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Home My WebLink About213479 10/09/2012 a *f 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: $29.93 BALTIMORE MD 21297-1698 CHECK NUMBER: 213479 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1207 4350100 069521 29 . 93 BUILDING REPAIRS & MA COSTCO ® Please Direct Inquiries To: 1-800-220-8594 ® YALE Account Number New Balance Payment Due Amount Past Due Due Date 7003-7311-0007-4683 $29.93 $.00 $.00 10/21/2012 Billing Date Credit Line Available Credit -- 09/26/2012 $2,000 $1,970.07 a: 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 S1.93 0.00000% 00.00% 5.00 00.00% 529.93 S.00 10/26/2012 ACCOUNT DETAIL ® Transaction Transaction Invoice User P.O. Transaction Date Description Number ID Number Amount 09/06/2012 COSTCO WHOLESALE-347 069521 00003 S29.93 00003 SUBTOTAL: S29.93 You're not paperless yet? Everyone's going GREEN. Enroll today atwww.hrscommercial.com On average,the garbage an American throws away in a year emits 1,060 pounds of carbon. 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. COs TCO ACCOUNT SUMMARY BALANCE SUMMARY Outstandin CURRENT 1-29 DAYS PAST DUE 30-59 DAYS PAST DUE Transaction g $.00 +New $.00 $.00 Purchase(s)/Debit(s) $29.93 60-89 DAYS PAST DUE 90-119 DAYS PAST DUE 120-149 DAYS PAST DUE +New Fees $.00 -- +Finance Charges $.00 $.00 $.00 $.00 - Payments) $.00 150-179 DAYS PAST DUE 180+DAYS PAST DUE ® $.00 $.00 =New Balance $29.93 Page 2 of 2 $c0000Ea 0 N (n New address oipphone number'? Please check box and complete reverse side. I 1 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! Comanv N a ❑❑❑ Email Address ❑❑❑❑❑❑❑❑lei�❑❑❑❑❑❑❑❑❑C❑❑❑❑❑❑❑❑❑ Street Numbe f a, Su,01 Nit, tl'e ,O,ds'PO BOX Unit or PO BOX Number 1:11MFloo city State zip L_.1❑❑❑❑ Business Phone ❑❑❑/❑❑❑-❑❑❑❑ VOUCHER NO. WARRANT NO. ALLOWED HSBC Business Solutions IN SUM OF $ P.O. Box 5219 Carol Stream, IL 60197-5219 $29.93 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Bo 1207 I 069521 43-501.00 I S29.93 I hereby certify that the a't'tached invoi bill(s) is (are) true and correct and tha materials or services itemized thereo which charge is made were ordered received except Wednesday, Oc Director, Brook ire Golf w Title fi Cost distribution ledger classification if claim paid motor vehicle highway fund City Form No.201 (Rev. 1995) 20 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL mized must show: kind of service, where performed, dates service rendered, by �— lours, rate per hour, number of units, price per unit, etc. Purchase Order No. I Terms IDate Due Description Amount rd Members (or note attached invoice(s) or bill(s)) e(s), or I Cleaning Products I $29.93 the for d '.; ober 03, 2012 �J. Club ae(s), or bill(s), is (are) true and correct and I have audited same in accordance Clerk-Treasurer