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Home My WebLink About227978 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 354720 Page 1 of 1 ONE CIVIC SQUARE COSTCO WHOLESALE MEMBERSHIP CARMEL, INDIANA 46032 PO BOX 34783 CHECK AMOUNT: $165.00 SEATTLE WA 98124-1783 CHECK NUMBER: 227978 SON� CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4355300 111782210072 165 . 00 ORGANIZATION & MEMBER BUSINESS MEMBERSHIP ANNUAL RENEWAL NOTICE ®- . . Business Pnmary Cardholder $55 RENEWAL MONTH:FEBRUARY 2014 MEMBER NUMBER: 000111782210072 Household Cardholder FREE CARDHOLDER'S NAME AMOUNT HOUSEHOLD MEMBER AMOUNT Add on Cardholder + h AUDREY KOSTRZEWA $55.00 JENNIFER SEWELL $0.00 Add on Household Cardholder; FREE ` BEN JOHNSON $55.00 MATT LEBER $0.00 N TRACT PETTIGREW $55.00 BROOKE TAFLINGER $0.00 TOTAL RENEWAL FEE $165-00 PorF b DEC r g 2013 G.L.#_�ja5�l-p�- 43 ' t J.=cr. membership,RENEW:ONLINE AT �— ` =u;chaser_ _Bute GOSTCO COM Simply log ori to Costco coin, type RENEW 1n the product search box;and /,r_; rc,�al __ ____ ,^ac X02 -1-9 y9 follow the simple instructtons to renew your membership today Please see Instructions on reverse to add,remove or rep e a cardholder. Think Costco First MY BUSINESS SERVICES •401(k)Plans •Business Phone Services •Payroll Services •Business Checks •Merchant Credit Card •QuickBooks'Online "FProcessing •Business Health •Water Delivery z &Dental Insurance Only in CA,Hl.OR&WA 13IX0420 A 3/13 -- 1 ! i 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 cardholder's household member,domestic partner,or immediate family member overthe age of 18 and living atthe same address.Household member cardholders will be asked to presentproof that they live atthe same address as the primary or add-on cardholder. NOTE: Limit one Executive Membership per household and/or business. Have questions about your renewal? Call us at 1-800-7742678. EnEGSNR 1/12 BUSINESS MEMBERSHIP ANNUAL RENEWAL NOTICE } l Z h F ysx Y w � kip ��tBus�nessPnmaryCardholder' $55 t RENEWAL MONTH:FEBRUARY 2014 MEMBER'NUMBER 0001:11782210072•; s HouseholdCardholde� , 't FREE r`F�' ' CARDHOLDER,S NAME AMOUNT HOUSEHOLD MEMBER AMOUNT + Add on Cardholder4 k` SSS +$SSeach AUDREY KOSTRZEWA $55.00 JENNIFER SEWELL $0.00 s #zAdd-0n Household Cardholder ! �t� `FREEs sBEN JOHNSON $55.00 MATT LEBER $0.00 TRACT PETTIGREW $55.00 BROOKE TAFLINGER $0.00 lyrs ,vV,�; Ir.� kr e � .v5l ,mkr'a.vn Fk�mt. _c,. ---�a TOTAL RENEWAL FEE 165, t kYss + i /A�p.��t ►7r �/� s a'Gic- �sz A,r Wiry" nv Y.S'F. ;k >4 z,.'1t.f z f" fir.u it S a. r-r4 .R'. _b-�,is P� ?t Y I .�•:I, vw�'�V�M P f"►GW VOL _ c t' Y-h iha1��! 0.* CI TK J Yd 4'E 4t .}'H} �Cr�Y '�!I: �f 4 k�}•'�1 cfY'4 Y�YJ..I'�. Y��{\,'�J y L vIT� 5 t''Lf xis.'�'a its��txi yv.�.•4Ats �Y '� �� 'af u:. f �r7f: �.. r•�`�, j i 1 ., .+ 1 Ifsyou Bort t have any changes to your"fir MR g ------ - – -- ---- .x.,. �¢t I I; ¢li S d f.�_ I —' membership RENEWitONLiNE AT�� _ — ,�->r GO$TC:O'COM,�Sfm`ply>log on totcostco com � s�- . type RENfWfr%ttie protluct search box ands rf /. =_._�a Lg/%3 followkthe simple instcuoUons tp renew'your membership today w ; ^`,rl k Please see Instructions on reverse to add,remove or rep e a cardholder. Think Costco First MY BUSINESS SERVICES ' f •401(k)Plans • Business Phone Services •Payroll Services •Business Checks •Merchant Credit Card •QuickBooks®Online a Processing + •Business Health •Water Delivery &Dental Insurance ' Only in CA,Nl,OR&WA fxr�uhleR�mkefxa+usi�1 13D(0420 A 3/13 KNOW 1 t ]236 v�i�tls cr llJ tit Asa�xi�_. FYII f xnaa;. �BUSINESSnMEMBEvRSHIP ,Ca` a rrt rthaa IeF �s�ft ; 01-'Z ,..n.,..w....,. h 5 :¢:..: _: -.. :.:- :ti .F+r` a•V,i:•f"4 - :.z a ..<>; ,t u._Y ,. v.,t< r f.,.-.; ,< 4f :,t _ t'�;x,ie+'. e w3t� ��. ::,.7 r t 'Y s ..�4"x 1 ?E r `�st_.h f',4. .'�3..• :! "�?t�.:!1'{/k stir ...:fFi'G' - rh'i.�t-yew<v1r f;L;i�'.. � ,�'ti'�h.4b�,� �lg., Jn l��5,.-_i.Yat ..,x; �; .i•� 5,, '. ,.,��sr` 'A :✓<u stir r Yesl l d:like,to u rade,to an Executive Membership'and have mcludedian addieonal$55�; hpx :^;ertn.q!: a,,.9 r <1:r',r.•r;>r,.. c.,a. ..a 'aa., 3 5 i r , -'C4 .'IL ,� "t"r t P I uy� �y�fGl�.�` �i.fgY45 t at';�. �>s..61.1UR:EAST86THtSTREET �s t+s, + r:,So-v � x�. a ,.;xh�." ..1an r Please chap a+ihls:and,sukise uantannualtrenewal feesuto;my American,Expresso Cartlx,;�r« s } # ;CASTLETON IN 46250 t a �rF 9. 4n �; /� Tr y_.rs i. ... >•.2 Hr...i<. '.I r p> r:.I� 'r r: `,.Y: ��1'�,,,+i; w » ' sF'. .^� 0"', r� . »ej z Y�NOR t . a In:s.�yi INN� :, �. f>=,R :z,.h .,.g. 1�.� `Na ax. {'i i.t' n F, :. ��j"'t 5 �h;i r RIM 9 ,r 4' i I �s Vu' i t �./ .} k ..�b n ��: 3 J T Y�F �.r• .^h. 5h �n W 7 T�, ';eYiail.Ipember Number �T..;:tj ,� hx 'tl'�'T>f -x. �t4(^ An 1 'M' ' C%p,LflTC t y ( r-:..a..Y.t t .h eY\ <AMf(✓ICFlN CXP1iCSfifvllMOrRrv .. .3'!`kKwb/dY t`}b Aif:. ThilJ1�'x.._�.:�7'14rk14'KrRi ,'d�.l :. ,X,,,�Y,� 1!: ...4l Uig; 4 ,Renewa4l)ate a, hY`K 3`February.2014r � GY ' w ,Costco s:coMmuaii developing new and'excding:progiams and sennci at substanitai avmgs forour members s-i.y a...,.d..Atpa�'t /fit S L�' -j'.. aa„ .•:c. rn 'Yo-n iD' y a _ 5 fl : 1r�s-„ �a= I,i. r• 4 n : t .,...:iafL isi'-.;kr�' '� k ,,,. Y,r,-:,;,...c, .3, ,,,...,:� a ?' .,.�±s:v1s�'_1} ...ia'n"` .L-:,.a•.R>•>, nr"-;.>• i..� ...,:.:tfi"..w'ri <;_�>r-�-Cardholders �'rs",Lr � �� } �' ��-'+ir6 &�� ;.r��:;1 l� =`?Checkhere•1fa,oa!DOSN07:•want burname°� osfal:atldressae¢mail�:address=:and;membershl;number antl status shared�;'tt, wfk M as tw ;-;;isa �• Y�` Is..'.,"'s'.tsr. � 'Y-`Y:,t1�: w .Saw z. p raa ua IS r.t1 ese0lfer n s ti'u a sten ' }'k.xx„ s{f RenewalFeB�s with ca tuUy selectetl frier so they may q I /ou fo {9 + :r� a ss". Mn>,r-�.,::.Sx: �,$y. F...t,.3 -MSY.V�'- cz,,.:8r.;'&feu te:;.a.,u m s?`t>3iv;s!!4`�xN,'»,�.N' :, „�t.m,.Y•�n,,:,}*,.,�' ..+�'x."�:' i,`>fu"':t,.r. qtr r'J, +rtv?,c"x"i•. '_ " :tin nr i. s. -S.r ra tt+r..."' C eek here'!t 'ou DO"NOT;want our>housel oltl member's iniormation sharstl,as:weli' i r ° +4v"�s ;,:J1 s-r, t4 ...:�''s.r ' rf�iF"fii XS�c�- r;,.r5. �y {Ktxxim .. { ah,.Hl❑$tJ ....i ) .S ti.rt y9.;.a..-.'ss 'tear' ,. `. •i� :.� ��' � „ as •.�+,e'„rm �� xr _�� + ';Ns'a'servrceao"our f� Buslnessamembersjwno?purchase.;tobacco`p[oductstorressie�'weprovidecertalo-intormatlonb° n. �..'aas T z r w:❑t .... 4 �� o��y{t .•.rte` ��">:' �"'�?�`"�� 5 ,�,-icy 3> - ' '�the:tobacco;manutacturers•.tre resentative to process retail incentives tion our Business mpmaers The!ntormanon Ness s S Ye l , ;t 3 ,t ih +; > mac. v, P d J.:R 1 ''£r+� "±--�"�" �, ' , k�s.s.; �, �"°.' '! -,,, ;Y��! _t-'ir+.' {�°"'' .t�'�a,�-iovltle�rs'st!ie�Buslness�rAentuer srriamedadtlress+the�brend.name;=antldhe'ainount of tobacco produt,[s,purchased?-� - a Am d Jy a ;$ :,.4. ..::,_ rY Pursuant to California l2w rt you are a,Business tlemner In Calliornla antl.yoatlo not wus L0;-,tllec!ose this rr ...Xc' nt-:;'tr• rte' a� ?,H h;.'?r1 ntorroatlon on:'our bebali-i ou ma opt"out from tp!s'serv. bypehecki itcf'..s-• AB 01 071858 97260 B 246 A Remit to: IIIII�IJ��41�1�11111114�441�11'I'I�'I'II'�I��'414�iII�IJ�14��11 �CO$TCO'AAEAABERSHIP 000111782210072 ;,PO BOX 34783 CARMEL CLAY PARKS & RECREATION / 00346 (SEATTLE WA 913 ze-- 83 `;" AUDREY KOSTRZEWA 1411 E 116TH ST CARMEL IN 46032-3455 003460001117822100729016500 r 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 atthe same address.Household member cardholders will be asked to presentproof that they live atthe same address as the primary oradd-on cardholder. NOTE: Limit one Executive Membership per household and/or business. Have questions about your renewal? Call us at 1-800-7742678. y EnEGSNR 1112 .r.� "{�^haA yrk (�i�..aA�Atsr%�'�+�t�r+�a AUDREY KOSTRZEWA .�55 OO JENNIFER sEWECL $iLpWN Aucwrr'�dAt�ifnDEp�a�,w%,tJ'��A�;i�ous�,00ul,�+s�a�c: �ME►aseAsLi}, E�,�,.N userioLui�u�raa�rs s;w,�+n�`�,�rrlortnU Hous+Aorirtcss;�', �'�> .; ;,�' ��;^�' :��f- s BEN JOHNSON ,$55 ® Tf LEBER y AOD=Uhi 4` ROHOLD&k A`N.itH ••� 710U9ENtll8ME61BER C�"'.AAD� 94E'RS i�F`E� H6�libCD�AdEMAEA 3':NAW��4!��!:�^.AL),. <HdME�ADbR�„�,t`mr>'�trz Ti F . M �. g �4� 2 rRAci PEfi�i6REW BRO MALI $5J 0® f C MOVE ,iyy„„ADb.�'`01„�kflDHOLDE,R3WwTi1 MD1,t9.iibA1Fd68R GRO A1FYlEN91.11�lpSFEE HOU9Eil:P-�i'ABEA'S,NAkt_u;@_PTfAl DtON CARDt10L5R51drWftliit,fAEEH uggl_t.l§tiAEIABEA GAAD' !Mj mt. ,HD�UG7HtlLD,MiE518ER SNAMEyc1(Opri7lONAl? i+iE/D R S9 � uc•', �'' t "!+l�l1D,,pN .ARot7i7id�q rzyY,JG,3NFREFgHO'D9 ' MklA6EFCAADE tifP� t'KIU9ETNOLD,jMEEi'Sl' •sC'tPtCY'!AL} FtDME7Uf1E9S �.,. '1 ' !IjRWjM' 1�4•,•da" '?ri'yj�� DUFJ�CIIHpFFfULDER�#B�NR{i�al`FHEE Nf7tT�E�dtDEi.IBER CA �EA-dBfA�iiP�1F�....HCIU�ERf}Lr1.3'�IAEMBER'9,tdAME p,S�P IIONA 3�HDME�,ADf�RESS'A't'�-lora�'..N�c�.,'. ��'�'d � ��u��'". "- � 1 �� h �'t k. D •1 PIk p �j � {,k � u.h��.!q� i,,,1 g,;5�PRIM•rA�AY„CAAD7�i0U.?Eii3 EMAIL��ADDAESS ReceNe;aP.y;o,raliofiers�r�d hot hugsiram cosi�wm In�irtr�nphon'nAl1 re m aoMdan1reh E. +q r /� 7��- u.vn .a 'kd., v.:h..,:e'rt(AIItwaattvnt..r "v+muan .dv..�;s�una.n uduirt.. �. w�.. .�- „�. F� �i•. , .� •. �'. e.tl' n � "n Y'{�AFYk�b�F' �i�bn�4jX' .�r�.n�:,Pixt 7+ �.�i-i�• �w 3&p'• `) r ;7(p i'. �c t }� l, �,,¢�� -(a�,�Y� � � � 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 Purchase Order No. 354720 Costco Membership -- NOT HSBC Terms P.O. Box 34783 Seattle, WA 98124-1783 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 12/18/13 111782210072 Annual Membership renewal $ 165.00 Total $ 165.00 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 Voucher No. Warrant No. 354720 Costco Membership-- NOT HSBC Allowed 20 P.O. Box 34783 Seattle, WA 98124-1783 ' In Sum of$ $ 165.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#orBoard Members Dept# INVOICE NO. CCT#/TITL AMOUNT 1125 111782210072 4355300 $ 165.00 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 9-Jan 2014 Signature $ 165.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund