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Home My WebLink About170872 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC &ECK AMOUNT: $77.81 CARMEL, INDIANA 46032 PO BOX 5219 CAROL STREAM IL 60197 -5219 CHECK NUMBER: 170872 CHECK DATE: 4/16/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1047 4239039 2984 77.81 GENERAL PROGRAM SUPPL COSTCO Please Direct Inquiries To: 1- 800 220 -8594 cbsrcol v WVFODLESALE Account:NUmber New::Balance Payment Due Amouc►t Past Due Due Date 700 0007 2984 9>77 81 9i, 0(: >Q.. 0412012009 BH1ing Date CreditLrne. Available Credit 0,3/2612005 $5 00 9;4;922 19 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 .v FINANCGHARG E?SUMAAARY 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 0 Reg 00014 55.56 0.00000% 00.00% $.00 00.00% $77.81 $.00 04/26/2009 0 ACCOUNT DETAIL -Ti ansact TtnSdCtlOn::: MvWC6: 11sec P TranSaCtipn Date ,..Descrtptton: Numbe ID Nurriber i 03/17/2009 COSTCO WHOLESALE -347 042155 00009 $77.81 00009 SUBTOTAL: $77.81 03/21/2009 PAYMENT THANK YOU 00001 $430.33 Q� 4 r APR o 3 Z009 APR 062009 B Y:..................... Return the below portion with payment. For billing errors or questions please refer to the back of the statement. Page 1 of 2 Important Notice: Promptly review this statement and notify HSBC Business Solutions in writing of any errors or unautho- rized 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. i COSTCO Wld®�FS,f�E ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURREf!1T; 29;:OAYS PAST DUE: 30: =59 DAYS PAST Transaction $430.33 +New $.00 $.00 $.00 Purchase(s)/Debd(s) $77.81 New Fees $.00 60 89'DAY& PAST: DU. 90 119. DAYS: :PAST DUE 120 149 DAYS PAST:QUE: g +Finance Charges $.00 $.00 $.00 $.00 Payment(s) $430.33 150 17 DAYS PAST DUB 180 ±:DAYS>PAS'F DUE :i Credit(s) $.00 $.00 $.00 New Balance $77.81 sPF IF s 0 M Ln O. b N 0 j New address or phone number u Please check box and complete reverse side. I Important Notice: Promptly review this statement and notify HSBC Business Solutions in writing of any errors or unautho- rized 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. ANU NUMtStKJ UNLY! F CO MDany Name Email lI Address Street Number d an Street Narne or the words PO BOX unit or PO BOX INu�mb'[er L�I C� State� ZL�1 �Mr1/E1E1E1-C11_FD 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 P.O. Box 5219 Date Due Carol Stream, IL 60197 -5219 i Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 3/26/09 7003731100072984 Supplies for carnival games 77.81 Total Is 77.81 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 77.81 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members Dept 1047 7003731100072984 4239039 77.81 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 9 -Apr 2009 Signature 77.81 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund c III aslyco 9347 NW INDIANAPOLIS MEMBER #111785098197 RESALE ON 5 7.37 2571 TOOTSIE FUN 36.85 296856 CHOC MINI 11.99 113558 SUNSHINE MIX 8.49 113558 SUNSHINE MIX 8.49 296856 CHOC MINI 11.99 RESALE T0' 77.81 NON RESALE T .00 TOTAL VF Costco Who esale 77.81 XXXXXXXXXXXX2984 SWIPED Se9 005211 Ref 04215500 Costco Wholesale ResP: AA FID Y: 19074 APPROVED AMOUNT: $77.81 0347 010 0000000008 0147 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 9 CASHIER: MnRFTCA REG# 10 �fjtl�l�� 04 0347 10 0147 8 You! Please Come A9aln!