HomeMy WebLinkAbout178171 10/14/2009 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 5216 CHECK AMOUNT: $31.90
CAROL STREAM IL 60197 -5219 CHECK NUMBER: 178171
CHECK DATE: 10/14/2009
DE PART M ENT AC PO NUMBER IN NUMBER AMOUNT DESCR
1207 4239040 GOLF 31.90 7003731100074683
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I COSTCO
OS®
WIMLESALE
eni Due Amount fast Due Due Dafe
dlt ne Available Credit I.
4347 NW INDIANAPOLIS 2000:: $195774
MEMBER #111791434655
RESALE ON :o /from our offices may be monitored and /or recorded for quality
24311 VAR. MUFFIN 6.49
'OF YOUR ACCOUNT
24311 VAR. MUFFIN 6.49
128163 DIXIE 6 7/8" 10.97
754450 GROVEST. OZ 4.98
29B940 HEFTYTUMBLER 7.99
754450 GROVEST OZ 4.98 FINANCE ANNUAL New NBnimum Promo
NARGES at PERCENTAGE Balance Payment Expire
uiodic Rate RATE Due
RESALE TOTAL 41.90 $.00 00.00% $.36 $.00 09/26/2009
NON RESALE TOTAL .00 $.00 00.00% $41.90 $.00 10/26/2009
TOTAL
VF Costco Wholesale 41.90
IUNT DETAIL
XXXXXXXXXXXX4683 SWIPED
Se9# 004311 Ref 07821900 Involce User ;R o TCansac
COStCO W wale ReSP AA Number tD N umber Amount
FID Y: 43
078219 00003 $41.90 0
APPRO 00003 SUBTOTAL: $41.90 a
AMOUN� $41.90 00001 $196.44- o
0347 012 0000000116 0296 le, anywhere. Registration is easy, secure and waiting for you at o
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CHANGE .00 N
TOTAL NUMBER OF ITEMS SO 6
CASHIER: MELISSA M REG# 12
I ;fk' fr�?1 18:28 0347 12 0 6 116
Thank You!
Please Come Again!
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
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
WHMES LE
ACCOUNT SUMMARY BALANCE SUMMARY
Outstanding
CURRENT:* 1 29_DAYS PAST: DUE' M 59 :DAYS PAST DUE Transaction $196.80
+New
$.00 $.00 $.00 Purchase(s)/Debd(s) $41.90
New Fees $.00
60'89 DAYS:PAST DUE 119 90 DAYSFAST DUE:.:.: :120 49_DAYS :PAS.T E:
Finance Charges $.00
$.00 $.00 $.00
Payment(s) $196.44
150`179 DAYS PAST.DUE 180+ DA. YS PAST DUE Credit(s) $.00
$.00 $.00 New Balance $42.26
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Page 2 of 2
New address or phone number?
Please check box and complete reverse side
a
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 RC. 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!
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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
�fifU,yS Purchase Order No.
L3Qy�' 5` Terms
's `7 j Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
41, g
r
Total 2-
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.
4 `l ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
ra,4�
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
X90 bill(s) is (are) true and correct and that the
3( a materials or services itemized thereon for
which charge is made were ordered and
received except
200
Si nature
Cost distribution ledger classification if Tltl
claim paid motor vehicle highway fund