HomeMy WebLinkAbout204819 12/20/2011 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: $92.79
CAROL STREAM IL 60197 -5219 CHECK NUMBER: 204819
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CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 53.09 7003731100072984
1095 4239040 39.70 FOOD BEVERAGES
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Please Direct Inquiries To: 1- 800 220 -8594
cos co. cosrco
WHOLESALE
Account Number New Balance Payment Due Amount Past Due Due Date
7003 7311 0007 -2984 $92.79 $.00 $.00 12/21/2011
Billing Date Credit Line Available Credit
11/26/2011 $5,000 $4,907.21
TDD /Hearing Impaired: 1- 800 365 -0186
STATEMENT OF YOUR ACCOUNT
FINANCE CHARGE SUMMARY
Credit Credit Average Daily Corres- FINANCE ANNUAL New N6nimum Promo
Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire
Description Number Balance Rate APR Periodic Rate RATE Due
Reg 00014 $5.99 0.00000% 00.00% $.00 00.00% $92.79 S.00 12/26/2011
ACCOUNT DETAIL
Transaction Transaction Invoice User P.O. Transaction
Date Description Number ID Number Amount
10/28/2011 COSTCO WHOLESALE -346 005632 00005 $53.09
00005 SUBTOTAL: $53.09
11/01/2011 COSTCO WHOLESALE -346 071873 00013 $39.70
00013 SUBTOTAL: 539.70
11/16/2011 RETURNED MERCHANDISE 6140953 00001 $22.40
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DEC 05 2011
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.
C OSYC0 COSTCO
WHOLESALE
ACCOUNT SUMMARY BALANCE SUMMARY
CURRENT 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Outstanding
Transaction $22.40
+New
$.00 $.00 $.00 Purchase(s)/Debit(s) $92.79
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) $.00
150 -179 DAYS PAST DUE 180+ DAYS PAST DUE Creclit(s) $22.40
$.00 $.00 New Balance $92.79
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Page 2 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.
STMT222C (10/07)
TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER -CASE LETTERS
AND NUMBERS ONLY!
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Email Address
Street Number it an �Street Name or the words TO BOX'((" Unit or PO BOX N r
LIL 11 1 1
Ci Stat ul� z
Business Phone
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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)) PO Amount
11/26/11 7003731100072984 Program supplies 53.09
11126(11 7003731100072984 Concessions 39.70
Total 92.79
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
(Costco)
361108 HSBC Business Solutions Allowed 20
P.O. Box 5219
Carol Stream, IL 60197 -5219
In Sure of
92.79
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 1 109 Monon Center
PO# or INVOICE NO. ACCT #rTITLE AMOUNT Board Members
Dept
1081 -7 7003731100072984 4239039 53.09 l hereby certify that the attached invoice(s), or
1095 -1 7003731100072984 4239040 39.70 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
15 -Dec 2011
F A-Q-
Signature
92.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund