase additional items to customize your journey.Avariety of seatingnterfcare�ciin{�*.o.n�ras>
options are also available for purchase to enhance your travel with features
such as convenient front of cabin location, extra leg iroom and early boarding.
I
t a sk a he t i LTJ Remind me to Ubur)
Book a Cat' G Buy trip insa4mnt:e o
i
i
I
1
Record.
iLocator V�d YRVZ L i'1I1 Prem011111
i
Itinerary
Carrier Flight# Departing Arriving Fare Code
---
;. WASHINGTON REAGAN INDIANAPOLIS
5523 WED 22JUN S
American 12:40 PM 2:17 PM
OPERATED BY PSA AIRLINES AS AMERICAN EAGLE
Leonard Simon Seat 11A Economy FF#: 58Y8EF4
X.--- INDIANAPOLIS WASHINGTON REAGAN
a 5394 TUE 28JUN O
American 7:25 AM 8:59 AM
OPERATED BY PSA AIRLINES AS AMERICAN EAGLE
Leonard Simon Seat 11A Economy FF#: 58Y8EF4
Receipt
Passenger Ticket# Fare-USD Taxes and Carrier- Ticket Total
Imposed Fees
n
["i Leonard Simon 0012372778705 305.12 51.08 356.20
Baggage Information
Baggage charges for your itinerary will be governed by American Airlines BAG ALLOWANCE-DCAIND-01 Piecei American Airlines/UP TO 50 LB/"23 KG
AND UP TO 62 LINEAR IN/158 LINEAR CM BAG ALLOWANCE-INDDCA-01 Piece/American Airlines!UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN1158
LINEAR CM 1STCHECKED BAG FEE-DCAIND-1JSD0.00/American Airlines/UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM
1 'TCHECKED BAG FEE-INDDCA-USD0.00/American Airlines!UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CIA 2NDCHECKED BAG FEE-
DCfUND-USD35.00/American Airlines/IJP TO 50 LB/23 KG AND UP TO 62 LINEAR IN1158 LINEAR CM 2NDCHECKED BAG FEE-INDDCA-USD35.00.1
American Airlines/UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158 LINEAR CM ADDITIONAL ALLOWANCES AND/OR DISCOUNTS MAY APPLY
You have purchased a NON-REFUNDABLE fare.The itinerary must be canceled before the ticketed departure time of the first unused coupon or the ticket
has no value. If the fare allows changes,G,fee may be assessed for changes and restrictions may apply.
You have 24 hours to cancel your trip for a full refund if you booked at least 7 days prior to departure.You must cancel your trip before requesting a refund.To
cancel your trip,login on aa.com or Contact Reservations. For our refund policy and to request a refund,go to www.aa.com/refunds.
One or more of your flights is a Codeshare flight and is operated by a Partner Airline. If your journey begins with a flight operated by one of American's Partner
Airlines,then please,check-in with the Partner Airline for that portion of your Journey. Upon check-in,they will check your luggage to its final destination and
provide boarding passes for your connecting flights,if applicable.
2
W17/2016 Gmail-E-Ticket Confirm ation-KSZFIB 22JUN
MEmail Jen Covino <jencovino@gmail.com>
E-Ticket Confirmation-KSZFIB 22JUN
American Airlines@aa.com <notif aa. lobalnotifications co >
@ Y@ 9 m Fri, May 13, 2016 at 5:53 PM
To: "JENCOVINO@GMAIL.COM" <JENCOVINO@gmail.com>
American Airlines Reservations Redeem Miles MyAccount Deals
eTidet I tineralry1►
1- p
Ticket Issued:May 13,2016
"ennifer Covino,
Thank you for choosing American Airlines/American Eagle,a member of
the oneworld®Alliance. Below are your itinerary and receipt for the ticket(s) J
purchased. Please print and retain this document;for use throughout your
trip t r.
You have purchased a Choice Essential Bundle. For more information,
please visit www.aa.com/traveloptions.
w±.x�w+drm, r
You may check in and obtain our boarding C1 ti AM'4anw age
Y Y g pass for U.S.domestic
electronic tickets within 24 hours of your flight time online atAA.com by Earl'3 0,00 0 bonus rnHes,
using www.aa.com/checkin or ata Self-Service Check-In machine at the plus waive your checked
airport. Check-in options may be found at www.aa.com/options. For bag fee
information regarding American Airlines checked baggage policies,please Learn more»
visit www.aa.com/baggageinfo. For faster check-in at the airport,scan
the barcode below at any AA Self-Service machine.
Up to 35%Off plus 500
To receive updated flight status notifications,please visit AAdvantage% bonus miles.
www.aa.com/notifications.
AVIS' Budget'
You must present a government-issued photo ID and either your boarding
pass or a priority verification card at the security screening checkpoint.
You can now Manage Your Reservation on aa.com,where you can check in
and purchase additional items to customize yourjourney.A variety of 'ti
seating options are also available for purchase to enhance yourtravel with AAdvantage
features such as convenientfront of cabin location,extra legroom and early Enter fbrachance to n.>>
boarding.
Sank a boteI i R;amind me to Uber»
j Book a ear» (B 'Buytrip insurance»
1
Roto KSZFIB
hfps://mail.google.com/mai l/u/O/?ui=2&ik=ac22262abO&view=pt&search=inbox&m sg=154acl bdeb2eb6da&si m 1=154acl bdeb2eb6da 1/3
1/17/2016 Gmail-E-Ticket Confirmation-KSZFIB 22JUN
t
Itinerary
Carrier Flight# Departing Arriving Fare Code
WASHINGTON REAGAN INDIANAPOLIS
AL. 5523 WED 22JUN S
American 12:40 PM 2:17 PM
OPERATED BY PSA AIRLINES AS AMERICAN EAGLE
Jennifer Covino Economy FF#:40NPR16
Receipt
Passenger Ticket# Fare-USD Taxes and Carrier- Ticket Total
Imposed Fees
n
IN Jennifer Covino 0012372784163 199.07 29.03 228.10
Baggage Information
Baggage charges for your itinerary will be governed by American Airlines BAG ALLOWANCE-DCAIND-01 Piece/American Airlines/UP TO 50 LB/23 KG
AND UP TO 62 LINEAR IN/158 LINEAR CM 1 STCHECKED BAG FEE-DCAIND-USD0.00/American Airlines/UP TO 50 LB/23 KG AND UP TO 62
LINEAR IN/158 LINEAR CM 2NDCHECKED BAG FEE-DCAIND-USD35.00/American Airlines/UP TO 50 LB/23 KG AND UP TO 62 LINEAR IN/158
LINEAR CM ADDITIONAL ALLOWANCES AND/OR DISCOUNTS MAY APPLY
You have purchased a NON-REFUNDABLE fare.The itinerary must bel canceled before the ticketed departure time of the first unused coupon or the
ticket has no value.If the fare allows changes,a fee may be assessed for changes and restrictions may apply.
You have 24 hours to cancel your trip for a full refund if you booked at'least 7 days prior to departure.You must cancel your trip before requesting a
refund.To cancel your trip,login on aa.com or Contact Reservations. For our refund policy and to request a refund,go to www.aa.com/refunds.
One or more of your flights is a Codeshare flight and is operated by a Partner Airline.If yourjourney begins with a flight operated by one of American's
Partner Airlines,then please check-in with the Partner Airline for that portion of yourjoumey.Upon check-in,they will check your luggage to its final
destination and provide boarding passes for your connecting flights, if applicable.
.IL"-eft cigar7LC7 LW"uni�ekltcl p}:p17.IS'v': �,4'U7C} Fhnunab%a Oristzcrs u}in: :RaalchdAra cuff i cC
Some everyday products, like e-cigarettes and aerosol spray starch,can be dangerous when transported on the aircraft in carry-on and/or checked
baggage. Changes in temperature or pressure can cause some items,to leak,generate toxic fumes or start a fire. Carriage of prohibited items may
result in fines or in certain cases imprisonment. Please ensure there ate no forbidden hazardous materials in your baggage like:
Some Lithium batteries(e.g.spares in checked baggage,batteries over a certain size), Explosives/Fireworks,Strike anywhere matches/Lighter
fluid, Compressed gases/Aerosols Oxygen bottles/Liquid oxygen, Flammable liquids, Pesticides/Poison, Corrosive material.
There are special exceptions for small quantities(up to 70 ounces total)of medicinal and toilet articles carried in your luggage,spare lithium batteries for
most consumer electronic devices in carry-on baggage,and certain smoking materials carried on your person.
Certain items are required to be carried with you onboard the aircraft. For example,spare lithium batteries for portable electronic devices,cigarette
lighters and a-cigarettes must be removed from checked or gate-checked baggage and carried onboard the aircraft. However,e-cigarettes may not be
used on-board the aircraft.
Traveling with medical oxygen,liquid oxygen,mobility aids and other assistive devices may require airline pre-approval or be restricted from carriage
entirely.Passengers requiring these items should contact the airline operatorfor information on use of such devices.
Electronic tickets are NOT TRANSFERABLE. Tickets with nonrestrictive fares are valid for one year from original date of issue. If you have questions
regarding our refund policy,please visit www.aa.com/refunds.
https://mail.google.com/m ai I/u/0/?ui=2&ik=ac22262abO&view=pt&search=inbox&msg=154acl bdeb2eb6da&si m l=154acl bdeb2eb6da 2G
Invoice Number Invoice Date Account Number Page
5-440-34653 Jun 07 2016 0200-7484-1 4 of 4
FedEx Express Shipment Detail By Payor Type (Original)
$�tl}i� �£ May3,2D16 CtlSt,del �Q(EPREIUG fN1=UR1�tf,ATIU Ref#2
F�ayo►»Sfttpr... Rpt#
.....
.
• Fuel Surcharge-FedEx has applied a fuel surcharge of 0.50%to*this shipment
• .Distance Based Pricing,Zone 4
Automation USAB -Sender Recipient
Tracking ID 807030400310 LEN SIMON MAYOR JIM BRANDRD
Service Type FedEx Standard Overnight SIMON&COMPANY INC CITY OF CRMEL =
Package Type FedEx Envelope 1660 L ST NW STE 1050 1 1 CIVIC SO
Zone. 04 WASHINGTON DC 20036-5663 US CARMEL IN 46032 US
Packages 1
Rated Weight N/A
Delivered May 24,2016 09:10
Svc Area A2 Transportation Charge 31.08
Signed by C.MARTIN Fuel Surcharge 0_.16
FedEx Use 014491223/0000222/_ Total Charge g... USD $31iZ4
Ship Date .dui Q�,2016 Cult Ret NQ RE� i�)�NC tN�lFiMg�"IQ :Ref#Z
Rayt�r �hfppe ....: Ret#�
• Fuel Surcharge-FedEx has applied a fuel surcharge of 0.50%to this shipment, i
• Business Closed orAdult Recipient Unavailable-Delivery NotCompleted.
•
Sm-
Distance Based Pricing,Zone 3
• Package sent from:10036 zip code
•
1 st attempt Jun 03,2016 at 10:07 AM.
11
Automation USAB Sender Recipient
Tracking ID 807030400294 VMAYER MEGHAN ALDRIDGE
Service Type FedEx First Overnight SIMON&COMPANY INC CITY OF BOSTON-MAYORS OFFICE
Package Type FedEx Envelope 1660 L ST NW STE 1050 1 CITY HALL SO
Zone 03 WASHINGTON OC 20036-5663 US BOSTON MA 02201 US
Packages 1
Rated Weight N/A I
Delivered Jun 03,201610:40 Transportation Charge 53.94
Svc Area Al Direct Signature 4.25
Signed by M.ALDRICH Fuel Surcharge 0.27
FedEx Use 015471897/0000004/_ Total Charge USD $58.46
Shipper Subtotal USD $89.70
Total FedEx Express USD $89.70
I
i
i
1158-01-00-0003573-0001-0008270
f RECEIPT
Rental Agreement Number: 6699162 ,
Vehicle Number: 46654355 '
YOUR INFORMATION
SIMON,LEONARD Harry & Izzy's Circle Centre
RAPID REZ: JJ698J 153 S Illinois Street
BUDGET DISC: 1 317-635-9594 .
SIMON AND COMPANY, INC
PAYMENT METHOD: VISA;XX20O7 Server: David DOB: O6/23f2O16
[N�OUR RENTAL 09:45 PM 06/23/2016
162/1 5/50035
Picked up: IND SALE
Date/Time. ' JUN 22, 2016@03:15PM
Returned: IND
Date/Time: JUN 23, 2016@04:33PM VISA 6291490
Veh Group: Compact i Card #XXXXXXXXXXXX8421
Veh Charged: Compact Magnetic card present: Yes
Vehicle: FORD FOCUS Card Entry Method: S
Odometer Out: 2762
Odometer In: 2832
Fuel Reading: Approval : 09178G
KUVEHICLE CHARGESAmount: $295.91
�
1 HR@ 33.01 33.01 + Tip:
1 DY@ 44.00 44.00
YOUR TIME AND MILEAGE; 77.01 = Total : __ c
YOUR TAXABLE FEES
**11 .11% FEE 8.69 I agree to pay the abo e
FUEL SERVICE 13.99 total amount ac rdi t th
CUST FAC CHARGE 4.00/DY 8.00 card is e a r m t
ENERGY RECOVERY 0,60/DY 1 .20
YOUR SUBTOTAL X
TAXABLE SUBTOT 108.89
TAX 7.000% 7.62
******Guest's Copy******
YOUR NDN TAXABLE ITEMS
#4% TAX 4.62
COUNTY SURCH 6.00 6.53
TOTAL CHARGES 127.66
NET CHARGES USD 127.66
YOUR TOTAL DUE: 0.00
PAID ON VISA XX2007
"CONCESSION RECOVERY FEE
#4% AUTO RNTL EXCISEJAX
i
THANK YOU FOR RENTING WITH BUDGET+
- I
For inquiries or e-receipt visit
WWW.BUDGET.COM
_.... . ., ..
GUEST FOLIO JW MARRIOTT
INDIANAPOLIS
JW Marriott@ Indianapolis•io S West Street,Indianapolis,Indiana 46io4.327.86o.5800•Marriott.com/INDJW
i RoO SON/LEN 1, x.00: ,/28/16 q X30 20865 : 3031
ACCT# GROUP`
uh UNITED STATES CONFER A� f 22%16 1re:21"
08„
392 1620`. I{ 5T: NWS 0 h
{
VSX4XXXXXXXXXXX2007
�Room � W I NGTON DC 2y0006 ; Payment � RWD#.
Clerjc tiE9i
1
CREDITS*
06/22 OSTERIA 1 ,910 106. 11
06/22 PARKING DRYS ' 45.00
06/22 ROOM 910, 1 189.00
06/22 SALESTAX 910„ 1 13.23
06/22 OCC TAX 9101 1 18.90
06/23 GIFTSHOP GIFT SHO 6.00
06/23 ROOM 910, 1 189.00
06/23 SALESTAX 910,, 1 13.23
06/23 OCC TAX 910,, 1 18.90
06/24 ROOM 916, 1 189.00
06/24 SALESTAX 910, 1 13.23
06/24 OCC TAX 910, 1 18.90
06/25 OSTERIA 11910 68.41
06/25 ROOM 910, 1 189.00
06/25 SALESTAX 910, 1 13.23
06/25 OCC TAX 910, 1 18.90
06/26 PARKING DG ; 45.00
06/26 ROOM 910, 1 189.00
06/26 SALESTAX 910, 1 13.23
06/26 OCC TAX 910, 1 18.90
06/27 GIFTSHOP GIFTISHO 6.00
06/27 FE EX PRINTING 54.60
06/27 GIFTSHOP GIFT ; SHO 3.00
06/27 ROOM 910, 1 189.00
06/27 SALESTAX 910, 1 13.23
06/27 OCC TAX 910, 1 18.90
06/28 CCARD—VS 1660.90
PAYMENT RECEIVED BY: jVISA XXXXXXXXXXXX2007
.00
I
AS REQUESTED, A FINW COPY OF YOUR BILL WILL BE EMAILED TO:
LEN.SIMON@SIMONCOMPANY.COM
SEE "INTERNET PRIVACY STATEMENT” ON MARRIOTT.COM
i
i
Operated Under License From Marriott International Inc.Or One Of Its Affiliates
For questions regarding this folio,please call Marriott Business Services toll free 866.435.7627•
i a►
To secure your next stay,go tojwmarriott.com el
JW MARRIOTT
-0ITI.NDIANAPOLIS GUEST FOLIO
Rf2043 COUTHO/JENNIFER 18�rE00 UVe7/16 IOTH 20402 3031
IORQ UNITED STATES CONFER 15�1�� ACCT# GROUP
0�&�E�2/16
Ro
cL�jp 1620 I ST. NW
MCx*"xXXXXXXX1511
DATE I REFERENCE CHARGES 1 CREDITS RwDBALANCE DUE __;
06/22 ROOM 2043, 1 189.00
06/22 SALESTAX 2043, 113.23
06/22 OCC TAX 2043 , 1 ' 18.90
06/23 ROOM 2043, 1 189,00
06/23 SALESTAX 2043, 1 13.23
06/23 OCC TAX 2043, 1 18.90
06/24 ROOM 2043, 1 189.00
06/24 SALESTAX 2043, 1 13.23
06/24 OCC TAX 2043, 1 18.90
06/25 ROOM 2043, 1 189.00
06/25 SALESTAX 2043, 1 13.23
06/25 OCC TAX 2043, 1 18.90
06/26 ROOM 2043, 1 1189.00
06/26 SALESTAX 2043, 1 13.23
06/26 OCC TAX 2043, 1 1 18.90
06 27 CCARD-MC ! 1105.65
AYMENT RECEIVED BY: MASTERCARD XXXXXXXXXXXX1511
.00
------------------- EXP. REPORT SUMMARY -------------------
06/22 ROOM 189.00
SALESTAX 13.23
OCC TAX 18.90
06/23 ROOM 189.00
SALESTAX 13.23
OCC TAX 18.90
06/24 ROOM 189.00
SALESTAX 13.23
OCC TAX 18.90
06/25 ROOM 189.00
SALESTAX 13.23
OCC TAX 18.90
06/26 ROOM 189.00
SALESTAX 13.23
OCC TAX 18.90
AS REQUESTED, A FINAL COPY OF YOUR BILL WILL- BE EMAILED TO:
JENNIFER.COVINO@SIMONCOMPANY.COM
'�'tINTERNET PRIVACY 'STATEMENTtt ON MARRIOTT.COM
JW MARRIOTT
This statement is your only receipt.You havo agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for ail amounts charged to
you.The amount shown in the credits column opposite any credit card entry in the reference column above arill be charged to the credit card number set forth above, (The
credit card company will bill in the usual manner.) If for any reason the credit card company dors not make payment on this account,you will owe us such amount. If you
are direct billed,in the event payment is not made Within 25 days after check-out,you will owe us interest from the checkout date on any unpaid amount at the rate of:.5170
per month(ANNUAL RAT[18%),or the ma)emum allowed by law,plus the reasonable cost of collectlon,including attorney fees.
Signature X