164735 10/16/2008 CITY OF CARMEL, INDIANA VENDOR 361108 Page 1 of 1
c ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC &ECK AMOUNT: $661.29
CARMEL. INDIANA 46032 PO BOX 5219
CAROL STREAM a 69197 -5219 CHECK NUMBER: 164735
CHECK DATE: 10116/2008
UEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 PARKS 70.50 7003731100072984
F,1047 4239039 PARKS 590.79 7003731100072984
I
f
r COMM Please Direct Inquiries To 1- 800 220 -8594 COSTCO
Wi1gLESALE
Account Number New Balance Payment Due Amount Past Due Due Date
:7003- 7311 0007 2984 $661.29:: $.00. $.00 10/21/2008
Billing Date- Credit Line Available Credit
09/2612008 $5,000 $4,338:71
This communication serves as official notice that all calls to /from our oftices may be monitored and /or recorded for quality
assurance purposes
STATEMENT OF YOUR ACCOUNT
FINANCE CHARGE SUMMARY
Credit Credit Average Daily Caries- FINANCE ANNUAL m
New Mnimum Proo
Ran Ran Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance I Rate APR Periodic Rate RATE Due
Reg 00014 542.66 1 0.00000% 00.00% 1 S.00 1 00.00% 5661.29 S.00 10/26/2008
ACCOUNT DETAIL
Transaction Transaction Invoice User P.O. Transaction
Date„ .Description :Number ":ID. Number_- "Amount':
09/1212008 GOSTCO WHOLESALE- 346 020756 00005 S70.50
00005 SUBTOTAL: S70.50'
09/0912008 COSTCO WHOLESALE -346 010794 00009 S512.60
09/202008 COSTCO WHOLESALE- 347 043168 00009 $83.24
09/2412008 COSTCO WHOLESALE- 347 044311 00009 S78 19
00009 SUBTOTAL: $674.03
09105/2008 PAYMENT THANK YOU 00001 S507.76-
09/20/2008 PAYMENT THANK YOU 00001 S77487-
09/2412DO8 RETURN CARD #009 00009 S83.24-
RECEIVED
0C� 7
n�
BY:
Return the below portion with payment. For baling e.rors 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.
COSTCO
_WHOLESALE
ACCOUNTSUMMARY BALANCE SUMMARY
Outstanding
CURRENT=' 1 29 DAYS PAST DUE :30 DAYS PAST DUE: Transacton $1,28263
+New
00 00 00 Purchase(s)/Ueba(s) $74453
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) $1,28263
150.179_ DAYS PAST DUE 780 DAYS PAST DUE Cmdd(s) $8324
00 00 New Balance $66129
C ,FTVFD
0 3 2008
OCT Y-�
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 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 (10101)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY!
Com an Name lI
I I I II Ill
J
Eman Address
I�l ICI l�
Street Number A an L l J Street Name or the words T BOX" Unit or PO B Number
C ,1 ❑❑❑E JI E1E1❑ Slar Z ❑L F IF
I II l ug❑❑❑ -❑❑FT]
Costco Fund 1047 Fund 101 Fund 1046
Club
Gen Prog Misc. Catering Food Activity
supplies Supplies Service Beverage Supplies
V# 361108 Invoice 4239039 4239099 4341993 4239040 4239037
09/12/08 70.50
09/24/081 4431101 78.191
09/09/081 10794001 512.60
59079 70.50 661.29
Costco Fund 1047 Fund 101 Fund 10461 1 TOTAL
Club
Gen Prog Misc. Catering Food A tivity
supplies Supplies Service Beverage Supplies
V# 361108 Invoice 4239039 4239099 4341993 42396401 42390371
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
(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)) Amount
9/26/08 7003731100072984 General Program supplies PO 19420 F 512.60
9/26/08 7003731100072984 General Program supplies 78.19
9/26/08 7003731100072984 Club Activity Supplies 7050
Total 1 661.29
I 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
661.29
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or Board Members
Dept INVOICE NO ACCT #/TITLE AMOUNT
1047 7003731100072984 4239039 512.60 1 hereby certify that the attached invoice(s), or
1047 70037311DO0 4239039 78 19 bill(s) is (are) true and correct and that the
1046 7003731100072984 4239037 70.50 materials or services itemized thereon for
which charge is made were ordered and
received except
6-Oct 2008
Signature
661.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund