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Home My WebLink About209781 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTCp 0 CHECK AMOUNT: $897.38 CARMEL, INDIANA 46032 Po sox 5219 :oa ate, CAROL STREAM IL 60197 -5219 CHECK NUMBER: 209781 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 252.38 7003731100072984 1081 4239039 443.61 GENERAL PROGRAM SUPPL 1095 4239040 201.39 FOOD BEVERAGES Please Direct Inquiries To: 1- 800 220 -8594 c COSTCO vdHMESALE Account Number New Balance Payment Due Amount Past Due Due Date 7003 7311- 0007 -2984 $897.38 $.00 $.00 06/20/2012 Billing Date Credit Line Available Credit 05/26/2012 $5,000 $4,102.62 TDD /Hearing Impaired: 1- 800 -365 -0186 STATEMENT OF YOUR ACCOUNT FINANCE CHARGE SUMMARY 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 S59.83 0.00000% 00.00% S.00 00.00% S897.38 S.00 06/26/2012 ACCOUNT DETAIL Transaction Transaction Invoice User P.O. Transaction Date Description Number ID Number Amount 05/03/2012 COSTCO WHOLESALE -346 010475 00005 $245.63 0 05/03/2012 COSTCO WHOLESALE -346 011107 00005 S252.38 0 05/24/2012 COSTCO WHOLESALE -346 072579 00005 S197.98 00005 SUBTOTAL: $695.99 05/23/2012 COSTCO WHOLESALE -346 019105 00013 $201.39 0 00013 .SUBTOTAL: $201.39 0 05/02/2012 RETURNED MERCHANDISE 7121386 00001 52.68- v Online Account Access lets you take control of your Account anytime, anywhere. Registration is easy and secure. Sign up at o www.hrscommercial.com a 0 Recycling one can saves enough energy to power a TV for three hours. vi T'. "t .7 D JUN 04 2012 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 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. CTC® COSTCO WHOLESALE ACCOUNT SUMMARY BALANCE SUMMARY Outstanding CURRENT 1 -29 DAYS PAST DUE 30 -59 DAYS PAST DUE Transaction $2.68 +New $.00 $.00 $.00 Purchase(s)/Debit(s) $897.38 60 -89 DAYS PAST DUE 90 -119 DAYS PAST DUE 120 -149 DAYS PAST DUE +New Fees $.00 Finance Charges $.00 $.00 $.00 $.00 Payment(s) $.00 150 -179 DAYS PAST DUE 180+ DAYS PAST DUE Credit(s) $2.68 $.00 $.00 New Balance $897.38 0 0 n 0 0 0 IT n r N 0 0 0 N Page 2 of 2 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! C Name Email Address Street Number �f an Street Name or the words O BOX" Unit or PO BOX Number ❑n� "P n c So❑� Business Phone Costc j j F und 1 08 _j j _j Fund 109 General General General program program iprogram Food j supplies supplies !supp Beverage V# 36 1108 I nvoi c e 4239039 4239039 4 2_ i 3 9039 I 4239040 -I 1081 -3 1081 -5 1081 -99 1095 -1 05/0 3/1 2 1 1 0475 j 24 5.63 j_j 05 03 12 -1 252.38 05/24/12( 72579 197.98 j j j 05/23/1 19105 T 1 201.39 252.38 197.98 24 201.39 897.38 Costc Fund 108 jFund 109 TOTAL iGeneral General (General program program program Food supplies supplies supplies Beverage W Invoice 4239039 4239039 423 4239040 j 1081 -3 1081 -5 1 1081-99 1 1095 -1 j j 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 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/20/12 7003731100072984 General Program supplies 252.38 5/20/12 7003731100072984 General Program supplies 197.98 5/20112 7003731100072984 General Program supplies 245.63 5/20/12 7003731100072984 Food Beverage 201.39 Total 897.38 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 897.38 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1081 -3 7003731100072984 423 252.38 1 hereby certify that the attached invoice(s), or 1081 -5 7003731100072984 4239039 197.98 bill(s) is (are) true and correct and that the 1081 -99 7003731100072984 4239039 245.63 materials or services itemized thereon for 1095 -1 7003731100072984 4239040 201.39 which charge is made were ordered and received except 14 -Jun 2012 Signature 897.38 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund