HomeMy WebLinkAbout202573 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC
CARMEL, INDIANA 46032 PO BOX 5219 HECK AMOUNT: $179.76
CAROL STREAM IL 60197 -5219 CHECK NUMBER: 202573
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4239039 PARKS 179.76 7003 -7311- 0007 -2984
COSTCO
Please Direct Inquiries To: 1- 800 220 -8594
WNCLESALE
Account Number New Balance Payment Due Amount Past Due Due Date
7003 7311 0007 -2984 $212.34 $32.58 $.00 10/21/2011
Billing Date Credit Line Available Credit
09/26/2011 $5,000 $4,787.66
TDD /Hearing Impaired: 800 365 -0166
.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% $32.58 $32.58 09/26/2011
Reg 00014 $11.60 0.00000% 00.00% $.00 00.00% $179.76 $.00 10/26/2011
ACCOUNT DETAIL
Transaction Transaction Invoice User P.O. Transaction
Date Description Number ID Number Amount
09/07/2011 COSTCO WHOLESALE -347 016066 00009 $179.76
00009 SUBTOTAL: $179.76 a
09/18/2011 PAYMENT THANK YOU 00001 $338.71
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OCT 0 4 2011
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Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2
STMT222C (10/07)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY!
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Email Address
Street Number if an Street Name or the words TO BOX" Unit or PO BOX Number
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State Z
Business Phone
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:COUNTS PAYABLE VOUCHER
CITY OF CARMEL
show; kind of service, where performed, dates service rendered, by
�r hour, number of units, price per unit, etc.
Purchase Order No.
11347 IN I r,n i ruar�l -1.n. Terms
9010 MICHIGAN ROAD Date Due
INDIANAN il_'LS lip 16'
MEMBER it i i i r ,u 1's i 219
E 23 476 231 CRYS l 01 i i i i 1.1
E 476231 CRYS I "AL 1..1 r: 172. 21
TOTAL Description
VF Costco Who l sa i Z' i b 76 )ote attached invoice(s) or bill(s)) PO Amount
XXXXXXXXXXXX2984 SWIPED p lies 179.76
09/07/11 10:41
Seg# O01393 ApPl n 1 Of 166
Costco Wholesale Resp 1ri
Tran ID 125003088000
Merchant C I O 99
APPROVED I iJRt.,i
AMOUNT: s 171. I6
0347 008 00601300" i 0() 003
CHANGE .00
TOTAL NUMBER OF ff-11S SOLD 24
CASHIER: Kenny 1 ?C hll is
SW460 ifill 10:42 0347 Ott 00 r 0o Total I 179.76
Thank You!
Please Come o sin J11(s) is (are) true and correct and I have audited same in accordance
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
179.76
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
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PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
i
Dept
1096 -60 7003731100072984 4239039 179.76 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 -Oct 2011
Signature
179.76 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund