166227 11/24/2008 CITY OF CARMEL, INDIANA VENDOR 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COS''Cp
CHECK AMOUNT: $779.90
CARMEL, INDIANA 46032 rosox 5279
cnaoL sraenm a 60197-e219 CHECK NUMBER: 166227
CHECK DATE: 1112412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1046 4239037 351.81 7003731100072984
X 1046 4239039 38.95 7003731100072984
1047 4239039 389.14 7003731100072984
i
I
Please Direct Inquiries To 1 -800- 220 -8594 cosyco. COSTCO
WF /OLESALE
Account Number New Balance Payment Due Amount Past Due Due Date
703.7311- 0007 -2984 $892.09 $309.05 $.00 11/20/2008
Billing Date, Credit line Available Credit
10126/2008. $5,000 $4,107 "91
This communication serves as official notice that all calls to /from our offices may be monitored and /or recorded for quality
assurance purposes
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 New Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
Reg 00014 S888 0.00000% 00.00% Soo 0000% $309.05 5309.05 10/26/2008
Reg 00014 S38.87 0.00000% 00.00% 00 0000% S583.04 S.00 11126/2008
ACCOUNT DETAIL
Transaction Transaction' Invoice User "P.O. Transactions
Date Description Number ID Number Amount
09/26/2008 COSTCO WHOLESALE -346 030726 00005 5351.81 0
00005 SUBTOTAL: 5351.81
10/14/2008 COSTCO WHOLESALE -347 015916 00009 S3895 e
10/22/2008 COSTCO WHOLESALE -346 021790 00009 $333.67 e
10122/2008 COSTCO WHOLESALE- 346 063906 00009 S210.42
00009 SUBTOTAL: $583.04 m
10/18/2008 PAYMENT THANK YOU 00001 $661.29-
10/2222008 RETURN CARD If 009 00009 $42.76- o
e
8y HO P03 ?0 ljVjq
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 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.
co�rco
coswo
b1/HOLESALE
ACCOUNT SUMMARY BALANCE SUMMARY C
CURRENT 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Outs $661 29
+New
$30905 00 00 Purchase(a)/Debrt(s) $93485
00.89 DAYS PAST DUE 90 -119 DAYS PAST DUE 120.149 DAYS PAST DUE New Fees 00
Finance Charges 00
00 00 00 Payment( $66129
150 -179 DAYS PAST DUE 100+ DAYS PAST DUE Credit(s) $4276
00 00 New Balance $89209
ur
vr
N
Page 2 of 2
New address or phone number
Please check box and complete reverse side
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 (f OM7)
TO ENSURE ACCURACY, PLEASE PRIM NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY!
Com an Name
Email Address
Street Number dSireet Number an� Stree Nam or the w ords Urn�t�or PlgO�f3��
cat Stat❑ M
Ph n /❑❑❑—F_1❑FT_1
Costco Fund 1047
Club
Gen Pro g Activity
supplies supplies
V# 361108 Invoice 4239039 4239037
09/26/08 3072600 351.81 PO #19380F
10/14/08 1591600 38.951
10/22/08 6390600 210.42
10/24/08 3962400 416.55
10/22/08 2179000 333.67
10122108 -4276
10/27/08 528.74
428.09 351.81 779.90
Costco Fund 1047 1O4(p TOTAL
Club
Gen Prog Activity
supplies supplies
4
V# 361108 1 Invoice 4239039 239037
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)
Terms
361108 HSBC Business Solutions
P.O. Box 5219 Date Due
Carol Stream, IL 60197 -5219
Invoice Invoice Description
Amount
Date Number (or note attached invoice(s) or bill(s))
PO 19380 F 351 81
10126108 7003731100072984 Club Activit Su lies PO 19552 F 389.14
10126108 7003731100072984 General Pro ram su lies 38.95
10/26/08 700373110007298 General Program supplies
Total 779.90
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 5-11-10-16
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
779.90
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept# INVOICE NO ACCT #!TITLE AMOUNT
1046 7003731100072984 4239037 351.81 1 hereby certify that the attached invoice(s), or
1047 7003731100072984 4239039 389.14 bill(s) is (are) true and correct and that the
1046 7003731100072984 9d3 q 38.95 :materials or services itemized thereon for
which charge is made were ordered and
received except
l 18 Nov 2008
Signature
779.90 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund