175707 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp
CARMEL, INDIANA 46032 PO sox 5216 CHECK AMOUNT: $23.77
CAROL STREAM IL 60197 -5219 CHECK NUMBER: 175707
CHECK DATE: 8/612009
DEPA RTMENT ACCOUNT PO N UMB ER INV OICE NUMBE AMOUNT DESCRIPTION
104.7 4239039 2984 23.77 7003731100072984
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A CADSTCO Please Direct Inquiries To: 1 -800- 220 -8594 COSTCO
WHOLESALE
Atr1t Nymber. Neta 3?ejtt»ent:Dtie dttrtn►m Past Due Rue. Date
7003 73 f 1 000T 2984 $505 08 QO< i?A t}7 /Z1 /2Q09
EtHling Rate Credlt Availabte Credit
W /26/2909 55,900 $4;494 92
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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:CH&RCYE SUARAAARY
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 $32.59 0.00000% 00.00% $.00 00.00% $505.08 $.00 07/26/2009
ACCOUNT DETAIL
TrdnSaCtfQn ...:TrdtaS lf►YpiGe...
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t a#e De- 7 7 7 toi. tlu..... iD N tiljer...:::_.. Amount
05/27/2009 COSTCO ON LINE 847 047257978 00001 $385.18
00001 SUBTOTAL: $385.18
05127/2009 COSTCO WHOLESALE -346 069158 00005 $96.13
00005 SUBTOTAL: $96.13
06/12/2009 COSTCO WHOLESALE- 347 069493 00009 $23.77
00009 SUBTOTAL: $23.77
06112/2009 PAYMENT THANK YOU 00001 $159.95
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SALES AUDIT TRANSACTION DETAIL IND2172X
Sa�les .6 /12 /09 RTUNE P Regc K t 10 Trans TyYppe: Tender
Time: 14:29 Traci 222 Ten r:
Tota 23.77 Operator: 116 Block:
Member 4: 000111785098197 CARLING, SARAH Mbr Ty Business
FSA/ Tax: Resale Total: 23,77
EBT Item Description Amount Units
127279 SOLO HVY WHT KNIVES *Resale 7.79 1
127489 SOLO HVY WHITE SPN *Resale 7.99 1
127509 SOLO HVY WHITE FORK *Resale 7.99 1
Costco CR 23.77
F1 =Help F3 =Exit F9 =RLG F12= Cancel F21 =Print Receipt JUL 2 4 2009
ACCOUNTS PAYABLE VOUCHER
t 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 Purchase Order No.
(Costco)
361108 HSBC Business Solutions Terms
P.O. Box 5219 Date Due
Carol Stream, IL 60197 -5219
a
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) PO Amount
6126109 7003731100072984 Special event supplies 23.77
Total 23.77
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
r
Voucher No. Warrant No.
(Costco)
361108 HSBC Business Solutions Allowed 20
P.O. Box 5219
Carol Stream, IL 60197 -5219
In Sum of
23.77
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #,`TITLE AMOUNT Board Members
Dept
1047 7003731100072984 4239039 23.77 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
30 -Jul 2009
Signature
23.77 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund