162756 08/20/2008 CITY OF CARMEL, INDIANA VENDOR 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC &ECK AMOUNT: $507.76
,p CARMEL, INDIANA 46032 PO BOX 5219
CAROL STREAM a so197-5219 CHECK NUMBER: 162756
CHECK DATE: 8/2012008
'dEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1047 4239040 332.83 70003731100072984
,1047 4239099 174.93 70003731100072984
cosrco
Please Direct Inquiries ies To 1- 800 220 -8594
COMM
Account Number. New Balance: Payment Due Amount Past Due 'r:._- :Due Date
7003- 7311- 0007p2984 $507.76 $.00.:: $.00 .08/20/2008
Billing Date -r Credit Line Available Credit
07/26/2008: $5,000 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 pending CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Per iodic Rate RATE Due
Reg 00014 S33.85 0.00000% 00.00% S.00 1 00.00% $507.76 S.00 08/26/2008
ACCOUNT DETAIL
Transaction Transaction Invoice User P.O. Transaction
Date Description Number ID Number Amount
07/01/2008 COSTCO WHOLESALE -347 055028 00007 S332.83
07124/2008 CO$TCO WHOLESALE- 347 065839 00007 S174.93
00007 SUBTOTAL: $507.76
06/27/2008 PAYMENT THANK YOU 00001 $1,185.45-
07/2412008 PAYMENT THANK YOU 00001 5501.41
H
N
RECEI D
AUG 0 1 2008
BY:�_
Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2
r
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 PO 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.
r
Cil STC0 COSTCO
_Wi/OLESALE
ACCOUNT SUMMARY BALANCE SUMMARY
Outs
tanding
CURRENTS 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Tranaacton $1,686.86
+New
$.00 $00 $.00 Purchase(s)/Debit(s) $50776
60789 DAYS PAST DUE .90-1119 DAYS PAST DUE 120 -149 DAYS PAST DUE +New Fees 00
Finance Charges 00
$.00 $.00 00
Payment(s) $1,68686
150.179 DAYS PAST DUE 180+ DAYS PAST DUE Creda(s) w
00 00 New Balance $50776
N
RECEIVED
AUG 0 1 2008
BY:�_
Page 2 of 2
New address or phone number?
Please check box and complete reverse side
t
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 PO. 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
1
STMTMC (10/07)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY!
Com an Name IrrrrI IqI 1t lul llll II II I I l I��II
L�J❑
Email Address
Street Number i an Street Name o the words BOX" 1(1��t�tttl� II II I Umt� X Num e N l
ca, FI 0 u I late EU Us, 02
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
7/26/08 7003731100072984 Food Beverage 332.83
7/26/08 7003731100072984 Misc Supplies 174.93
Total 507.76
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
507.76
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO ACCT /TITL AMOUNT Board Members
Dept
1047 7003731100072984 4239040 332.83 1 hereby certify that the attached invoice(s), or
1047 7003731100072984 4239099 174.93 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
1 -Aug 2008
Signature
507.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund