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Home My WebLink About201234 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp ECK AMOUNT: $338.71 CH CARMEL, INDIANA 46032 Po eox szls CAROL STREAM IL 60197 -5219 CHECK NUMBER: 201234 CHECK DATE: 9/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4230200 145.46 7003731100072984 1095 4239040 193.25 7003731100072984 Please Direct Inquiries To: 1- 800 220 -8594 C bSMOI COSTCO WHOLESALE Account Number New Balance Payment Due Amount Past Due Due Date 7003- 7311- 0007 -2984 $371.29 $22.40 $.00 09/20/2011 Billing Date Credit Line Available Credit 08/26/2011 $5,000 $4,628.71 TDD /Hearing Impaired: 800 365 -0186 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 Balance Payment Expire Description Number Balance Rate APR Periodic Rate RATE Due Reg 00014 0.00000% 00.00% $.00 00.00% 522.40 $22.40 08/26/2011 Reg 00014 $17.49 0.00000% 00.00% $.00 00.00% $348.89 $.00 09/26/2011 ACCOUNT DETAIL Transaction Transaction Invoice User P.O. Transaction Date Description Number ID Number Amount 08/04/2011 COSTCO ON LINE 847 192374182211 00001 $155.64 00001 SUBTOTAL: $155.64 08/05/2011 COSTCO WHOLESALE -346 040515 00013 $193.25 00013 SUBTOTAL: $193.25 08/20/2011 PAYMENT THANK YOU 00001 5228.75- Room air conditioners that have earned the ENERGY STAR rating use about 10% less energy than conventional models. To learn more, visit www.energystar.gov. Your account information is in your control when you register securely at www.hrscommercial.com �r7 -7 pia CEP p 6 7811 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 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 -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 c osyco VAWLE ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURRENT 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Transaction $251.15 $22.40 $.00 $.00 Purchase(s)/Debd(s) $348.89 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) $228.75 150 -179 DAYS PAST DUE 180+ DAYS PAST DUE Credit(s) $.00 $.00 $.00 New Balance $371.29 Page 2 of 2 0 0 a N 0 0 N 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 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 -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 (10/07) TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS AND NUMBERS ONLY! C Name Email Address Street Number it an Street words the BOX" Unit Unit or P BOX Num❑ber❑❑ State z Business Phone ❑❑❑i❑❑ ❑�O❑❑❑ Costco receipt Page I of I oam What's New Appliances Automotive Baby Kids Computers Electronics Entertainment Funeral Furniture Grocery Floral Hardware Health Beauty Home Jewelry Office Products Outdoor Sports Fitness ViewAll LOGOUT SearchE in All Your Receipt Thank you for shopping costco-com. Your order is in process. Your order number is: 228147329 Order Date: 81412011 Please print this page for your records. F EM= Billing Address Payment Method Carmel Clay Parks Recreation Member Number: 111785098197 Costco Credit Card: 2984 1411 E. 116TH ST CARMEL, IN 46032 Shipping LS Jennifer Holder 2011 Orchard Park Elementary AUG 0 10404 ORCHARD PARK DR S INDIANAPOLIS, IN 46280-1538 AUG 23 Your Order Qty Description Ship Method Price Item Total TRINITY NSF 6-tier Al-purpose Standard $114.99 $114.99 48" Wide Chrome Shelving Rack Item 341584 Subtotal: $114.99 Shipping Handling: $30.47 Tax: $10.18 Order Total: $155.64 Please print this page for your records. An e-mail confirmation will be sent for your order. If you have any questions, please go to customer service. Shop Confidendy Membership: We will refund your membership fee in full at any time if you are dissatisfied. Merchandise: We guarantee your satisfaction on every product we sell with a full refund, Exceptions: Televisions, projectors, computers, cameras, camcorders, Pod/MP3 players and cellular phones must be returned within 90 days of purchase for a refund. How to Return: Simply return your purchase to any one of our Costco warehouses worldwide for a refund (including shipping and handling). If you are unable to return your order at one of our warehouses, please contact customer service or call our customer service center at 1-800-955-2292 for assistance. To expedite the processing of your return, please refeeence your order number. CUSTOMER SERVICE I ORDER STATUS J REBATES CREDIT CARDS I COSTCO CONNECTION MAGAZINE �6 2D! Alkig Pmww and Cund;tiun5. invqsto; F,- iafiom. r rPloyin e3u I F!'nplo, S"w ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show kind of service, where performed, price pert un dates service rendered, by whom, rates per day, number of hours, rats per.ho Payee Purchase Order No. (Costco) Terms 361108 HSBC Business Solutions Date Due P.O. Box 5219 Carol Stream, IL 60197 -5219 Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s) 193.25 8126111 70037311000729a4 Concessions 145.46 8126111 7003731100072994 Shelving Total 338.71 I hereby certify that the attached invoice(s), or bitl(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 1 20 Clerk- Treasurer Voucher No. Warrant No. (Costco) 361108 HSBC Business Solutions Allowed 20 P.O. Box 5219 Carol Stream, It_ 60197 -5219 In Sum of 338.71 ON ACCOUNT OF APPROPRIATION FOR 109 Monon Center 1 108 ESE PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1095 -1 7003731100072984 4239040 193.25 1 hereby certify that the attached invoice(s), or 1081 -6 7003731100072984 4230200 145.46 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 8 -Sep 2011 Signature 338.71 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund