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Home My WebLink About212606 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 361108 Page 1 of 1 ONE CIVIC SQUARE H S B C BUSINESS SOLUTIONS COSTC CARMEL, INDIANA 46032 PO BOX 17698 HECK AMOUNT: $194.90 BALTIMORE MD 21297-1698 CHECK NUMBER: 212606 CHECK DATE: 9/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1095 4239040 PARKS 194 . 90 7003-7311-0007-2984 C 3203 siO®m� r � #346 CASTLETON , IN 6110 EAST 86TH/STREET CASTLETON, ,`IN/46250 MEMBER #111.787,920129 RESALE ON 5 @ 19.49 E 1160 SKITTLES 97.45 5 @ 19.49 r E 1151 STARBURST 97.45 RESALE TOTAL 194.90 .NON RESALE TOTAL .00 TOTAL I1'fI VF Costco Wholesale 194.90 ----------.-----r_! L_______ ________. ___ XXXXXXXXXXXX2984. � SWIPED 07/26/12 17:44 '�,,' Sew#: 005010 App#: 026469 Costco Wholesale rResP:"AA Tran ID#: 220821201000 Merchant ID 99034611 APPROVED - PURCHASE AMOUNT: $194.90 0346 010 0000000044 0279 -------------------------------------- CHANGE .00 TOTAL NUMBER OF ITEMS SOLD = 10 CASHIER: JOE S REG# 10 11MU411K 17:44 0346 10 0279 44 THANK YOU ! F'LEASE COME AGAIN ! yc COS7 Co — Please Direct Inquiries To: 1-800-220-8594 cos iMF#OLESALE — Account Number New Balance Payment Due Amount Past Due Due Date ° 7003-7311-0007-2984 $920.23 $717.78 $245.40 09/20/2012 Billing Date Credit Line Available Credit — 08/26/2012 $5,000 $4,079.77 =— TDD/Hearing Impaired: 1-800-365-0186 STATEMENT OF YOUR ACCOUNT FINANCE CHARGE SUMMARY Credit Credit Average Daily Corres- FINANCE ANNUAL New Minimum Promo = Plan Plan Daily Periodic ponding CHARGES at PERCENTAGE Balance Payment Expire Description Number Balance Rate APR Periodic Rate RATE Due — Reg 00014 0.00000% 00.00% 5.00 00.00% S245.40 5245.40 07/26/2012 Reg 00014 56.29 0.00000% 00.00% S.00 00.00% S468.70 S468.70 08/26/2012 Reg 00014 S13.06 0.00000% 00.00% 5.00 00.00% S202.45 S.00 09/26/2012 = Reg 0.00000% 00.00% 1 S.00 1 00.00% 1 53.68 I 53.68 ACCOUNT DETAIL Transaction Transaction Invoice User P.O. Transaction Date Description Number ID Number Amount 08/26/2012 LATE CHARGE ASSESSMENT 00000 53.68 08/13/2012 COSTCO WHOLESALE-347 001853 00005 S202.45 00005 SUBTOTAL: S202.45 0 07/26/2012 COSTCO WHOLESALE-346 026469 00013 S194.90 0 00013 SUBTOTAL: S194.90 a0 Your account information is in your control when you register securely at www.lirscommercial.com o Room air conditioners that have earned the ENERGY STAR rating use about 10% less energy than conventional models To learn more,visit www.energystar.gov. N S€P o aefa Return the below portion with payment.For billing errors or questions please refer to the back of the statement. Page 1 of 2 STMT222C(10/07) TO ENSURE ACCURACY, PLEASE PRINT NEATLY USING UPPER-CASE LETTERS AND NUMBERS ONLY! Company Na a Email Address ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ Street Number if an Street Name or the words"PO BOX" Unit or PO BOX Number ❑❑��❑❑❑ ❑❑❑❑❑❑❑❑❑❑❑ ❑❑❑❑❑❑❑❑ LJ❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑❑ St�❑ Z ❑ Business Phone ❑❑❑/❑❑❑°❑❑❑❑ EZ'OZ6$ 90uu!eg MON= 00,$ 001 00'$ (s)3!pajo 3na 1SVd SAVO+081 3na 1SVd SAVO 6LL-09L ® 00'$ (s)3uawAod ® 00'$ sa6aB40 a0ueu!3+ 00$ 00$ 00$ 89 c$ s893 maN+ 3na 1SVd SAVO 6bL-OZL 3na lSVd SAVO 6L L-06 3nd 1SVd SAVO 68-09 ® SE C6E$ (s)3!g9a/(s)9se4and 00$ 0 9v?$ 8£ZLt,$ MaN+ 0Z'6lS$ t101j0ES 6u!puutsino 3na 1SVd SAVO 69-0£ 3na 1SVd SAVO 6Z-L lNMHno — �np AHVwwnS 30NVIV8 Al vnnnS lNnoaaV ® OOlSOJ 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 17698 Date Due Baltimore, MD 21297-1698 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8126112 7003731100072984 Concessions $ 194.90 Total $ 194.90 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 17698 Baltimore, MD 21297-1698 In Sum of$ $ 194.90 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1095-1 7003731100072984 4239040 $ 194.90 i 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 6-Sep 2012 1, Signature $ 194.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund