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247028 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 00352108 ® it ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: S'""""""27.16- CARMEL, 7 16'CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 247028 ATLANTA GA 30353-0934 CHECK DATE: 06/30/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 STREET 27.16 6032-2020-0013-5815 Wa I m a r t "', 0'b. Save money.Live better. almarf CITY OF CARMEL STREET DEPT Visit us at walmart.com/credit Co l lmunfty Card Account Number: 6032 2020 0013 5815 Customer Service: 1-877-294-1086 �_Sum�mary�of�Account'Actwity� � `.�^�,� �x���ti, �r�•'." aPaymentlnformaton.,-�`���' � �k�:�=� ���� "e�-�`'�� Previous Balance $103.83 New Balance $130.99 +Purchases/Debits $27.16 Amount Past Due $103.83 New Balance $130.99 Total Minimum Payment Due $130.99 Payment Due Date 07/12/2015 Credit Limit $1,000 Available Credit $831 Statement Closing Date 06/16/2015 Days in Billing Cycle 31 `Transaction;Summa:'�`TE:Rs��iF"c^S.'F^' .:.�tii�a ^ti;�"a;dTM�S^ ";�.,'..�>rt.9�-.,,�a+ru*q a�a;„,�.3 'a6%p•'t'�}l �: s�.•,' ' � E•v �{�: ,c`'�^"�",sr.�.m — �s Tran Post Date Date Reference Number Description of Transaction or Credit Amount �a 05/18 05/18 P9273004DOOYXL6H6 WALMART 001601 CARMEL IN $27.16 TOTAL FOR AUTHORIZED BUYER NO 05 $27.16 y r;rc eiy,-''a-; esl`. qui„8'._�5":�• �•L:s.''%�.'r».t.. o-,a�.:.' :�o-�#ar�Y. g.z;'�;,�2v"�' "�,''�.'sr k xLate,Cfiar`ge;Summary,�. �� � ���• .:� •r:- s W�zk,� � r$_. '�x�w •v�- -,� Annual Percentage w 4 Balance Subject to Late Charge Rate Late Charge 0.00% $0.00 $0.00 Eolde'rNeonwsarid: . "�„A Informati % §^ �: ardh YOUR ACCOUNT HAS 2 PAYMENTS DUE. PLEASE MAIL THE MINIMUM PAYMENT DUE ^ TODAY. PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN MAILED. 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. 5404 0003 BEH 3 7 16 150616 D PAGE 1 of 3 9273 2000 N122 UIDX5404 37002 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,FL 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. ® Notice.See below for your Billing Rights and other important information.Telephoning about billing errors will not preserve your rights under federal law. To preserve your rights,please write to our Billing Inquiries Address,P.O.Box 965023,Orlando,FL 32896-5023. Purchases,returns,and payments madejust priorto billing date may not appearuntil next month's statement.When you provide a checkas payment,you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction.When we use information from yourcheck to make an electronic fund transfer,funds may be withdrawn from your account as soon as the same daywe receive your payment,andyouwill not receive your check back from 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 Dated in the U.S., the entire New Balance by 5:00 p.m.(ET)on the Payment Due Date shown (c)is not accompanied bythe remittance coupon attached to your statement, On the Statement. (d)contains more thanone payment or remittance coupon,(a)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'I 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:?r)indicates that the payment constitutes °payment in full"or is tendered as full satisfaction of a disputed amount:or Your account is owned and serviced by Retail Finance Credit [[n) is tendered with other conditions or limitations ("Disputed Services,LLC, i�ayments"), 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, .e or other defaults on your account may be reflected in your credit report. a s 0003 0004 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER M 05000 ACCOUNT M 6032 2020 0013 5815 P.O.M INVOICEM 008320 DATE OF SALE M 051815 STORE#:00001601 TRANSACTION M 8320 AUTHORIZATION M 018567 REGISTER M 17 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE 037451934 GV COOKING SPRAY 14.000 EA 1.9400 27.16 80Z SUB$27.16 TAX$0.00 TOTAL INVOICE $27.16 CREDITS TOTAL $0.00 BALANCE DUE $27.16 N� 5404 0003 BEH 3 7 16 150616 D PAGE 2 of 3 9273 2000 N122 OIDX5404 37002 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)) 05/18/15 008320 $27.16 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. ALLOWED 20 Wal-Mart Community IN SUM OF $ P. O. Box 530934 Atlanta, GA 30353-0934 $27.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I 008320 I 42-389.001 $27.16 1 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 T,h'I�r 2©15 Street Commissioner Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund