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HomeMy WebLinkAbout193068 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 354720 Page 1 of 1 ONE CIVIC SQUARE COSTCO WHOLESALE MEMBERSHIP CARMEL, INDIANA 46032 PO BOX 34783 CHECK AMOUNT: $140.00 SEATTLE WA 98124 -1783 CHECK NUMBER: 193068 CHECK DATE: 1 212 212 01 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4355300 GOLF 140.00 ORGANIZATION MEMBER i EXECUTIVE BUSINESS MEMBERSHIP 0 0® ANNUAL RENEWAL NOTICE Business Pnmary Cardholder $SO RENEWAL MONTH: FEBRUARY 2011 MEMBER NUMBER: 000111774019754 66 Cardholder, FREE CARDHOLDER'S NAME AMOUNT HOUSEHOLD MEMBER AMOUNT Add -0n Cardholder $40 each Add' on HousehoidCartlholder FREE ROBERT HIGGINS $100.00 KEN MILLER $0.00 Exeu4ve U fade PAM LISTER $40.00 MELISSA MONTGOMERY $0 -00 PJ TOTAL RENEWAL FEE $1 40.00 If you don t have any changes,to your memtiershrp;:RENEW ;ONLINE AT COS 'W'COM Simply Iog on fv cnstco com, type:RENEW ,in the product search box;:and follow he srmple rns,trtacGons to'renew your membership.today Please see Instructions on reverse to add, remove or replace a cardholder. JOIN THE MORE THAN 2 MILLION MEMBERS USING Cu"I'STICO"SERMVICES w COI18UME SERVICES o`Auto &Home lnsutanc ©Online lnvestEng *t; Boat RV Loans and Refinancing 6 Personal Checks ��s d .Costco Auto Program �:Pers©nal Heal Insurance High Yl id Sa0i gs Accounts GQs n� i� Pa rx T Group Dental Plan for: lroividuals I entity;Protection onlymCA 7.1 Visit C Ostco.com and search: Services Costco does not provide services; all services are provided by third parties. llEx02t3_B 1(Vl0 6 N t Renewal of your membership constitutes acceptance of Costco's Privileges and Conditions of Membership and its Privacy Policy and Practices, which are available at our membership counter or online at costco.com. Please provide all cardholders with this information. Renewal Policy— Memberships renewed within 2 months after expiration of the current membership year will be extended for 12 months from the expiration date. Memberships renewed more than 2 months after such expiration will be extended for 12 months from the renewal date. All cardholder changes will be effective upon receipt of renewal payment. New membership cards will not be sent unless new cardholders are added or changes are made to the account. CHANGES TO YOUR ACCOUNT: Fill in the necessary information in the space provided below and adjust payment accordingly. Changes to your membership cannot currently be made online at costco.com. If adding household member cardholder: Add household member's name in space below the primary cardholder. *A household member card is available to primary cardholders household member, domestic partner, or immediate family member over the age of 18 and living at the same address. Household member cardholders will be asked to present proof that they live atthe same address asthe primary oradd -on cardholder. If adding additional cardholders only: Add name at next available add -on cardholder position, then add fee at rightto total fees due. If replacing cardholders: Cross out name, and replace with new name. Amount due will remain the same on cardholder. If removing cardholders: Cross out name, and subtract fee at right from total fees due. Note: If paying cardholder is removed and household member card is attached and is to remain on the account, he /she must be moved to an add -on cardholder position and fees adjusted accordingly. NOTE: Only the Primary Cardholder and the Primary's Household Member may be Executive Members. Add -on Cardholders may convertto their own membership if they wish to upgrade to an Executive Membership. Limit one Executive Membership per household and/or business. Have questions about your renewal? Call us at 1 -800- 774 -2678. EnEBNB IM9 VOUCHER NO. WARRANT NO. ALLOWED 20 Costco Membership IN SUM OF P.O. Box 34783 Seattle, WA 98124 1783 $140.00 ON ACCOUNT OF APPROPRIATION FOR r- Z Brookshire Golf Club Sk cl� c1�_ PO# 0"ept.. INV/_O.ICE —N0 ACCT #/TITLE AMOUNT Board Members 1207 0001117740197 43- 553.00 $140.00 1 hereby certify that the attached invoice(s), or 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 Friday, December 17, 2010 Director, Broo s ire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 02/01/11 00011177401975 Membership $140.00 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