Loading...
223861 09/10/2013 „M CITY OF CARMEL, INDIANA VENDOR: 367001 Page 1 of 1 ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL CHECK AMOUNT: $85.65 CARMEL, INDIANA 46032 PO Box 5219 CAROL STREAM IL 60197-5219 CHECK NUMBER: 223861 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4235000 049380 85 . 65 BUILDING MATERIAL Please Direct Inquiries To:1-800-220-8594 cosycol COSTCO EMMillIMESALE A New::Balance.�.... Pov Me Date, .......... ...... . .......... .... .. . .... ':7003.73 $85 65: . . ..... � 11.0007.4.683 .....V �d ­­_ 00. ............. ........ .09/4/20.13.. ..... . .. .... ..... . .. . . . . AvailabI6 Credit .. . .......... Billing Date: . ............ .. .................. .. . . ....... .. . 08/26/2012 . O . $1:914 35: TDID/Hearing Impaired: 1-B00-365-0186 STATEMENT OF YOUR ACCOUNT .............. ....................... .................. ............................................. ...... ........ '6 NN M-CHARGESUMMARY. : ........... .................... ........... U Credit Credit Average Daily Corres- FINANCE ANNUAL New NOnimum Promo C� Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire Description Number Balance Rate APR Periodic Rate RATE Due �2 0 I? Reg 00014 $5.53 0.00000% 00.00% $.00 00.00% 585.65 $.00 09/26/2013 ACCOUNT DETAIL . . . . . ... . . . . . ... . . . . Transaction... .7 .................... P;Q........... .... . ..... ................... .. ............ ....... .......... ................ ..... ............ . . ........ ...........��:': N ber;K.%:%i:i­:,1 .%4D:: ouht:l. �i- M ............. .......... ...... ....... 07/29/2013 COSTCO WHOLESALE-347 049380 00003 $85.65 00003 SUBTOTAL: $85.65 Your account information is in your control when you register securely at www.hrscommemial.com Return the below portion with payment.For billing•eriors or questions please refer to the back of the stalament. 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. CbSTC0. COSTCO ACCOUNT SUMMARY BALANCE SUMMARY Outstanding ....................... ....... . Transaction $.00 :-DAYS.PilM. T:DUE:': 3M9.,:DAY.-9.PASt--.:* ............ .............. ....... ......... +New $.00 $.00 $.00 Purchase(s)/Debit(s) $85.65 ...............--. ......... ........-- ........................ +New Fees $.00 .—....6.0....-.6..9..A)AYSP..AS..TO E WIDAW.. PAST :D UE 120ri 49 DAYSPAST DUE- +Finance Charges $.00 $.00 $.00 $.00 Payment(s) $.00 70ZAYS:PAST Credits) $.00 $.00 $.00 New Balance 0 $85.65 C, C? Page 2 of 2 --------------------- - 1:1 F1 111:1.0 1:1 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 aIa❑❑❑❑❑❑❑❑❑L ❑❑❑❑❑❑❑❑❑❑❑❑❑❑ Email Address ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ Street Number if anv, ❑❑ Street Name or the words"PO BOX" Unit or PO BOX Number HHF IH❑L_1LJ ❑❑❑❑❑❑❑❑❑❑❑ ❑❑❑❑❑ Ci�❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ state❑❑ ZM❑❑❑❑ Business Phone ❑❑❑/❑❑❑-❑❑❑❑ i 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)) 07/29/13 049380 Cleaning Supplies $85.65 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 5-11-10-1.6 120 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Capital One Commercial IN SUM OF $ P.O. Box 5219 Carol Stream, IL 60197-5219 $85.65 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. I ACCT#/TITLE i AMOUNT Board Members 1207 I 049380 I 42-350.00 I $85.65 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 Monday, September 09, 2013 Director, Brookshire f Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund