192644 12/10/2010 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp
CARMEL, INDIANA 46032 CHECK AMOUNT: $301.25
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CAROL STREAM IL 60197 -5219 CHECK NUMBER: 192644
CHECK DATE: 12/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 PARKS 301.25 7003 -7311- 0007 -2984
Please Direct Inquiries To: 1- 800 220 -8594
C OS COSTCO
WHMESALE
Account Number New Balance Payment Due Amount Past Due Due Date
7003- 7311 0007 -2984 $301.25 $.00 $.00 12/21/2010
Billing Date Credit Line Available Credit
11/26/2010 $5,000 $4,698.75
i=
This communication serves as official notice that all calls to /from our offices may be monitored and /or recorded for quality
assurance purposes.
TDD /Hearing Impaired: 800 365 -0186
STATEMENT OF YOUR ACCOUNT
FINANCE CHARGE SUMMARY
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
Reg 00014 $19.44 0.00000% 00.00% $.00 00.00% $301.25 $.00 12/26/2010
e
ACCOUNT DETAIL
Transaction Transaction Invoice User P.O. Transaction
Date Description Number ID Number Amount
11/17/2010 COSTCO WHOLESALE -346 011360 00009 $147.46
11/20/2010 COSTCO WHOLESALE -346 018110 00009 $153.79
00009 SUBTOTAL: $301.25
11/12/2010 PAYMENT THANK YOU 00001 $38.46
Online Account Access lets you lake control of your Account anytime, anywhere Registration is easy, secure and waiting for you at
www.hrscommercial.com.
o �GIgE 1 9
DEC 0 6 1010
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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 HSBC Business Solutions in writing of any errors or
unauthorized purchases. If you do not notify HSBC Business Solutions within 60 days of errors or unauthorized purchases,
this statement will be presumed to be correct.
Write to HSBC Business Solutions at P.O. Box 4160, Carol Stream, IL 60197 -4160.
You may telephone HSBC Business Solutions at 1- 800 210 -8115, but it will not preserve your rights.
Notify HSBC Business Solutions in writing of the cancellation of a credit card or authorized user.
C OS COSTCO
W//OLESALE
Mm
e ACCOUNT SUMMARY BALANCE SUMMARY
C CURRENT 1 29 DAYS PAST DUE 30 59 DAYS PAST DUE Outstanding
Transaction $38.46
+New
$.00 $.00 $.00 Purchase(s)/Debit(s) $301.25
60 89 DAYS PAST DUE 90 119 DAYS PAST DUE 120 149 DAYS PAST DUE +New Fees $.00
Finance Charges $.00
$.00 $.00 $.00
Payment(s) $38.46
150 179 DAYS PAST DUE 180+ DAYS PAST DUE
Credit(s) $.00
$.00 $.00 New Balance $301.25
C
D 09 973
DEC Q 6 2010
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New address or phone number?
Please check box and complete reverse side.
I
Important Notice: Promptly review this statement and notify HSBC Business Solutions in writing of any errors or
unauthorized purchases. If you do not notify HSBC Business Solutions within 60 days of errors or unauthorized purchases,
this statement will be presumed to be correct.
Write to HSBC Business Solutions at P.O. Box 4160, Carol Stream, IL 60197 -4160.
You may telephone HSBC Business Solutions at 1- 800 210 -8115, but it will not preserve your rights.
Notify HSBC Business Solutions in writing of the cancellation of a credit card or authorized user.
STMT222C (10/07)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY!
r a I a
Email Address
Street Number d an Street Name or the words TO BOX" Unit or PO BOX Number
city
State� ZI
Business Phone
❑i
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.
(Costco)
361108 HSBC Business Solutions Terms
P.O. Box 5219 Date Due
Carol Stream, IL 60197 -5219
Invoice Invoice Description
Date Number
or note at
invoice(s) or bill(s)) PO Amount
11126110 700373110007298 General Pro ram supplies
301.25
Total 301.25
I 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)
361108 HSBC Business Solutions Allowed 20
P.O. Box 5219
Carol Stream, IL 60197 -5219
In Sum of
301.25
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -60 70037311000729a4 4239039 301.25 I 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 -Dec 2010
Signature
301.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund