HomeMy WebLinkAbout173343 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1
ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp CHECK AMOUNT: $111.74
CARMEL, INDIANA 46032 PO Box 5216
CAROL STREAM IL 60197 -5219
CHECK NUMBER: 173343
CHECK DATE: 6/10/2009
DEPARTMENT ACCOU P NU MBER INVOICE NUMB AM OUNT D ESCRIPTION
1207 4238000 GOLF 85.09 7003 -7311- 0007 -4683
1207 4239040 GOLF 26.65 7003 -7311- 0007 -4683
COSTCO s
F M MARMESALE
lent Due Amount Past Due.: Que pit
430 Q3 00 0 &t20/2
UA LE edtt Lme Available Credit
r
MOOD 454 73
#347 NU INDI /PULIS
to /from our offices may be monitored and /or recorded for quality=
MEMBER #1 1791434655
RESALE ON r OF YOUR ACCOUNT
968988 165 COOLER 79.99
RESAL TOTAL 79.99 FINANCE ANNUAL New N6nimum Promo
NON RESA TOTAL 00 :NARGES at PERCENTAGE Balance Payment Expire
I anodic Rate RATE Due
TOTA $.00 00.00% $1,430.03 $1,430.03 05/26/2009
VF Rebate Coupon 44.89 $.00 00.00% $115.24 $.00 06/26/2009
VF Costco Wholesale 35.10
XXXXXXXXXXXX4683 SWIPED
Se9 001839 Ref#: 06570600 )UNT DETAIL
Costco Wholesale Resp: AA
FID Y 27336 anyoiee User R o .....cf..
Numher. ID Numher Amount
APPROVED 042783 00003 $80.14
AMOUNT: $35.10 065706 00003 $35.10 0
0347 010 0000000024 0476 00003 SUBTOTAL: $115.24 0
00003 $3.50- o
0
0
CHANGE 00 v. hrscommercial.com
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TOTAL NUMBER OF ITEMS SOLD a 1
CASHIER: Mary Kay C REG# 10
!Z4 41 19:04 0347 10 0476 24
Thank You!
Please Come Again!
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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.
cosm COSTCO
WF6®d.ESALE
ACCOUNT SUMMARY BALANCE SUMMARY
Outstanding
CURRENT.. 129 HAYS PAST DUE E> 30 59:;DAYS PAST DUE Transaction $1 ,433.53
+New
$1,430.03 $.00 $.00 Purchase(s)/Debit(s) $115.24
New Fees $.00 e
AYS PAST pUE 9Q 119 DAYS PAST DUE 120 ,1;49 DAYSPAST pllE
Finance Charges $.00
$.00 $.00 $.00 Payment(s) $.00
156-1 79 DAYS PAST:DUE 180.+ DAYS PAST DUE Credit(s) $3.50
$.00 $.00 New Balance $1,545.27
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Page 2 of 2
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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!
M M a 11❑❑❑❑❑❑❑
Email Address
Street Number Id an Street Name or the words TO BOX' Unit or PO BOX Number
state IF] Z�❑❑❑
bu �e.s Phone
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 L
Purchase Order No.
Terms
LU I 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
VOUCHER NO. WARRANT NO.
r
ALLOWED 20
IN SUM OF
e /lo 60
aiq
ON ACCOUNT OF APPROPRIATION FOR
6 ZPSe) F-L-t-�
4;20 Leo l -P u, b
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
-35 qO o?(a .(oS bill(s) is (are) true and correct and that the
39'0 .c Oy materials or services itemized thereon for
which charge is made were ordered and
received except
I
20
�T
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund