HomeMy WebLinkAbout208714 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1
0 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC CHECK AMOUNT: $33.24
CARMEL, INDIANA 46032 PO BOX 5219
CAROL STREAM IL 60197 -5219 CHECK NUMBER: 208714
CHECK DATE: 5/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 036144 10.76 7003731100074683
1207 4350100 036144 22.48 7003731100074683
COSTCO E—M V11MMESALE
ment Due Amount Past Due Due Date
$4 6.54 $.00 05/21/2012
#3-q6 C O S T L TON I N redit Line Available Credit
$2,000 $1,92022
6110 EAST.86 H STREET
CASTLETO j IN 46250
MEMBER 1 1791434655
RESALE ON JT OF YOUR ACCOUNT
870238 BLEACH 3/182 8.49
E 904849 HO /DOG BUN 2.69
E 904849 HOI DOG BUN 2.69
E 904849 H DOG BUN 2.69 FINANCE ANNUAL New Minimum Promo
E 904849 HO DOG BUN 2 .69 CHARGES at PERCENTAGE Balance Payment Expire
530105 SC 1 TT TOWELS 13.99 Periodic Rate RATE Due
$.00 00.00% $46.54 $46.54 04/26/2012
RESALE OTAL 33.24 $.00 00.00% $33.24 $.00 05/26/2012
NON RESALEAPTAL .00
TOTAL
VF Costco Wh esale 33 .24 'OUNT DETAIL
XXXXXXXXXXXX4683 SWIPED Invoice User P.O. Transaction
03/30/12'12:47 Number ID Number Amount
Seq 001003 APP 036144
Costco Wholesale ResP AA 036144 00003 $33.24
Tran ID# 209029881000 00003 SUBTOTAL: $33.24 0
Merchant ID 99034611
0
a
APPROVED PURCHASE
AMOUNT: $33.24
M
0346 008 0000000079 0148 N'
CHANGE ,00 N.
TOTAL NUMBFR__nF TTFMC cnI 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!
company Name
Email Address
Street Number rf an Street Name or the words "PO BOX" Unit or PO BOX Number
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Busines Phone
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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.
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/30/12 036144 Cleaning Supplies $22.48
03/30/12 036144 Buns $10.76
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
HSBC Business Solutions
IN SUM OF
P.O. Box 5219
Carol Stream, IL 60197 -5219
$33.24
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
31 g _L� z
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1207 036144 3 5 C)l $22.48 1 hereby certify that the attached invoice(s), or
1207 036144 42- 390.40 $10.76 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
Wednesday, May 02, 2012
Director, Brookshire olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund