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CITY OF CARMEL, INDIANA VENDOR: 367001
ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $*******372.78CARMEL, INDIANA 46032 PO BOX 5219 CHECK NUMBER: 301832
CAROL STREAM IL 60197-5219 CHECK DATE: 08/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 700373110007 79.92 GENERAL PROGRAM SUPPL
1095 4239040 700373110007 86.30 FOOD & BEVERAGES
1096 4239039 700373110007 206.56 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
(Costco)
367001 Capital One Commercial Allowed 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 372.78
ON ACCOUNT OF APPROPRIATION FOR
108 ESE /109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1082-3 7003731100072984 4239039 $ 79.92 1 hereby certify that the attached invoice(s), or
1095-1 7003731100072984 4239040 $ 86.30 bill(s) is (are)true and correct and that the
1096-60 7003731100072984 4239039 $ 206.56 materials or services itemized thereon for
which charge is made were ordered and
received except
August 8, 2016
1W
Signature
$ 372.78 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
7/26/16 7003731100072984 General Program Supplies $ 79.92
7/26/16 7003731100072984 Food & Beverage $ 86.30
7/26/16 7003731100072984 General Program Supplies $ 206.56
Total $ 372.78
1 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
��� COSTCO
Please Direct Inquires To: 1-800-220-8594
Account Number NewBalaricPayment Due Amount Past Due Due Date
"7003-7311-0007-2984 -A$3702 78 $.00 - $:00 08/20/2016
Billing Date. Credit Line Available Credit
07/26X2016 -
$5;000 $4,627.22.
a
Manage your account online atiwww.hrscommercial.com
0
0
STATEMENT OF YOUR ACCOUNT
0
o
FINANCE CHARGE SUMMARY
Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo
o Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
16 Description Number Balance Rate APR Periodic Rate - RATE Due
A
Reg 00014 $24.85 0.00000% 00.00% $.00 00.00% $372.78 $.00 08/26/2016
ACCOUNT DETAIL
Transaction Transaction t Invoice User P.O. Transaction
Date Description Number ' ID Number Amount
06/29/2016 COSTCO WHOLESALE-346 002480 0005 $79.92
0005 SUBTOTAL: $79.92
07/21/2016 COSTCO WHOLESALE-346 005242 0016 $206.56
0016 SUBTOTAL: $206.56
07/07/2016 COSTCO WHOLESALE-347 009672 0021 $92.80
0021 SUBTOTAL: $92.80
07/17/2016 PAYMENT-THANK YOU 0001 -$548.43
07/21/2016 RETURNED MERCHANDISE 0021 -$6.50
A
AUG 0 5 2016
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.
seoos
COSTCO
ACCOUNT SUMMARY BALANCE SUMMARY "
Outstanding
CURRENT T 29 DAYS PAST DUE 30-59 DAYS PAST DUE
Transaction $548.43
+New
$.00 $.00 $.00 Purchase(s)IDebit(s) $379.28
+New Fees $.00
a
,'60-89 DAYS PAST DUE 90-119 DAYS PAST DUE 120-149 DAYS;PAST DUE
o +Finance Charges $.00
`o
$,00 $,00 $,00 k Payment(s) $548.43
0
VaCredit(s) $6.50
150-179 DAYS PAST DUE A80+DAYS PAST DUE
=New Balance $372.78
$.00 $.00
0
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