160883 06/25/2008 CITY OF CARMEL, INDIANA VENDOR 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCO
i 0 t,' CARMEL, INDIANA 46032 PO BOX 5219 CHECK AMOUNT: E1,185.45
CAROL STREAM IL 60197 -5219
CHECK NUMBER: 160883
CHECK DATE: 612512008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
=1047 4239040 589.37 \7003731100072984
1047 4463000 194.99 7003731100072984
1047 4464000 179.99 7003731100072984
.1125 4341993 221.10 7003731100072984
Please Direct Inquiries To: 1- 800 220 -8594
c6swo cosTro
WI/OLESILLE
Account Number. New Balance. '.Payment Due Amount Past Due= Due Date
70037311- 0007 -2984 $1,185.45_ _$00. $.00 06!20/2008'
Billing Date Credit Line Available Credit
05/26/2008 $5,000- $3,814.55
This communication serves as official notice that all calls to /trom our offices may be monitored and /or recorded for quality
assurance purposes.
STATEMENT OF YOUR ACCOUNT
FINANCE CHARGE SUMMARY:
Credit Credit Average Daily Cares- HNANCE ANNUAL New Mnimum Nomo
Nan Ran Daily periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Descrip8on Number Balance Rate APR Periodic Rate RATE Due
Reg 00014 $7903 1 0.00000% 0000% 1 S.00 1 00.00% 1 $1,185.45 1 $.DO 06126/2008
ACCOUNT DETAIL
Transaction Transaction. .:.i'; Invoice` >.,'i1: =P User P.O;::. Transaction"
Date: Description Number AD Number Amount
0511612008 DOSTCOWHOLESALE- 346 046493 00003 $221.1
00003 SUBTOTAL: $221.10-,
04/30/2008 COSTCO WHOLESALE- 347 042032 00004 5289.34
05/2112008 COSTCO WHOLESALE- 347 052409 00004 5750.40 e
05/24/2008 COSTCO WHOLESALE -346 011111 00004 $524.61
00004 SUBTOTAL —$964.35
0511912008 PAYMENT THANK YOU 00001 $704.17
RECEIVED
JUN 0 42008
BY:
Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2
i
Important Notice: Promptly review this statement and notify HSBC Business Solutions in writing of any errors or unautho-
rized purchases. It 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.
COOSM0 cosrco
ACCOUNTSUMMARY BALANCE SUMMARY
CURRENT -,1 -29 DAYS PAST DUE.- 30 -59 DAYS PAST�DUE TTransaction $70417
+New
$.00 00 00 Purchase(s)/Debd(s)
-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(e) $704 17
-150 -179 DAYS PAST DUE 1804 DAYS PAST DUE CredR(s) 00
00 $.00 New Balance $1,18545
n
Page 2 of
Q
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 unautho-
rized 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 (to/07)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY! �I��py�y������
Com av 1Lo
Email address
Street Number d an"I Number an tI Street Name or the lwlor�dsl❑I'PO BOX' ll��ll�1�fflI��f1ll�� Umt or PO BOX Nomber
Ci State
ti
/42 13Q 5 D �c�`�
-A 143-16 Cfa°-: I LL ION, ]:N
MEMBER #111 2LTvi 76
RESALE ON
3265 BRATW "tST 9.2'
3265 BRAT�.RST 9.22
881626 HAMBI 'SEASNG 6.75
58601 KS Nlii'KIN 8.49
84839 ZIPI``O!,' SAND. 6.19
88742 GR.�IIR.PATTY 14.39
12648 KS ('IITLERY 9.99
21.1850 HFA' PIAI F PAN 7.59
66 /4:' Sif. ;t.'AITY 14.39
96928 Kki`i SiivG 't 9.79
88742 GR. :R.PATiY 14.39
88742 GR. 'R.PATTY 14.39
186030 COL, IAN HDOG 8.99
186030 COI_ IAN HDOG 8.99
197683 EZ 0 PER 9.99
64515 MIF? ;_E WHIP ?rl
L 3i,ti C
9048-9 HG
904849 Hol D'7G PI IN
904656 HAMI'URG BUN 2.o5
904856 HAMIURG BUN 2.65
7777 PIY PACK 7.73
1609 HVR DRESSING 8.36
229444 HEFT,' PLATE 10.88
83600 240Z 1R CUP 17.49
RESALE TO', A 221.10
NOW RESALE T0131. .00
TOTr!L 1A [OR
VF Coetco Wholesale 221.10
5:;�: 003256 Ref 0.1619300
Costr_o Wholesale R
FID Y: 44518 EIVED RECEIVED
APPROVED MAY 2 9 2008
AMOUNT: S22 %.10 I MAY 2 9 2008
________0346 012 0000____4 0186
BY:i
CHANGE .00
TOTAL NUMBER OF IfEMS SOLD e 27
CASHIER: JOE S REG# 12
�7i[�fid�UY. 14:03 ow,,1 12 v; 44
YOU'
PLEFlI>I'= COMF_IN
SfL9ffi
r
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)
HSBC Business Solutions Date Due
PO Box 5219
Carol Stream, IL 60197 -5219
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/16/08 46493 Catering 221.10
4/30/08 42032 Food Beverage 289.34
5/21/08 52409 Food Beverage 150.40
5/24/08 11111 Food Beverage 149.63
5124/08 11111 Furniture Fixtures 194.99
5/24/08 11111 Office Equipment 17999
Total 1,185.45
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) Allowed 20
HSBC Business Solutions
PO Box 5219
Carol Stream, IL 60197 -5219 In Sum of
t�
1,185.45
ON ACCOUNT OF APPROPRIATION FOR
101 General 104 Program Fund
PO# or Board Members
Dept ept INVOICE NO ACCT#fTlTLE AMOUNT
1125 46493 4341993 221.10 1 hereby certify that the attached invoice(s), or
1047 42032 4239040 289.34 bill(s) is (are) true and correct and that the
1047 52409 4239040 150.40 materials or services itemized thereon for
1047 11111 4239040 149.63 which charge is made were ordered and
1047 11111 4463000 194.99 received except
1047 11111 4464000 17999
11 -Jun 2008
,�C�2.�P/I7'1JY72P/rJ
Signature
1,185.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund