HomeMy WebLinkAbout197208 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC &ECK AMOUNT: $69.41
CARMEL, INDIANA 46032 PO Box 5219
CAROL STREAM IL 60197 -5219
CHECK NUMBER: 197208
CHECK DATE: 5/11/2011
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1207 4239040 GOLF 69.41 7003 7311 0007 -4683
AMR
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#347 NW INDIANAPOLIS
9610 MICHIGAN ROAD
INDIANAPOLIS, IN 46268
MEMBER #111791'434655
RESALE ON
E 188138 FRITOLAY OCT 10.95
E 227061 KS OR WHT 5.35
E 67245 ONIO 6.99
E 938534 S..LEE WHITE 3.59
E 1202 SNICKERS 22.89
E 69822 %NUTRIGRNVRTY 10.95
E 5497 BAKED 30CT 8.69
RESALE TOTAL 69.41
NON RESALE TOTAL .00
TOTAL 5A18
VF Costco Wholesale 69.41
XXXXXXXXXXXX4683 SWIPED
04/07/11 15:02
Seq 005292 App 072543
Costco Wholesale Resp: AA
Tran ID 109735141000
'Merchant ID 99034711
APPROVED PURCHASE
AMOUNT: $69.41
0347 010 0000000038 0135
CHANGE .00
TOTAL NUMBER OF ITEMS SOLD 7
CASHIER: ELIZABETH S REG# 10
1LX&Y&-,kf111 15:03 0347 10 0135 38
Thank You!
Please Come Again!
COSTCO
Please Direct Inquiries To: 1-800-220-8594 WHOLESS"E
Account Number New Balance Payment Due Amount Past Due Due Date
7003- 7311- 0007 -4683 $69.41 $.00 $.00 05/21/2011
Billing Date Credit Line Available Credit
04/26/2011 $2,000 $1,930.59
o 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 $4.48 0.00000% 00.00% $.00 00.00% $69.41 $.00 05/26/2011
ACCOUNT DETAIL
Transaction Transaction Invoice User P.O. Transaction
Date Description Number ID Number Amount
04/07/2011 COSTCO WHOLESALE -347 072543 00003 $69.41
00003 SUBTOTAL: $69.41
Online Account Access lets you take control of your Account anytime, anywhere. Registration is easy, secure and waiting for you at
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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.
COSYC0. COSTCO
VVHME5ME
ACCOUNT SUMMARY BALANCE SUMMARY
p CURRENT 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Outstanding
Transaction $.00
+New
$.00 $.00 $.00 Purchase(s)/Debit(s) $69.41
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) $.00
150 179 DAYS PAST DUE 180+ DAYS PAST DUE Credit(s) $.00
$.00 $.00 New Balance $69.41
Page 2 of 2
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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 PO. 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 (10107)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS
AND NUMBERS ONLY!
Com any Na e
Email Address
Street Number if an Street or the words TO BOX" Unit or PO BOX Number
eet F Q FT
Ci
State
F] Z
Business P ho�
❑❑❑—E]❑
VOUCHER NO. WARRANT NO.
ALLOWED 20
HSBC Business Solutions
IN SUM OF
P.O. Box 5219
Carol Stream, IL 60197 -5219
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO #1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1207 7003-73 42- 390.40 $69.41
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, May 09, 2011
Director, Br okshire Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199°
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))
05/26/11 )03 7311 0007 46 Food $69A
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