HomeMy WebLinkAbout227963 1/14/2014 `�c•� CITY OF CARMEL, INDIANA VENDOR: 367001 Page 1 of 1
ONE CIVIC SQUARE CAPITAL ONE COMMERCIAL
0 CHECK AMOUNT: $49.17
CARMEL, INDIANA 46032 aoBOX s2ls
-: CAROL STREAM IL 60197-5219 CHECK NUMBER: 227963
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 49 . 17 7003731100072984
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Please Direct Inquiries To:1-800-220-8594 CADSTC® COSTCO
V VNMESiALE
Account Number New Balance Roy ent Due Amouflt Past;Due Due:Date
7003 731 1 0007 29$4 $49.17 $!00 $00 01120/2014
Btlung'Date Credit Line Available.Credit
12/26/2013 $5 000 ' $4 950.83
TDD/Hearing Impaired: 1-800-365-0186
STATEMENT OF YOUR ACCOUNT
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0
`ohfNANCb CHARGE SUMMARY % ": `
:
0
0
Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo
Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
$ Description Number Balance Rate APR Periodic Rate RATE Due
Q
Reg 00014 $3.28 0.00000% 00.00% $.00 00.00% $49.17 $.00 01/26/2014
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ACCOUNT DETAIL
TranSdction Transaction. ... . In>loice User P Q. TranSdCttOn<
__... _....._:.... ......._.... .._... _...: .. ...._...._:. ........- ..........:._... . .:.._...... ........
Date . t)escription Number ID Number..;.. ... ...:Amouri
.........
_... ......._. .._....... ... .....- .._...... ............
. .. ........
12/18/2013 COSTCO WHOLESALE-346 004524 00006 $49.17
00006 SUBTOTAL: $49.17
12/13/2013 PAYMENT-THANK YOU 00001 $274.11-
-_ MO2
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.
m®oem��
#346 CraSTLETON , TN
6110 EAST 56TH STREET
- CASTLETON, IN 46250
**Seasons Greetings 8 HapPy, Holidays**
MEMBER #11178221007.4-
905739 AMC 2 PK 16.
905739 AMC 2 PK 16..
905739 AMC 2 PK 16.
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TOTAL J9f
'VF Costco Wholesale 49.1
XXXXXXXXXXXX2984 SWIPED
12/18/13 14:56
Seq#: 002043-App#: 004524
Costco Wholesale Resp: AA
Tran ID#: 335234762000
Merchant ID 99034611
APPROVED - PURCHASE
AMOUNT: $49.17
0346 007 0000000073 0173
---------------------------------------
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD 3
CASHIER: YVONNE S REG# 7
IV-TAtYi,IP]K, 14:56 0346 07 0173,73
FHANK YOU !
PLEFISE' COME AGAIN !
cosma
COSTCO
iNf�OiLESALE
ACCOUNT SUMMARY BALANCE SUMMARY
Outstanding
CURRENT 1,=29 DAYS.PAST DUE 30 59 DAYS PAST DU£ i s Transaction $274.11
+New
$.00 $.00 $.00 Purchases)/Debit(s) $49.17
+New Fees $.00
Gp-$9 OJ�YS
PAST)U : 9Q 119.DAY:S RAST[?LIE. 120.149 DAYS PAST IaUE''
....__..__.... ......_...._... .._...._.... . ....__.... ... ........... ... .._ . ...._.,._.....
+Finance Charges .00
$.00 $.00 $.00 - Payment(s) $274.11
150 179:DAYS PAST DU..E 180+DAYS!PAST DUtr' Credit(s) $.00
g $.00 $.00 =New Balance $49.17
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Page 2 of 2
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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 ZIPPER-CASE LETTERS
AND NUMBERS ONLY!
M
[MFIEFIELIFIFIE]�❑❑❑❑❑❑❑❑❑❑❑❑L._J.—I
Email Address
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Street Number jif an Street Name or the words TO BOX Unit or PO BOX Number —100
Ci�❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ Stat ZF❑❑❑❑
Business Phone
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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
12/26/13 7003731100072984 General program supplies $ 49.17
Total $ 49.17
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.
(Costco)
367001 Capital One Commercial Allowed 20
P.O. Box 5219
Carol Stream, IL 60197-5219
In Sum of$
$ 49.17
ON ACCOUNT OF APPROPRIATION FOR j
108 ESE
PO#or INVOICE NO. ACCT#!TITLE AMOUNT Board Members
Dept#
1081-2 7003731100072984 4239039 $ 49,17 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
w0ich charge is made were ordered and
received except
e
9-Jan 2014
Al
_I
I Signature
$ 49.17 ( Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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