HomeMy WebLinkAbout204243 12/06/2011 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 5216 HECK AMOUNT: $45.26
CAROL STREAM IL 60197 -5219
CHECK NUMBER: 204243
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4350100 45.26 7003 -7311- 0007 -4683
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4 At NW I N0 1RNR� e Amount Past Due Due Date
90) o 1 S $.00 12/21/2011
17ESgL ON MBER #1 s,7 916 ine Available Credit
$TQ23$ )0 $1,954.74
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077851 00003 $45.26
0 347 SUBTOTAL: 005 o0()0 a�24 00001 $41.74 c
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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 r
COSM® COSTCO
W/HOLES/ddE
ACCOUNT SUMMARY BALANCE SUMMARY
v
Outstanding
CURRENT 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Transaction $41.74
+New
$.00 $.00 $.00 Purchase(s)/Debit(s) $45.26
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) $41.74
150 -179 DAYS PAST DUE 180+ DAYS PAST DUE Credit(s) $.00
$.00 $.00 New Balance $45.26
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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!
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Email Address
QQQQQQQQQQQQQQQQQQQQQQQQQQQQ
Street Number of an����J'J'��(I(IjjII��II Street Name or the words "POII BOX Unit or��PO BCX�N, rnner
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Business Phone
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attache invoice(s) or bill(s))
11/24/11 )03- 7311 0007 -46 Cleaning Supplies $45.26
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. WAR RANT NO.
ALLOWED 20
HSBC Business Solutions
IN SUM OF
P.O. Box 5219
Carol Stream, IL 60197 -5219
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1 I hereby certify that the attached invoice(s), or
1207 1 7003 7311 -0007- 43- 501.00 $45.26
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
Monday, December 05, 2011
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund