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Home My WebLink About179228 11/11/2009 -�u CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 y f ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp CARMEL, INDIANA 46032 PO BOX 5219 CHECK AMOUNT: $78.55 CAROL STREAM IL 60197 -5219 CHECK NUMBER: 179228 CHECK DATE: 11/11/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU AMOUNT DESCRIPTION 1207 4239040 GOLF 6.49 7003731100074683 1207 4239099 GOLF 72.06 7003731100074683 o. po COSTCO r wa♦o��E tment:Due Amount Past Due Due: Date V $as i s Qa t o t2oi oos c `red t Lme Avatfable:Gredtt $2,QO 4347 NW INDIANAPOLIS MEMBER #111791434655 to /from our offices may be monitored and /or recorded for quality RESALE ON Ai'' I *Begin No Transf 370770 "m BOUNTY Am 19.39 I *End No Transfe�Item Count v 1 FINANCE ANNUAL New N nimum Promo 370770 */BOUNTY 19.39 CHARGES at PERCENTAGE Balance Payment Expire 82012 STRAWBERRIES 7.99 ;eriodicRate RATE Due Y ®T S.00 00.00% 549.14 549.14 10/26/2009 .11. 8201'2 STRAWBERRIES 7.99- s.co oo.co% x39.76 s.00 11/26/2009 //RESALE TOTAL 38.78 NO RESALE TOTAL .00 DUNT DETAIL i;�gr�;� tnvotce User P 0 Transaction VF Costco Wholesale 3$,7$ Number ID Number Amount XXXXXXXXXXXX4683 SWIPED 024737 00003 $38.76 09/25/09 12 :32 028037 00003 $78 .76 Se9 0 APP# 064700 00003 SUBTOTAL: 578.54 00001 $31.90- o Cosfco Wholesale ResP: AA Tran ID# 926840174000 ne, anywhere. Registration is easy, secure and waiting for you at Merchant ID 99034711 N 0 APPROVED PURCHASE o AMOUNT: $38.78 ti •0347 012 0000000008 0009 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 2 CASHIER: MAREICA REG# 12 SO&.��►�)�} 12 :32 0347 12 0009 8 Thank You! Please Come Again! I :lions 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 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. COS TC01 COSTCO WHOLESALE a ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURRENT 1.29. DRYS PAST, nU 3'Q 59 DAY PA5T O11� Transaction $42.26 +New $49.14 $.00 $.00 Purchase(s)/Debit(s) $78.54 +New Fees $.00 6Q =89 DAYS':PAST DUB ..:90 119 DUE_;: 120 DAYS PAST Finance Charges $.00 $.00 $.00 $.00 Payment(s) $31.90 150;179 DAYS PAST DUE Ago DAYS PAST DUE Credit(s) $.00 $.00 $.00 New Balance $88.90 e e 0 0 0 0 r 0 0 0 0 o M CO N 0 y Page 2 of 2 LJ__� F1 New address or phone number? Please check box and complete reverse side 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! i'- 7T- 'Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 ��g,Sg�l�c�xJC Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) d 9 Total f 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 4 IN DS /�FSS�ce_Tic� IN SUM OF 1W. s� ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or :3 U bill(s) is (are) true and correct and that the 39a 99 materials or services itemized thereon for which charge is made were ordered and received except 20 O signature (9 M S Cost distribution ledger classification if Titl claim paid motor vehicle highway fund COSTC0 h 4347 NW INDIANAPOLIS MEMBER #111791434655 RESALE ON I mmBegln No Transfer 370770 x* BOUNTY x* 19.39 IEnd No Transfe�Item Count 1 370770 'f*/BOUNTY mt 19.39 82012 STRAWBERRIES 7.99 VO 2012 STRAWBERRIES 7.99- /RESALE TOTAL 38.78 NON RESALE TOTAL .00 TOTAL i;W ;ji VF Costco Wholesale 38.78 XXXXXXXXXXXX4683 SWIPED 09/25/09 12:32 Se9 000005 APP 064700 Costco Wholesale ResP: AA Tran ID 926840174000 Merchant ID 99034711 APPROVED PURCHASE AMOUNT: $38.78 -.0347 012 0000000008 0009 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 2 CASHIER: MAREICA REG# 12 ilrli►7�'�sle�: 12:32 0347 12 0009 8 Thank You! Please Come Again! APR 1�i7Yays�[- .�ilfi_ _SIR 347 NU INDIANAPOLIS M`MBER #111791434655 RESALE ON 384324 KS \3 GALLON 12.59 214981 DRUB LINERS 9.99 50787 KS MG DRWST 10.69 E 83345 LEMONS 6.49 RESALE TO L 39.76 NON RESALE TOTAL .00 TOTAL�►d'f>l VF Costco Wholesale 39.76 XXXXXXXXXXXX4683 SWIPED 10/13/09 19:15 Se9 000405 APP 028037 Costco Wholesale ResP', AA Tran ID 928621927000 Merchant ID 99034711 APPROVED PURCHASE. AMOUNT: $39.76 0347 011 0000000024 0343 CHANGE .00 TOTAL NUMBER OF ITEMS SOLD 4 CASHIER: Mary Kay C REG# 11 11WAI fi_ -kol. 19:15 0347 11 0343 24 Tha nk You!