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Home My WebLink About177223 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC 1 0� HECK AMOUNT: $196.44 CARMEL, INDIANA 46032 PO BOX 5219 CAROL STREAM IL 60197 -5219 CHECK NUMBER: 177223 CHECK DATE: 9/15/2009 DEPARTMENT ACCOUNT P O NUMBE INVOICE NUMBER AMOUNT DESCRIPTION 1207 4230200 076305 66.21 7003731100074683 1207 4238000 076305 99.99 7003731100074683 1207 4239040 076305 30.24 7003731100074683 COSTCO Please Direct Inquiries To: 1- 800 220 -8594 COSYCO YA/aB��3'i441E Act:ount;Tlumber; NevBalance Payment Due ;Amount Past [3ue Due:Clate 7003 731:1.000? 4683 $196.80 $.(?0 00 0812012009 p:BfHingDate Credit Ltne Avaitabl,::Credif 08/26/2009 $2;000 $1 803 20: 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 :GHARG SUMM)4RX 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% $.36 $.00 06/26/2009 Reg 00014 $12.67 0.00000% 00.00% $.00 00.00% $196.44 $.00 09/26/2009 ACCOUNT DETAIL Transaction Transaction Invoice. t}ser R:O Transaction .i: Date Uescriptior' Number ID Number i4mount 08/06/2009 COSTCO WHOLESALE -346 076305 00001 566.21 00001 SUBTOTAL: $66.21 07/30/2009 COSTCO WHOLESALE -347 069325 00003 $130.23 00003 SUBTOTAL: $130.23 08/08/2009 PAYMENT THANK YOU 00001 $179.94 Register for Online Account Access to track and manage your spending, set up Email Alerts, monitor account activity, and update your personal information anytime. Get started: www.hrscommercial.com 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 WHOLESALE ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURRENT 1.29;bAYS.PAST;OU:E 30= 5gDAYSPAST:DU)= Transaction $180.30 +New $.00 $.00 $.00 Purchase(s)/Debit(s) $196.44 New Fees $.00 ;60 89 DAYS PAST D 90 11 DAYSA PST DU 12Q�1a9 DAYS PAST QUA Finance Charges $.00 $.00 $.00 $.00 Payment(s) $179.94 150 179 ;DAYS PAST DUE 180.+ DAYS: PAST DUE Credit(s) $.00 $.00 $.00 New Balance $196.80 Page 2 of 2 c 0 n 0 0 V m N 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 a Name 1:1000000DE] Email Address Street Number f an Street Name or the words "PO BOX' lyd or PO BOX P,.jmber ❑❑CH ❑0❑ ❑0000❑❑❑❑❑❑ C� ❑1i Business Phone -0000 i Prescribed by Slate Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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. o ,I Y51/� ,tea 9 Terms 17L 66159 7 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 JCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF G, S:2-/9 ON ACCOUNT OF APPROPRIATION FOR z�0-2 661W u�2 Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for 3 90 -41� 3 6,24 which charge is made were ordered and received except !�e� 20 07 JSignat re h /11 1 vlt�� Cost distribution ledger classification if T itle claim paid motor vehicle highway fund cbsy JJ:1�J6 C n S T I_E T 0N, 1N MEMBER #111784913819 s2E:`Al_E ON w 3787 LYpSOL TBC 7.72 378705 LYSOL TBC 7.72 378705 LYSOL TBC 7.72 870238 BLEACH 3 /182 7.58 870238 BLEACH 3/182 7.58 913437 CLEAN -UP 9.79 25248 SCRUB BUB 9.05 25248 SCRUB BUB 9.05 RESALE TOTAL 66.21 NON RESALE TOTAL .00 TOTAL vi= Costco Wholesale 66.21 XXXY,X' 5egf: 001358 Ref 07630500 C'oslco Wholesale ResP: AA F ID `Y 46542 APPROVED AMOUNT: $66.21 0346 010 0000000023 0009 CHANGE .00 �j if NUMBER OF ITEMS SOLD 8 CO SHIER: PETER K "AEU# 10 Y,A 10:43 0346 1 0009 23 THONK YOU t'I I-__,CI_;C C 0 rl E A( �AI_N I_ #347 NW INDIANAPOLIS MEMBER #111791434655 RESALE ON 380931 R408LS SHARP 99.99 364170 LM FRENCH 2.99 1609 HVR DRESSING 8.36 136022 ORGANICVILLE 7.95 364170 LM FRENCH—.,,-" 2.99 136022 ORGANICVrffE 7.95 RESALE TOTAL 130.23 NON RESALE TOTAL .00 TOTAL Kiftllry VF Costco Wholesale 130.23 XXXXXXXXXXXX4683 SWIPED Se9 008856 Ref 06932500 Costco Wholesale ResP: AA rID Y: 46719 APPROVED AMOUNT: $130.23 0347 011 0000000038 0176 CHANGE .00 _101AL NUMBER OF ITEMS SOLD m 6 CASHIER: ELIZABETH S REG# 11 19 :54 0347 11 0176 38 Thank You! 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