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155339 01/10/2008 CITY OF CARMEL, INDIANA VENDOR 00351578 Page 1 of 1 ONE CIVIC SQUARE HSBC BUSINESS SOLUTIONS CHECK AMOUNT: $292.27 CARMEL, INDIANA 46032 PO BOX 5219 CAROL STREAM IL 60197 -5219 CHECK NUMBER: 155339 CHECK DATE: 111012008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 R4238000 17700 1233884 292.27 INDUSTRIAL HOIST �f ACCOUNT NUMBER 7003 -7056- 0000 -2121 SEND TO: NORTHERN TOOL EQUIPMENT NORTHERN' TOOL +EQUIPMENT l CARMEL CLAY PARKS "TAT PAGE: 1OF 1 RECAP 1427 E 116TH ST LAST RECAP DATE. 11/17/2007 CARMEL IN 46032 -3455 DEC 2 8 2007 I. Itt ltllttll, tttllltttltlttllttl rtltltittltitttltllttrlltlt�l We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report. Ts com.mun,cation scr.es as offi=i notice that oil ,.Ells ,o/6 fhccs may c mcn :ored and,cr co, Ced 'o: auahty ...._...ncc purposes. ACCOUNT SUMMARY PREVIOUS BALANCE +PURCHASES /DEBITS +LATE CHARGE(S) PAYMENTS CREDITS TOTAL OUTSTANDING BALANCE $.00 $292.27 $.00 00 $.00 $292.27 CREDIT LINE AVAILABLE CREDIT TOTAL UNAPPLIED CREDIT $15,000.00 $14,707.73 $.00 ACCOUNT INVOICE SUMMARY FUTURE 1 -29 DAYS 30 -59 DAYS 60 -89 DAYS 90 -119 DAYS 120 -149 DAYS 150 -179 DAYS 180+ DAYS DUE PAST DUE PAST DUE PAST DUE PAST DUE PAST DUE PAST DUE PAST DUE $292.27 $.00 $.00 $.00 $.00 $.00 $.00 $.00 INVOICE DETAIL FUTURE DUE INVOICE PURCHASE PURCHASE ORIGINAL PURCHASE PAYMENT NUMBER ORDER DATE AMOUNT DUE DATE 17140226 17700 11130/2007 $292.27 12/3012007 PREVIOUS BALANCE +PURCHASES /DEBITS +LATECHARGE(S) PAYMENTS CREDITS TOTAL OUTSTANDING BALANCE $.00 $292.27 $.00 $.00 $.00 $292.27 INVOICE ACTIVITY DATE DESCRIPTION AMOUNT 11/2812007 PURCHASE BURNSVILLE MN $292.27 STNT221 E (&'07, TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS AN NUMBERS ONLY! Street Num it an Street Name or the won "PO��BOX' Unit or PO�Bon Number I�LJ ct swt M Bow Ph 6199 S9E Ilea aseald 'suogsanb jo svw,a 6ugpp jod -PLEASE RETURN THE ABOVE PORTION WITH YOUR PAYMENT. NORTHERN' o ACCOUNT: 7003 7056 -0000 -2121 PAGE: 1 OF 1 NORTHERN TOOL EQUIPMENT PURCHASE DATE: 11/28/2007 INVOICE. 17140226 SHIP TO: CARMEL CLAY PARKS 1427 E 116TH ST P.O. 17700 CARMEL IN 46032 -3455 AUTHORIZED BUYER: CORPORATE CARD EXTENDED ITEM DESCRIPTION. QUANTITY -UNIT PRICE DISCOUNT _TOTAL 144647 2 TON ENGINE HOIST W/ 11 $159.99 $.00 $159.99 Yo k.:sR 7, 7PS jD -7 SUBTOTAL $159.99 DC/ I TAX $.00 SHIPPING /DELIVERY $132.28 TOTAL INVOICE $292.27 Fl 1 '.5 L'AT E'CHARGE WILL BE ADDED MONTHL Y TO ALL BALANCES UNPAID. We may report information about your account to credit bureaus. Late payments, missed payments, or other defaults on your account may be reflected in your credit report. This communication serves as official notice that all calls to /from our offices may be monitored and /or recorded for quality assurance purposes. m NET TERMS 30 DAYS INVOICE PAYMENT DUE DATE: 12/3012007 For billing errors or questions, please call 1.800- 365 -6519 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 -6115. but it will not preserve your rights Notify HSBC Business Solutions in writing of the cancellation of a credit card or authorized user STMT221D 110105) 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 HSBC Business Solutions Terms PO Box 5219 Carol Stream, IL 60197 -5219 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1770OF 1233884 Engine hoist leveler 292.27 Total 292.27 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 uoucher No Warrant No. HSBC Business Solutions Allowed 20 PO Box 5219 Carol Stream, IL 60197 -5219 In Sum of 292.27 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund Po# or Board Members Dept INVOICE NO ACCT #/TITLE AMOUNT 1770OF 1233884 4238000 29227 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 6 -Jan 2008 si at 292,27 Busl tees Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund