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Home My WebLink About173344 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp CARMEL, INDIANA 46032 PO BOX 5219 CHECK AMOUNT: $159.95 CAROL STREAM IL 60197 -5219 CHECK NUMBER: 173344 CHECK DATE: 6/10/2009 DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION 1047 4239040 PARKS 144.96 7003 -7311- 0007 -2984 1047 4358400 PARKS 14.99 7003 7311 0007 -2984 sic 7 n' Vil:JUV7 i'(et` S uuzdz. -<Oo Costca Wholesale ResP: AA FID Y. 09298 APPROVED COSTCO F WF9MES RL.E t Due AmtwrttPast Due Due Date UO 06 2012009 ra t Ltne Available Credit 004 4 84005'' N 92 0 1,,-9 P our offices may be monitored and /or recorded for quality rIL ll i i lu RESALE ON p DF YOUR ACCOUNT I0309 w y. 0 "BG' 6.79 17u309 I 3Vfc 1 �BG 6.79 3232 RING /PUSw'Oi' 9.99 350551 9 KF 7 :15 /CR6ZY 11 99 INANCE ANNUAL New Knimum Promo 350551 3K FIL S CRAZY 1 1.99 IARGES at PERCENTAGE Balance Payment Expire 1160 SKITTLES 17.49 iodic Rate RATE Due 1160 SKITT: ES 17, 49 $159.95 $.00 06i2si2oo9 3232 RING /PUSHPOP 99 $.00 00.00% 1151 STARBURST 17'49 1151 STARBURST 17.49 17.49 iUNT DETAIL RESALE TOTAL 144.99 user P o Tra.mW lr�n NON RESALE TOTAL 00 Number ID Number Amount TOTAL 002823 00013 $14.99 VF Wholesale 144 .99 002936 00013 SUBTOTAL: $159.98 XXXXXXXXXXXX2984 00001 $565.27 SWIPED 5e9 005810 Ref 00293600 w.hrscommercial.com Costco Wholesale ResP: AA FID Y: 09302 APPROVED AMOUNT: $144.99 By 0¢ ?009 Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2 i 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 MAHMESLLLE ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CUKRENT 1 n DAYS PAST DUf:` 30 -59 DAYS:PAST :.DUE Transaction $565.24 Wimmiiimim +New $.00 $.00 $.00 Purchase(s)/Debit(s) $159.98 New Fees $.00 fiQ =$9 DAYS AAST pU�.. 9Q 119: RAYS RAST.DU.E 1 (l t:49 DAYS PASTOUE. Finance Charges $.00 $.00 $.00 $.00 Payment(s) $565.27 150 179.DAYS PAST. 180.- DAYS PAST DUE:...: Credits) $.00 $.00 $.00 New Balance $159.95 JUN 0 4 20 i Page 2 of 2 i 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 PO. 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! Email Address Street Number rf an Street Name or the words 'PO BOX" Unit or PC BOX Number 11 D cii Stat LJLILJFID� f L Business [�I� ElDFI costco Fund 1047 Reunds Food Awards Beverage V# 361108 Invoice 4358400 4239040 04/28/09 5810 144.99 04/28/09 5809 14.99 -0.03 COSTCO WAS OVERPAID 3 CENTS WITH CK 172339 ON 5/13/09 14.99 144.96 159.95 costco Fund 1047 TOTAL Reunds Food Awards Beverage V#361108 Invoice 4358400 4239040 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 t 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 5/26/09 7003731100072984 Refunds Awards 14.99 5/26/09 7003731100072984 Food Beverage 144.96 Total 159.95 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. (Costco) 361108 HSBC Business Solutions Allowed 20 P.O. Box 5219 Carol Stream, IL 60197 -5219 In Sum of 159.95 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #FFITLE AMOUNT Board Members Dept 1047 7003731100072984 4358400 14.99 1 hereby certify that the attached invoice(s), or 1047 7003731100072984 4239040 144.96 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 4 -Jun 2009 Signature 159.95 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund