300309 07/14/16 CITY OF CARMEL, INDIANA VENDOR: 367001
1• ONE CIVIC SQUARE CAPII AL ONE COMMERCIAL CHECK AMOUNT: $*******548.43*
CARMEL, INDIANA 46032 PO Bok 5219 CHECK NUMBER: 300309
CAROL STREAM IL 60197-5219 CHECK DATE: 07/14/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 700373110007 88.71 GENERAL PROGRAM SUPPL
1095 4239040 700373110007 86.62 FOOD & BEVERAGES
1096 4239039 700373110007 373.10 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
(Costco)
367001 Capital One Commercial Allowed 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 548.43
ON ACCOUNT OF APPROPRIATION FOR
108 ESE /109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-3 7003731100072984 4239039 $ 88.71 1 hereby certify that the attached invoice(s), or
1095-1 7003731100072984 4239040 $ 86.62 bill(s) is (are)true and correct and that the
1096-60 7003731100072984 4239039 $ 373.10 materials or services itemized thereon for
which charge is made were ordered and
received except
July 6, 2016
Signature
$ 548.43 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
COSTCO
Please Direct Inquires To: 1-800-220-8594
Account Number ''New Balance jP_ayment Due Amount PastDue" ' -Due Date
7.0.037�3�11„ff00729.84 43> N.. ` ' $.00 $:00 07/21/2016
N
Billing Date Credit Line
5,000/2 / )06s 4 7
v
JUL 0;6 2016
M Manage your account online at www.hrscommercial.com
BY:
STATEMENT OF YOUR ACCOUNT
0
FINANCE CHARGE SUMMARY; .f
Credit Credit Average DailyCorres- FINANCE ANNUAL New Minimum Promo
o Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
N
N Reg 00014 $34.09 0.00000% 00.00% I $.00 00.00% $548.43 $.00 07/26/2016
ACCOUNT DETAIL
Transaction Transaction invoice '- User P.O.- Transaction
Date ,” Description - Number,. ID •" Number. : Amount
06/02/2016 COSTCO WHOLESALE-346 047517 0005 $88.71
0005 SUBTOTAL: $88.71
06/01/2016 COSTCO WHOLESALE-346 007282 0016 $213.16
06/16/2016 COSTCO WHOLESALE-346 057805 0016 $199.93
0016 SUBTOTAL: $413.09
06/12/2016 COSTCO WHOLESALE-347 066551 0021 $86.62
0021 SUBTOTAL: $86.62
06/16/2016 RETURNED MERCHANDISE 0016 -$39.99
06/19/2016 PAYMENT-THANK YOU 0001 -$448.71
Return the below portion with payment.For billing errors or questions please refer to the back of this statement. PAGE: 1 of 2
COCOSTCO
ACCOUNT SUMMARY BALANCE SUMMARY
Outstanding
CURRENT 1-29 DAYS PAST DUE '30-59 DAYS PAST DUE Transaction $448.71
+New
$.00 $.00 $.00 Purchase(s)/Debit(s) $588.42
N - +New Fees $.00
0 60-89 DAYS PAST DUE 90-119.DAYS PAST.DUE 120-149 DAYS'PAST DUE +Finance charges $.00
`o
9 $.00 $.00 $.00 Payments) $448.71
0
a Credit(s) $39.99
150-179 DAYS PAST DUE 180+DAYS PAST DUE
m
=New Balance $548.43
s $.00 $.00
0
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PAGE: 2 of 2
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