246030 06/03/15 I u!._�4q
v M
' �y k� CITY OF CARMEL, INDIANA VENDOR: 00352108
ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $*****2,070.79*
�a CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 246030
�y,�*oN�°' ATLANTA GA 30353-0934 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 PARKS 1,979.21 6032-2020-2023-2576
1082 4239039 PARKS 91.58 6032-2020-2023-2576
�TD
Wa I m a r t I -
Save money.Live better. MAY 2 9 2015
BY:
Walmarf CARMEL CLAY PARKS AND R-ECR Visit us at walmart.com/credit
Community Card Account Number: 6032 2020 2023 2576 Customer Service:1-877-294-1085
Summary of Account Payment
Previous Balance $0.00 New Balance. $2,070.79
+Purchases/Debits $2,070.79 Total Minimum Payment Dug $2,0710.79
New Balance $2,070.79 Payment Due Date 06/17/2015
Credit Limit $15,000
Available Credit $8,265
Statement Closing Date 05/22/2015
Days in Billing Cycle 30
Tran Post
Date Date Reference Number Description of Transaction or Credit Amount
05/19 05/19 P9273004EOOZD2FIjD WALMART 001601 CARMEL IN $167.16
TOTAL FOR AUTHORIZED BUYER NO 03 $167.16
05/19 05/19 P9273004EOOZQ348F WALMART 002787 INDIANAPOLIS IN $464.12
TOTAL FOR AUTHORIZED BUYER NO 05 $464.12
05/13 05/13 P9273004901 SH93WZ WALMART 001601 CARMEL IN $251.84
05/13 05/13 P9273004901SH93X7 WALMART001601 CARMEL' IN $437.00
TOTAL FOR AUTHORIZED BUYER NO 07 $688.84
05/14 05/14 P9273004901 SW05QO WALMART 002787 INDIANAPOLIS IN $260.77
05/15 05/15 P9273004A01VB2YH7 WALMART 002787 INDIANAPOLIS IN $117.49
TOTAL FOR AUTHORIZED BUYER NO 09 $378.26
05/01 05/01 P9273003W01MB8SA8 WALMART002787 INDIANAPOLIS IN $5.97
TOTAL FOR AUTHORIZED BUYER NO 12 $5.97
05/19 05/19 P9273004E00Z8SFQL WALMART 001601 CARMEL IN $105.56
05/19 05119 P9273004EOOZ8SFQW WALMART 001601 CARMEL IN $260.88
TOTAL FOR AUTHORIZED BUYER NO 14 $365.44
L
Late Charge Summary
Annual Percentage Balance Subject to Late Charge
Rate Late Charge
18.00% $0.00 $0.00
PAYMENT DUE BY 5 P.M.(ET)ON THE DUE DATE.
NOTICE:We may convert your payment into an electronic debit.See reverse for details,Billing Rights and other important
information.
13EH 3 7 22 150522.
PAPE 1 of 7. 9273 2000 N122 010X540 4 737709
Customer Service:For account information,call the number on the front of this statement.For Hearing or Speech disabilities,use a TRS.Unless
your name is listed on this statement,your access to information on the account may be limited.You may also mail questions(but not payments)to:
P.O.Box 965022,Orlando,IFL 32896.5022.Please include your account number on any correspondence you send to us.
Payments.Send payments to the address listed on the remit portion of this statement or pay online.
ri Notice:See below foryour Billing Rights and other important information.Telephoning about billing errors will not preserveyour rights under federal law.
To preserve your rights,please write to our Billing Inquiries Address,P.O.Box 965023,Orlando,FL 32895-5023.
Purchases,returns,and payments madejust priorto billing date may not appear until next month's statement When you provide a check as payment,you
authorize us eitherto use information from your check to make a one-time electronic fund transfer from your account orto process the payment as a check
transaction.When we use information from yourcheck to make an electronic fund transfer,funds maybe withdrawn from youraccountas soon asthe same
daywe receiveyourpayment,and you will not receiveyourcheckbackfrom yourfinancial institution.You maychoose notto have your paymentcollected
electronically by sending your payment(with the payment stub),in your own envelope-not the enclosed window envelope,addressed to:
P.O.Box 960095,Orlando,FL 32896-0095 and not the Payment Address.
Information About Payments:You may at any time pay,In whole or Payments
in part,the total unpaid balance without any additional charge for All Purchases charged to this Account made during a monthly billing period
prepayment.Payments received after 5:00 p.m.(ET)on any day will be and any service fees will be shown on the Statement for that period and
credited as of the next day.Credit to your Account may be delayed up to payment of the entire balance(the"New Balance')is due in full promptly.
five days if payment(a)is not received at the Payment Address,(b)is not When there is a New Balance shown on your Statement,you agree to pay
made in U.S.dollars drawn on'a U.S.financial institution located in the U.S., the entire New Balance by 5:00 p.m.(ET)on the Payment Due Date shown
(c)isnotaccompaniedbytheremittance coupon attached toyourstatement, on the Statement.
(d)contains more than one paymentorremittanoe coupon,(e)is not received Bankruptcy Notice: If you file bankruptcy you must send us notice,
in the remittance envelope provided or(f)includes staples,paperclips,tape, including account number and all information related to the proceeding
a folded check,or correspondence of any type.Conditional Payments:All to the following address: Retail Finance Credit Services, LLC, Attn:
written communications concernindisputed amounts,including any check Bankruptcy Dept.,P.O.Box 965060,Orlando,FL 32896-5060.
or other payment instrument that:?i)indicates that the payment constitutes your account is owned and serviced b Retail Finance Credit
'payment in full"or is tendered as full satisfaction of a disputed amount:or Your account - - y
(i) is- tendered with other conditions or- limitations ("Disputed - --- — —
Payments"), must be mailed or delivered to us at P.O. Box 965023,
Orlando,FL 32896-5023.
Credits To Your Account.An amount shown in parentheses or preceded
by a minus(-)sign is a credit or credit balance unless otherwise indicated.
Credits will be applied to your previous balance immediately upon receipt,
but will not satisfy any required payment that may be due.
Credit Reports And Account Information:If you believe that we have
reported inaccurate information about you to a credit bureau, please
contact us at P.O.Box 965024, Orlando, FL 32896.5024. In doing so,
please identify the inaccurate information and tell us why you believe it is
incorrect.If you have a copy of the credit report that includes the inaccurate
information,please include a copy of that report.We may report information
about your account to credit bureaus.Late payments,missed payments,
or other defaults on your account may be reflected in your credit report.
01 DX5404-1-07122114 -
0003 0008
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 12000
ACCOUNT M 6032 2020 2023 2576 P.O.M 5023
INVOICEM 009467 DATE OF SALE M 050115 STORE M 00002787
TRANSACTION M 9467 AUTHORIZATION M 001979 REGISTER M 13
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
089957905 MG 1CF POTTING MIX 1.000 EA 5.9700 5.97
SUB$5.97 TAX$0.00 TOTAL INVOICE $5.97
CREDITS TOTAL $0.00
BALANCE DUE $5.97
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:07000
'ACCOUNT M 6032 2020 2023 2576 P.O.M 3847
INVOICEM 002150 DATE OF SALE M 051315 STORE M 00001601
TRANSACTION M 2150 AUTHORIZATION M 013751 REGISTER M 5
N S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
011860029 GV MARCHINO 2.000 EA 1.6800 3.36
CHERRY
011860030 GV MARASCHINO W 4.000 EA 1.7800 7.12
STEM
033844039 GV STRAWBERRY 4.000 EA 1.5800 6.32
SYRUP
039763032 DUBL BUBL BUBBLE 2.000 EA 1.9800 3.95
GUM
046119515 JOY WAFFLE CONE 4.000 EA 1.9800 7.92
046393574 ORBIT BUBBLEMINT 2.000 EA 2.2400 4.48
049799141 REESE WHITE MINIS 1.000 EA 3.5400 3.54
052465963 ORBIT SWEET MINT 1.000 EA 2.2400 2.24
055340387 MARSMXED MNIS 1.000 EA 8.9800 8.98
40OZ
057188607 HSY CARAMEL 4.000 EA 2.2800 9.12
SYRUP
058368355 5 COBALT 3 PK 1.000 EA 2.9800 2:98
058431468 WONKA MIX UPS 1.000 EA 8.4800 8.48
059808889 TBASE TROP TWIST 1.000 EA 2.2400 2.24
3PK
059808893 TBASE WAT TWIST 1.000 EA 2.2400 2.24
3PK
060080151 DUBL BUBL TEAM 1.000 EA 4.3600 4.36
TUB
063842346 GV HD SPOONS 2.000 EA 2.8400 5.68
100CT
068521714 REESE ASST BIG BAG 1.000 EA 9.9800 9.98
072053296 HRSY CHOC SYRUP 4.000 EA 3.9800 15.92
48OZ
080382752 ORBIT WHT BBLMNT 1.000 EA 5.9800 5.98
GST
082703436 ORBIT WHITE 2.000 EA 2.2400 4.48
PEPPRMNT
088893847 BREYERS RAINBOW 4.000 EA 2.3800 9.52
SPNK
089732909 DX UL 20OZ BOWL 7.000 EA 2.7800 19.46
26CT
091429901 SAN 32G SD CL10 3.000 EA 24.8800 74.64
091931159 DB1 LB 4 ASST FLVRS 5.000 EA 1.9800 9.90
092798101 HEFTY ISOZ CUP 2.000 EA 7.9800 15.96
120CT
094226575 KIT KAT MINIS WHITE 1.000 EA 2.9800 2.98
SUB$251.84 TAX$0.00 TOTAL INVOICE $251.84
CREDITS TOTAL $0.00
BALANCE DUE $251.84
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
ACCOUNT M 6032 2020 2023 2576 P.O.M 38478
INVOICEM 007285 DATE OF SALE M 051315 STORE M 00001601
TRANSACTION M 7285 AUTHORIZATION#:013158 REGISTER M 68'
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
092221433 SAM WB35F RED 1.000 EA 89.0000 89.00
094109933 NIKON S3700 SILVER 1.000 EA 119.0000 119.00
5404 0003 BEH 3 7 22 150522 PAGE 2 of 7 9273 2000 N122 010X5404 237709
■
0004 0008
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
094109937 NIKON L840 RED 1.000 EA 229.0000 229.00
SUB$437.00 TAX$0.00 TOTAL INVOICE $437.00
CREDITS TOTAL $0.00
BALANCE DUE $437.00
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 09000
ACCOUNT#:6032 2020 2023 2576 P.O.#:5446
INVOICEM 004597 DATE OF SALE#: 051415 STORE#:00002787
TRANSACTION M 4597 AUTHORIZATION M 014516 REGISTER M 7
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
011937192 PF RAINBOW 1.000 EA 3.4400 3.44
SHERBET
045254206 POP IGE 1 00C ASST 2.000 EA 3.7700 7.54
057765980 TEE SHIRT 2.000- - EA------- - 7:9700--- 15.94
TRANSFER
057765984 DARK TSHIRT 1.000 EA 10.9200 10.92
_ TRANSFER
057808328 DUM DUM 1.000 EA 6.5700 6.67
POPS30OGT
058431468 WONKA MIX UPS 1.000 EA 8.4800 8.48
058658473 SC ORANGETTE 2L 1.000 EA 0.8400 0.84
058658619 SC ROOTBEER 2L 2.000 EA 0.8400 1.68
058658690 SC DR THUNDER 2L 2.000 EA 0.8400 1.68
060649729 BI NATURAL SWEEP 1.000 EA 28.4800 28.48
063295450 OCELO HANDY 3.000 EA 2.9800 8.94
SPONGE 6
063316550 EMC ORANGE 300T 1.000 EA 9.9700 9.97
063366109 SC CHRY COLA 2L 1.000 EA 0.8400 0.84
068611398 NB COLA 2L 2.000 EA 0.6800 1.36
071643657 12PO LIP GLOSS 1.000 EA 2.9700 2.97
077392656 ALLERGY ULTRA TBS 3.000 EA 0.8800 2.64
082479563 TRDNT WHIT 1.000 EA 2.2400 2.24
SPEARMINT
083918708 PM IJ t00ST BILK 80T 2.000 EA 1.9700 3.94
I
_086607590 10GT'PRTY POPPERS_ 2.000 EA 1.4700 2.94
087033150 OR RF VANILLA PAIL V f 4.000 EA 5.4200 21.68
088427452 TRAVEL CONTAINER 3.000 EA 1.9800 5.94
088717014 EZ ON/OFF BIKE 1.000 EA 9.9600 9.96
PUMP
088763518 FAB MRKTULP 2.000 EA 18.8800 37.76
20PKFINE
088766085 PHOTO BOOTH PRP 1.000 EA 3.9700 3.97
ADLT
088787978 ZEBRA CELLO BAGS 1.000 EA 0.9700 0.97
088787980 20CT CELO BAG PINK 1.000 EA 0.9700 0.97
ZB
088794655 PHOTO BOTH PROP 1.000 EA 3.9700 3.97
WED
089970415 FG P5 T-SHIRT CREW 1.000 EA 7.4700 7.47
089970416 FG P5 T-SHIRT CREW 1.000 EA 7.4700 7.47
091162621 CANDY BRCLET 2.000 EA 0.9700 1.94
091162623 8 PK PUSH POPPER 1.000 EA 1.9700 1.97
091271161 ST P5 WHITE CREW 1.000 EA 7.9800 7.98
TEE
091931159 DB 1 LB 4 ASST FLVRS 1.000 EA 1.9800 1.98
092462037 MS FLTA WHITE KG 1.000 EA 14.4700 14.47
-092960310 EQ-IBU-CAP-2X100-- --- 1.000-- ----EA -- -- --4-.0000---4:00
094631947 OCELO UTILITY SPG 3 2.000 EA 3.3800 6.76
SUB$260.77 TAX$0.00 TOTAL INVOICE $260.77
CREDITS TOTAL $0.00
BALANCE DUE $260.77
5404 0003 BEH 3 7 22 150522 PAGE 3 of 7 9273 2000 N122 010X5404 237709
0005 0008
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 09000
ACCOUNT M 6032 2020 2023 2576 P.O.M 5446
INVOICE#:009582 DATE OF SALE M 051515 STORE M 00002787
TRANSACTION M 9582 AUTHORIZATION M 015409 REGISTER M 3
S.K.0 DESCRIPTION QUANTITY UNITRP ICE EXT.PRICE
059790336 STRETCHABLE 2.000 EA 8.8800 17.76
T-SHIRT
060649729 BI NATURAL SWEEP 1.000 EA 28.4800 28.48
076188916 GV 18OZ PTY CP 2.000 EA 6.3400 12.68
10OCT
082264624 HANES 3PK CB WH 2.000 EA 11.3700. 22.74
CREW
084199566 EQ GP SPF50 LTN 2.000 EA 7:4800 14.96
16FO
088387441 EQ SPORT 30 TWIN PK 2.000 EA -8.9800 17.96
091162621 CANDY BRCLET 3.000 EA 0.9700 2.91
ro SUB$117.49 TAX$0.00 TOTAL INVOICE $117.49
CREDITS TOTAL $0.00
BALANCE DUE $117.49
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 03000
ACCOUNT M 6032 2020 2023 2576 P.O.M 38465
INVOICEM 000582 DATE OF SALE M 051915 STORE M 00001601
TRANSACTION M 582 AUTHORIZATION M 019140 REGISTER M 6
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
054174074 HOODWINKED WS- 1.000 EA 5.0000 5.00
PG
057188607 HSY CARAMEL 2.000 EA 2.2800 4.55
SYRUP
063842344 GV HD FORKS 10OCT 2.000 EA 2;8400 5.68
053842346 GV HD SPOONS 2.000 EA 2.8400 5.68
100CT
072496623 HSY 24OZ CHOC 2.000 EA 2.2800 -4.56
` SYRUP
076254878 CM 3X3 PASTEL 12PK 2.000 EA 5.4200 10.84
079930436 RDW WIP TOP 13 OZ 2.000 EA 3.4800 6.96
081285740 KUNGFUPANDA2 WS 1.000 EA 5.0000 5.00
083511540 10 NEON PENCILS 3.000 EA 0.9700 2.91
087033150 OR RF VANILLA PAIL 3.000 EA 5.4200 16.26
087033180 OR RF CHOCOLATE 3.000 EA 5.4200 16.26
PAIL
088985059 8.5'BOXED PG BALL 1.000 EA 4.9600 4.96 .
089016352 2 GAL STACKER JUG 2.000 EA 10.9700 21.94
089668211 GV 16OZ CL CUP 1.000 EA 4.9800 4.98
100CT
089879943 PM IJ 100RT AST 120T 1.000 EA 4.2400 4.24
089887039 3 IN 1 TAPE IT UP 2.000 EA 3.5000 7.00
091195324 HSY MIXED BERRY 2.000 EA 0.2500 0.50
TOPP
091195684 MAXELL EARBUD 1.000 EA 5.0000 5.00
WHITE
091195686 MAXELL EARBUD 1.000 EA 5.0000 5.00
BLACK
092055481 PF FOAM BOWLS 4.000 EA 0.9700 3.88
30CT
092813855 JUICE 2,200 WHITE 1.000 EA 7.4800 7.48
094169295 PM IJ 300 AST 24CT 1.000 EA 10.9700 10.97
094496215 ANTZ+BEE DBL FW 1.000 EA "7.5000 7.50
SUB$167.16 TAX$0.00 TOTAL INVOICE $167.16
CREDITS TOTAL $0.00
BALANCE DUE $167.16
5404 0003 BEH 3 7 22 150522 PAGE 4 of 7 9273 2000 N122 DIDX5404 237709
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 14000
ACCOUNT M 6032 2020 2023 2576 P.O.#:2149
i
INVOICE#:003870 DATE OF SALE M 051915 STORE M 00001601
TRANSACTION M 3870 AUTHORIZATION#:019708 REGISTER#:5
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
012335151 GV BTR UNSLT STK 1.000 EA 2.9700 2.97
1 L
040002625 GV PINTO BEANS 4LB 1.000 EA 3.7200 3.72
053186656 GLYCERIN USP 2.000 EA 3.8800 7.76
053724879 EQ CHLD BBG SUSP 4 1.000 EA 2.8800 2.88
s
073153182 GV 9"PAPER PLT 2.000 EA 6.2700 12.54
300CT
074695293 100 OT WATER 3.000 EA 0.9700 2.91
BOMBS
076665270 GV 500T NEON 4.000 EA 0.9800 3.92
STRAW
077026116 DIXIE 9OZ CUP 540T 2.000 EA 2.5800 5.16
077154667 GV LNCHBAG BRW 3.000 EA 1.9600 5.88
100CT
078954655 A2 941FF 12CT 1.000 EA 3.9800 3.98
079503934 EQ STRONG STRIPS 8.000 EA 1.7700 14.16
090746287 GV DISH ORIG 90FO 2.000 EA 5.6400 11.28
090956827 GV 12X50'HD FOIL 1.000 EA 2.5200 2.52
091641483 AFTER BITE KIDS 4.000 EA 3.9700 15.88
093843310 ZORBZ SS WATER 2.000 EA 5.0000 10.00
BALLO
SUB$105.56 TAX$0.00 TOTAL INVOICE $105.56
CREDITS TOTAL $0.00
BALANCE DUE $105.56
a
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 14000
ACCOUNT M 6032 2020 2023 2576 P.O.#:38555
INVOI CEM 003869 DATE OF SALE#: 051915 STORE M 00001601
TRANSACTION M 3869 AUTHORIZATION M 019793 REGISTER#:'5 -
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
084944791 CL SMALL CAM BAG 1.000 EA 7.0000 7.00
088815663 NIKON AW110 1.000 EA 229.0000 229.00
ORANGE
091429901 SAN 32G SD OL10 1.000 EA 24.8800 24.88
SUB$260.88 TAX$0.00 TOTAL INVOICE $260.88
CREDITS TOTAL $0.00
BALANCE DUE $260.88
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:05000
ACCOUNT#:6032 2020 2023 2576 P.O.M 38510
INVOICEM 006906 DATE OF SALE M 051915 STORE#:00002787
TRANSACTION#:6906 AUTHORIZATION M 019446 REGISTER M 21
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
I
041235842 METAL SLINKY 3.000 EA 3,0000 9.00
060507842 14.5"LAVA LP-WHT/BL 1.000 EA 14.8700 14.87
062192228 SPLASH 8 PACK PDQ 1.000 EA 2.9700 2.9_7
062293875 FLARP 5.000 EA 1.0000 5.00
063432946 5000T.WATER 1.000 EA 4.9700 4.97
BALLOONS
068683499 CRAFTLACE ULT.PK. 1.000 EA 9.9700 9.97
074473568 CROSSOVER LM BB 1.000 EA 10.4700 10.47
27.5
077743967 SPIKEY BALL 8.000 EA 1.0000 8.00
078292359 MOTORCYCLES 4CT 2.000 EA 2.9700 5.94
078292432 SKATEBOARDS 4CT 3.000 EA 0.7500 2.25
078485605 SUCTION BALL 2.000 EA 1.5000 3.00
080021072 SMILEY FACE 48CT 1.000 EA 5.0000 5.00
084170801 NOISEMAKERS 480T 1.000 EA 6.4700 6.47
085792960 AB MEGA FLING 1.000 EA 9.0000 9.00
086114440 BC PYO FOOTBALL 1.000 EA 1.5000 1.50
088484381 5.5"SPIRAL 2.000 EA 2.9700 5.94
FOOTBALL
088484383 4"MINI BASKETBALL 1.000 EA 2.9700 2.97
5404 0003 BEH 3 7 22 150522 PAGE 5 of 7 9273 2000 N122 DIDX5404 237709
0007 0008
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
088560833 MBM PLASTER 1.000 EA 12.9700 12.97
HORSES
088777627 480T STICKY FAVOR 2.000 EA 6.4700 12.94
PK
088788042 5CT 81N 1.000 EA 0.9700 0.97
BRACELET-PK
088828573 BTFLY WRIST BND BL 1.000 EA 0.7500 0.75
088876180 GLOW PINK SPHERE 1.000 EA 1.9700 1.97
088876182 GLOW GREEN 1.000 EA 1.9700 1.97
SPHERE
088877444 7PC HRT AB 1.000 EA 0.7500 0.75
BANGLES
088877446 7PC TWISTED BNGLS 1.000 EA 0.7500 0.75
089171059 MAGNADOODLE MINI 3.000 EA 3.0000 9.00
089284072 RAPTORS REVENGE 1.000 EA 32.9700 32.97
089530463 MBM SAND ART 1.000 EA 9.9700 9.97
089655123 JMS MESSENGER 1.000 -EA 9.9700 9.97
BAG
' 089756930 MAGIC JINN ANIMALS 1.000 EA 2.0000 2.00
N
089989444 PREPPED ANY IDEAL 1.000 EA 3.6300 3.63
BK
090003273 STEADY STREAM 2 1.000 EA 7.8800 7.88
090015076 7 FT JUMP ROPE 6.000 EA 0.9700 5.82
090064734 FLORAL COMP BK 1.000 EA 1.9800 1.98
090211764 LG SW TIE 75031 1.000 EA 7.0000 7.00
090434077 SNOOPY SNO CONE 1.000 EA 14.9700 14.97
090813809 AVN MASHERS CA 1.000 EA 9.8400 9.84
091162619 12 PK SMILY BNCY 3.000 EA 1.9700 5.91
BLL
091162523 8 PK PUSH POPPER 2.000 EA 1.5000 3.00
091164205 GIRL HACKY SACKS 1.000 EA 1.5000 1.50
4CT
091184748 NOISEMAKERS 18PK 1.000 EA 2.9700 2.97
091363085 LED RNG 4.000 EA 0.9700 3.88
091511194 NEON ORANGE 1.000 EA 2.9700 2.97
091511200 NEON BLUE 1.000 EA 2.9700 2.97
091526707 TRA POWER BATTLER 1.000 EA 12.9400 12.94
091557848 PARTY FAVOR PACK 1.000 EA 5.0000 5.00
091669940 MH LAGOONAFIRE 1.000 EA 20.9700 20.97
092087475 MNCFT 3PK PACK#4 1.000 EA 8.8800 8.88
092686600 WAVE 2.0-1 1.000 EA 14.8800 14.88
093158273 KALIDSCPE FLORL 1.000 EA 9.9700 9.97
JRNL
093158289 KALIDSCPE GHVRN 1.000 EA 9.9700 9.97
JRNL
093166620 2CT EYEGLASSES-YE 1.000 EA 0.9700 0.97
093203003 PD ORANGE 2.000 EA 0.8800 1.76
093203006 PD PURPLE 1.000 EA 0.8800 0.88
093203008 PD BLUE 2.000 EA 0.8800 1.76
093203010 PD TROPICAL PINK 1.000 EA 0.8800 0.88
093203012 PD BRIGHT BLUE 2.000 EA 0.8800 1.76
093203014 PD BRIGHT GREEN 1.000 EA 0.8800 0.88
093261880 60T BUBBLE STICK 2.000 EA 4.7700 9.54
093261887 CHALK DRAWING 1.000 EA 9.9700 9.97
STAR
093330359 HARPOON 2 PK 1.000 EA 9.9700 9.97
093340958 RED 1.000 EA 15.0000 15.00
- 093389585 PLAT.TWIZZLER 1.000 EA 5.8800 5.88 -I
HOPPER
093405611 KNS 6OZ NEON BLU 1.000 EA 6.9700 6.97
093405621 KNS 6OZ NEON 1.000 EA 6.9700 6.97
PURPLE
093496154 LG BNC STONE 70779 1.000 EA 9.9700 9.97
093745117 MITRE AZTECA BL 5 1.000 EA 12.9700 12.97
094284877 SCOOP&SCORE 1.000 EA 5.8800 5.88
094710896 PD SINGLE CAN PDQ 1.000 EA 0.8800 0.88
SUB$464.12 TAX$0.00 TOTAL INVOICE $464.12
CREDITS TOTAL $0.00
BALANCE DUE $464.12
5404 0003 BEH 3 7 22 150522 PAGE 6 of 7 9273 2000 N122 010X5404 237709
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
Purchase Order No.
Walmart Community/RFCSLLC Terms
P.O. Box 530934
Atlanta, GA 30353-0934
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
5/22/15 6032202020232570 Program supplies $ 464.12
5/22/15 60322020202,32570 Program supplies $ 688.84.
5/22/15 6032202020232570 Program supplies $ 274.86
5/22/15 6032202020232570 Program supplies $ 167.16
5/22/15 6032202020232570 Program supplies $ 378.26
5/22/15 6032202020232570 Program supplies $ 5.97
5/22/15 6032202020232570 Program supplies $ 91.58
5/22/15 6032202020232570 Program supplies
Total $ 2,070.79
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.
Walmart Community/RFCSLLC Allowed 20 ..
P.O. Box 530934
Atlanta, GA 30353-0934
In Sum of$
$ 2,070.79
I .
ON ACCOUNT OF APPROPRIATION FOR I
108 ESE
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PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT i
1081-2 603220202023257o 4239039 $ 464.12 1 hereby certify that the attached invoice(s), or
1081-3 6032202020232570 4239039 $ 688.84- bill(s)is(are)true and correct and that the
1081-7 603220202023257o 4239039 $ 274.86 materials or services itemized thereon for
1081-9 603220202023257o 4239039 $ 167.16 which charge is Made were ordered and
1081-10 603220202023257o 4239039 $ 378.261
received except
1081-11 6032202020232570 4239039 $ 5.97
1082-11 603220202023257o 4239039 $
{
May 29, 2015
Signature
$ 2,670.79 Accounts Payable Coordinator
Cost distribution ledger classification if Title
1
claim paid motor vehicle highway fund
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