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Home My WebLink About197209 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC CHECK AMOUNT: $59.70 CARMEL, INDIANA 46032 PO BOX 5219 oa CAROL STREAM IL 60197 5219 CHECK NUMBER: 197209 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 PARKS 59.70 7003 -7311- 0007 -2984 #3-46 CnSTLETON, IN 6110 EAST 86TH STREET CASTLETON, IN 46250 MEMBER,--*1 r1 782210075 RESALE ON 22738� 44�8PK A, 10.99 84839 Sqq 7.99 127509 SOLO FORK' 8.99 127489 SOLO SPOO 8.99 535618 CHINET WHITE 8.99 994311 8.5 IN P /ATE 13.75 RESALE TOT, L 59.70 NON RESALE TOM .00 TOTAL ((f/ Vi VF Cost Who es 59.70 n' XXXXXXXXXXXX2984 04/13/11 16:12 Se9 004605 APP 058886 Costco Wholesale ResP: AA Tran ID 110301648000 Merchant ID 99034611 APPROVED PURCHASE AMOUNT: $59.70 0346 006 0000000073 0137 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD m 6 CASHIER: YVONNE S REG# 6 L09 -6_401 16:12 0346 06 0137 73 THANK YOU! PLEASE COME AGAIN! 1 Please Direct Inquiries To: 1- 800 220 -8594 YC0. COSTCO WWMESME Account Number New Balance Payment Due Amount Past Due Due Date 7003 7311- 0007 -2984 $59.70 $.00 $.00 05/21/2011 Billing Date Credit Line Available Credit 04/26/2011 $5,000 $4,940.30 TDD /Nearing 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 $3.85 0.00000% 00.00% $.00 00.00% $59.70 $.00 05/26/2011 e ACCOUNT DETAIL Transaction Transaction Invoice User P.O. Transaction Date Description Number ID Number Amount 04/13/2011 COSTCO WHOLESALE -346 058886 00005 $59.70 00005 SUBTOTAL: $59.70 04/16/2011 PAYMENT THANK YOU 00001 $348.47 Online Account Access lets you take control of your Account anytime, anywhere. Registration is easy, secure and waiting for you at o www.hrscommercial.com. o Recycling one can saves enough energy to power a TV for three hours. M 00 r 10�(_�3- `f239039 0 p(�pC�RAm SUPt�t1�5 CW y Tay.... Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2 Important Notice: Promptly review this statement and notify HSBC Business Solutions in writing of any errors or unauthorized purchases. If you do not notify HSBC Business Solutions within 60 days of errors or unauthorized purchases, this statement will be presumed to be correct. Write to HSBC Business Solutions at P.O. Box 4160, Carol Stream, IL 60197 -4160. You may telephone HSBC Business Solutions at 1- 800 210 -8115, but it will not preserve your rights. Notify HSBC Business Solutions in writing of the cancellation of a credit card or authorized user. STMT222C (10/07) TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS AND NUMBERS ONLY! IS Name Email Address Street Number if an Street Name or the words "PO BOX' Unit or PO BOX Number ❑❑C�f ❑Q❑❑❑ cLJ State Z I II I Business Phone OL'6S$ aous1e8 MON 00'$ 001 00 MvpeJo 3na 1SVd SAVO +08L 3na 1SVd SAVa 6LL Lb'84£$ (s);uew tod 00'$ 00 00'$ 00'$ s96Je40 a0ueui3 001 saaj MON+ 3na 1SVd SAVa 6K 3na 1SVd SAVO 6LL 3na 1SVd SAVO 68 OL'69$ (s)p 00 00'$ 00'$ MeN+ L4'8b£$ uoi ;oasue,l 3na 1SVd SAVO 69 3na 1SVd SAVO 6Z 1NMiun0 6uipua ;s;np Auvww iS 30NVIV8 AUvww 1S Mnoo0V 3I71/S3T70NM 001SOO O�j ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be property 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. 361108 HSBC Business Solutions 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 4126111 7003731100072984 Program supplies CW 6970 Total 59.70 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. (Costco) 361108 HSBC Business Solutions Allowed 20 P.O. Box 5219 Carol Stream, IL 60197 -5219 In Sum of 59.70 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -3 7003731100072984 4239039 59.70 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 v Aich charge is made were ordered and received except 4 -May 2011 Signature 59.70 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund