HomeMy WebLinkAbout220979 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 367001 Page 1 of 1
ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL
CARMEL, INDIANA 46032 PO BOX 5219 CHECK AMOUNT: $313.31
CAROL STREAM IL 60197-5219
CHECK NUMBER: 220979
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 213 . 60 7003731100072984
1096 4239039 99. 71 7003731100072984
Please Direct Inquiries To:1-800-220-8594 CAMSM01 COSTCO
IA HOLESAISLE
Amount-FOMI:Due:: Dud:b4te,
..... ............. ......
...... . ....
... . . .. ......... ........ ..........
...... . .....
7003-7311-00072984 1 468.38 :4.00 .06/2012013_-_
BIIIing .. . . ....... . .. ......
... ........ .. .... ...... .... .. ..........
.-..... ....
..... .... ..... ..... .... .......
............. ......
05/26/2013: ax$5 000:::�::.. ......
U,21 a
..... ........... ......
TDD/Hearing impaired: 1-800-365-0186
STATEMENT OF YOUR ACCOUNT
...............
Z IFIRANCE:CHA ......
........... .... ... ....................
................ .......... .. ............... .............................
E; .. .. ..
0
0
U Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo
c�_ Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
I? Credit
00014 0.00000% 00.00% $.00 00.00% $1,468.38 $1,468.38 05/26/2013
Reg 00014 $20.89 0.00000% 00.00% $.00 00.00% $313.31 $.00 06/26/2013
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ACCOUNT DETAIL
. ......... ............... ...........
.. .... .. :::::::::;>;:::::::.
User: P
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............Tnirlism
.......... ............. ..........
. ........ ......
............ Number
........................................ ........ ......
.. . . ...... .. . ........... . ..... .... ...........
............ ....................... ............ ......... ........ .........
05/16/2013 COSTCO WHOLESALE-346 015652 00005 $136.06
00005 SUBTOTAL: $136.06
05/06/2013 COSTCO WHOLESALE-347 055208 00006 $77.54
00006 SUBTOTAL: $77.54
05/07/2013 COSTCO WHOLESALE-346 007457 00017 $99.71
00017 SUBTOTAL: $99.71
JUN 0 3 2013
Return the below portion with payment.For billing errors or questions please refer to the back of the statement. Page 1 of 2
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.
COSI"Co. COSTCO
�MMMESALE
ACCOUNT SUMMARY BALANCE SUMMARY
.......... ........... .. ... ........... Outstanding
CURRENT*
.29 DAYSPAST DUE: IPASTIDUE : Transaction $1,468.38
+New
$1,468.38 $.00 $.00 Purchase(syDebk(s) $313.31
............. ................... .......
+New Fees $.00
:..:6Q97.11AV.S.PAST:D
WE:
BAST 317E; 1120�1149.:IYAYS .AST
............ ...... .............. +Finance Charges $.00
$.00 $.00 $.00 Payment(s) $.00
.......... ...... ..........-.- ....... ....I
—1.504.70*DAYS�PAST.00t:'::::A 80*DMSPAgTOUE Credit(s)
...... $.00
O $.00 $.00 =New Balance $1,781.69
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Page 2 of 2
s 1-1 F1 1:11 1 L—I.E1 El
❑ New address or phone number?
Please check box and complete reverse side.
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.
22CAP720298(02/13)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND NUMBERS ONLY!
M 711:1❑❑❑❑❑❑1 I I 1❑❑❑❑❑❑❑❑❑❑❑❑M
Email Address
❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑
Street Number if any) Street Name or the word unit or PO BOX NuNU❑❑ r ❑❑0:11: 0❑❑❑ ❑ 10❑❑❑
Cit❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ S❑❑ Z�❑❑❑❑
Business Phone
❑❑❑i❑❑❑-EI❑❑❑
Costco Fund 108 Fund 109
- -
Gen erai—j-Uenerai
program program Gen Prog
supplies_ supplies supplies
V#361108 Invoice# 4239039,_ 4239039 4239039
I I 11081-8 1 1081-10 1096-70
_ 05/07/131 3457 �_ L $ 99.71
05/06/131 55208�� _� $ 77.54
05/16/13! 15652```_$ 136.06
__- $ 136.06 $ 77.54 $ 99.71 $ 313.31
Costco _ Fund 108 Fund 109
General General
program program Gen Prog
(supplies ;_supplies supplies
V#361108 Invoice# �I_ 4239039� 4239039� 42390391 _._I__
�� 1081-8 1081-10 1096-70
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized rate sthlrk nmbe service,where performed,
ofunits, priceperunit, etd service rendered, by
Cates
whom, rates per day, number of hours, per hou
Payee Purchase Order No.
(Costco) Terms
367001 Capital One Commercial Date Due
P.O. Box 5219
Carol Stream, IL 60197-5219
Invoice
Invoice Description PO# Amount
Date Number (or note attached invoice(s) or bill(s)) $ 136.06
5/26/13 7003731100072984 Special projects $ 77.54
5/26/13 70037311o0072984 General program supplies $ 99.71
5/26/13 7003731100072984 General program supplies
Total $ 313.31
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
Voucher No. Warrant No.
(Costco)
367001 Capital One Commercial Allowed 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 313.31
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE / 109 - MCC
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1081-8 7003731100072984 4239039 $ 136.06 1 hereby certify that the attached invoice(s), or
1081-10 7003731100072984 4239039 $ 77.54 bill(s) is (are)true and correct and that the
1096-70 7003731100072984 4239039 $ 99.71 materials or services itemized thereon for
which charge is made were ordered and
received except
13-Jun 2013
!- &hQ.trn/ Y)-Q
Signature
$ 313.31 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund