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Home My WebLink About180096 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 s ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp CARMEL, INDIANA 46032 PO BOX 5219 CHECK AMOUNT: $218.34 CAROL STREAM IL 60197 -5219 CHECK NUMBER: 180096 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AM DESCRIPTION 1207 4239040 GOLF 132.36 7003731100074683 1207 4239099 GOLF 85.98 7003731100074683 cbs 4347 NU INDIANAPOLIS 9010 MICHIGAN ROAD INDIANAPOLIS, IN 46268 MEMBER #111791434655 F 152082 AUSTIN VRTY 6.99 J88333 36 "WREATH 42.99 A 888333 36 "WREATH 42.99 A E 117986 CHOC VARIETY 14.99 A E 188138 FRITOLAY50CT 10.95 E 276263 NESTLE 30CT 14.83 SUBTOTAL 133.74 A 7.0.0 TAX I*< TOTAL Ll'iq ;i® VF Costco Wholesale 140.81 XXXXXXXXXXXX4683 SWIPED 11/24/09 12:15 Se9 005120 APP#: 5558 Costco Wholesale Res AA Tran ID 932845495000 Merchant ID 99034711 APPROVED PURQ AMOUNT: $140.8 034700800000000", 0115 �n CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 6 CASHIER: ADAM H EG# 8 12:15 0347 08 0115 34 Thank You! Please Come Again! CAC 4347 NU INDIANAPOLIS 9010 MICHIGAN ROAD INDIANAPOLIS, IN 46268 *mm #xx *x *x DUPLICATE CREDIT CARD TRANSACTION RECORD COSTCO WHOLESALE #347 9010 MICHIGAN ROAD INDIANAPOLIS, IN 46268 XXXXXXXXXXXX4683 SWIPED Se9 001157 App Costco Wholesale ResP: AA Tran ID 932845525000 Merchant ID 99034711 11/24/09 12:21 APPROVED REFUND AMT: $7.07 I AGREE TO PAY ABOVE AMOUNT ACCORDING TO CARD ISSUER AGREEMENT X-- PAM LISTER 0347 081 0000000619 0055 DUPLICATE sex MALE #347 NW INDIANAPOLIS 9010 MICHIGAN ROAD INDIANAPOLIS, IN 46268 r MEMBER #111791434655 RESALE ON /.39 y E 17583 FRNK 7.98 E 17583 FRNK 7.98 E 18813Y50 10.97 E 93853H 3.39 E 93853 E 3.39 E 1881350CT 10.97 RESL 44.68 NON,RES L 00 TOTAL 01 *1i VF Costco Wholesale 44.68 XXXXXXXXXXXX4683 SWIPED 11/06/09 12:04 Se9 000940 APP 017427 Costco Wholesale ResP: AA Tran ID 931011894000 Merchant ID 99034711 APPROVED PURCHASE AMOUNT: $44.68 0347 009 0000000100 0135 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 6 CASHIER: Kenny REG# 9 AF1114 40li>✓' 12:04 0347 09 0135 100 Thank You! Please Come A9,311-0 3 31'4-7 NW INDIANAPOLIS 9010 MICHIGAN ROAD INDIANAPOLIS, IN 46268 MEMBER #111791434655 RESALE ON E 117986 CHOC VARIETY 14.99 E 452082 AUSTIN VRTY 6.99 E 414 HELLMAN MAYO 6.97 E 186138 FRITOLAY50CT 10.97 END OF RESALE RESALE 70TAL 39.92 NON RESALE .00 TOTAL VF Costco Wholesale 39.92 XXXXXXXXXXXX4683 SWIPED 11/12/09 18:56 Seg 002512 APP 065896 Costco Wholesale ResP: AA Tran ID 931622796000 Merchant ID 99034711 APPROVED PURCHASE AMOUNT: $39.92 0347 011 0000000051 0282 CHANGE .00 TOTAL NUMBER OF ITEMS SOLO a 4 CASHIER: AMY S REG# 11 18:56 0347 11 0282 51 Thank You! Please Come Aqain! C® COSTCO Please Direct Inquiries To: 1- 800 220 -8594 COST WHOLESALE Account Number New Balance.,:.... Payment Due Amount:Past Due L)uts,.Date 7003 7311.8007 $228 69 .$3 28 Q0 12/21/2909 SlAing ate Ceetiit:Ltne Avatlaasle Coedit... 1.1/26!2009 $2000 $1 7 71 3 i This communication serves as official notice that all calls to /from our offices may be monitored and /or recorded for quality assurance purposes. TDD /Hearing Impaired: 800- 365 -0186 STATEMENT OF YOUR ACCOUNT FINANCE CHARGEiSUMMARY 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% S.00 00.00% S3.28 S3.28 11/26/2009 Reg 00014 S14.54 0.00000% 00.00% S.00 00.00% S225.41 S.00 12/26/2009 ACCOUNT DETAIL Transacttow Transaction Invotce :::.......::...User;:. P,O.:`.; ransaction Dafe Desc I I 11/06/2009 COSTCO WHOLESALE -347 017427 00003 S44.68 11/1212009 COSTCO WHOLESALE -347 065896 00003 S39.92 11/24/2009 COSTCO WHOLESALE -347 025558 00003 5140.81 00003 SUBTOTAL: $225.41 11120/2009 PAYMENT THANKYOU 00001 578.55- 11/24/2009 RETURNED MERCHANDISE 00003 S7.07- Online Account Access lets you take control of your Account anytime, anywhere. Registration is easy, secure and waiting for you at www. hrscommercial.com Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2 Y 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. TC COSTCO v I F CA1 E ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURRENT 1 29 DAYS PAST DUE 30 59. DAY5 PAST DUE Transaction $88.90 +New $3.28 $.00 $.00 Purchase(s)/Debit(s) $225.41 New Fees $.00 6p�89 DAYS PAST DUE 90 119 DAYS PAST DUE 120 1:49 DAYS PAST;DUE Finance Charges $.00 $.00 $.00 $.00 Payment(s) $78.55 150 179 BAYS PAST DUE 6 :1 80 +DAYS PAST DUE Credit(s) $7.07 $.00 $.00 New Balance $228.69 Page 2 of 2 4� 0 r 0 0 IT v a N 0 O N 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 Corn i� e Email Address ❑U Street Number if anv� Street Name or the words 'PO BOX' U,t or un_6CX Number F F E TE L E' 1C]❑❑❑❑ Business Phone 1 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995) 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 1 QE SS 6c._i d icy_; Purchase Order No. .��Q Terms �2fjgj x �L Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) D 04 AMP �s 9 Total a/ X, I 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. ALLOWED 20 J �a SinSS IN SUM OF �0, _sa/ 9 il, SIX ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 6 -99 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 7 20 Sig ature Cost distribution ledger classification if Title/ claim paid motor vehicle highway fund