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306696 01/05/17
CITY OF CARMEL, INDIANA VENDOR: 367001 ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $*******192 32* CARMEL, INDIANA 46032 PO BOX 5219 CHECK NUMBER: 306696 CAROL STREAM IL 60197-5219 CHECK DATE: 01/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 192.32 7003731100072984 | « \ k © -4 0 & © � 2 \ o n0 40 o � O� / E z n o 2 % \ 0 � A a E 22k0 3 z R a � 0 Ai co p o O % Um ■ 7 ; E > m > o t0 m -0/ §$ g co a C C � k \ J ( c M a 2 _\ e \ \ g > O I 2 k co k 3 �q ® � ] L7 \ D Q /® F_= e M // c CD a . q 0 Q 3 > Q g � / R + o -0 m - G e / ¢ 7 ) \ k 7 13 § k 2 our \ k - / \ w »CL E CD E . 0 B_ » k § o $ k ¢ E d_ C f | 0 a | � COSTCO Please Direct Inquires To: 1-80G-220-8594 Account Number New Balance Payment Due Amount Past Due Due Date 7003-7311-0007-2984 $192.32 $.00 $.00 01/20/2017 Billing Date Credit Line Available Credit g 12/26/2016 $5,000 $4 807.68 a U a o Manage your account online at www.hrscommercial.com 0 0 g STATEMENT OF YOUR ACCOUNT 0 FINANCE CHARGE SUMMARY 8 Credit Credit Average Daily Corres- 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 Reg 00014 $12.82 0.00000% 00.00% $.00 00.00% $192.32 $.00 01126/2017 ACCOUNT DETAIL Transaction Transaction Invoice User P.O. Transaction Date Description Number ID Number Amount 12/07/2016 COSTCO WHOLESALE-346 068421 0005 $192.32 0005 SUBTOTAL: $192.32 12/10/2016 PAYMENT-THANK YOU 0001 -$723.09 ,SAN 0 3 2017 BY: Return the below portion with payment.For billing errors or questions please refer to the back of this statement. PAGE: 1 of 2 CbS7V0COSTCO -11V/'rOi6s'i111L ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURRENT 1-29 DAYS PAST DUE 30-69 DAYS PAST DUE Transaction $723.09 +New $.00 $.00 $.00 Purchase(s)/Debit(s) $192.32 +New Fees $.00 0 60-89 DAYS PAST DUE 90-119 DAYS PAST DUE 120-149 DAYS PAST DUE +Finance charges $.00 0 o $.00 $.00 $.0 Payment(s) $723.09 Credit(s) $.00 150-179 DAYS PAST DUE 180+DAYS PAST DUE o =New Balance $192.32 0 o $.00 $.00 0 0 0 0 v 0 0 v 0 PAGE: 2 of 2