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248082 07/28/15 `�Ayf CITY OF CARMEL, INDIANA VENDOR: 00352108 ® ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $ ....'141.48" Q CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 248082 9.y_oN.�;= ATLANTA GA 30353-0934 CHECK DATE: 07/28/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 STREET 141.48 6032202000135815 WNMaVU�v° 8i. Save money.Live better. Walmarto CITY OF CARMEL STREET DEPT Visit us at walmart.com/credit Community Card Account Number: 6032 2020 0013 5815 Customer Service: 1-877-294-1086 Summary of AccountActivty � tz —lufam Previous Balance $130.99 New Balance $141.48 -Payments $130.99 Total Minimum Payment Due $141.48 +Purchases/Debits $141.48 Payment Dug Date 08/11/2015 New Balance $141.48 Credit Limit $1,000 Available Credit $733 Statement Closing Date 07/16/2015 Days in Billing Cycle 30 -—Um ta"r JTran Post Date Date Reference Number Description of Transaction or Credit Amount 06/15 06/17 P92730059019VQOHE WALMART001601 CARMEL IN $38.20 06/23 06/23 P9273005HOlQMPQYW WALMART001601 CARMEL IN $36.86 06/29 06/29 P9273005POI ESJ5MA WALMART001601 CARMEL IN $46.66 07/06 07/06 P9273005YO1 H95N39 WALMART001601 CARMEL IN $19.76 TOTAL FOR AUTHORIZED BUYER NO 05 $141.48 06/18 06/18 P9273005DO1 BK461 Y PAYMENT-THANK YOU ($103.83) 07/09 07/09 P9273006101 EVVOPE PAYMENT-THANK YOU ($27.16) ,L-6-te'Cfi&dd`Sufnma�`,A-- ' �� ' " --, 'Al 'iAk-11111 �LL -!2— & Annual Percentage J Balance Subject to Late Charge Rate Late Charge 0.00% $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. 5404 0003 BEH 3 7 16 150716 PAGE 1 of 3 9273 2000 N122 OIDX5404 37056 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 foryour 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 prior to billing date may not appear until next month's statement.When you provide a checkas payment,you authorize us either to use information from your check to make a one-lime 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 day we receive your payment,andyou will not receive your check back from your financial institution.You may choose notto have your payment collected 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)isnotaccompaniedbylheremittance coupon attached toyour statement, on the Statement. (d)contains morethanonepayment orremittance coupon,(e)isnot received in the remittance envelope provided or(f)includes staples,paperclips,tape, Bankruptcy Notice: If you file bankruptcy you must send notice, a folded check,or correspondence of any type.Conditional Payments:All including account number and all information related vthe proceeding ceeding rvi written communications concerningdisputed amounts,including any check to the following address: Retail Finance Credit Services, LLC, Attn: or other payment instrument that: )indicates that the payment constitutes Bankruptcy Dept.,P.O.Box 965060,Orlando,FL 32896-5060. 'payment in full°or is tendered as full satisfaction of a disputed amount:or Your account is owned and serviced by Retail Finance Credit (ii) is tendered with other conditions or limitations ("Disputed Services,LLC. 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. _�— - nmYSene-1-AIM11d 0003 0004 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER#:05000 ACCOUNT#:6032 2020 0013 5815 P.O.#: INVOICEM 009219 DATE OF SALE#: 061515 STORE M 00001601 TRANSACTION M 9219 AUTHORIZATION M 015060 REGISTER M 17 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 041606473 2PK LETRATAG TAPE 3.000 EA 7.4400 22.32 074051965 GERM-X 28OZ SANI 1.000 EA 3.9700 3.97 091651807 GRMX ORIG 30OZ HL 3.000 EA 3.9700 11.91 SUB$38.20 TAX$0.00 TOTAL INVOICE $38.20 CREDITS TOTAL $0.00 BALANCE DUE $38.20 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER M 05000 ACCOUNT#:6032 2020 0013 5815 P.O.#: N INVOICEM 001890 DATE OF SALE M 062315 STORE M 00001601 TRANSACTION#: 1890 AUTHORIZATION#:023740 REGISTER M 17 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 037451934 GV COOKING SPRAY 19.000 EA 1.9400 36.86 80Z SUB$36.86 TAX$0.00 TOTAL INVOICE $36.86 CREDITS TOTAL $0.00 BALANCE DUE $36.86 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER#:05000 ACCOUNT M 6032 2020 0013 5815 P.O.M INVOICEM 006183 DATE OF SALE#: 062915 STORE M 00001601 TRANSACTION M 6183 AUTHORIZATION M 029796 REGISTER M 14 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 037451934 GV COOKING SPRAY 6.000 EA 1.9400 11.64 80Z - - 088907211 SPARKLE 8G=12 3.000 EA 8.6800 26.04 091016786 BTY SAS 6=11 1.000 EA 8.9800 8.98 SUB$46.66 TAX$0.00 TOTAL INVOICE $46.66 CREDITS TOTAL $0.00 BALANCE DUE $46.66 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER#: 05000 ACCOUNT M 6032 2020 0013 5815 P.O.#: INVOICEM 006260 DATE OF SALE M 070615 STORE M 00001601 TRANSACTION#:6260 AUTHORIZATION M 006386 REGISTER M 17 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 072388254 MS WOOD GRAIN 2.000 EA 9.8800 19.76 CLOCK SUB$19.76 TAX$0.00 TOTAL INVOICE $19.76 CREDITS TOTAL $0.00 BALANCE DUE $19.76 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)) 06/15/15 009219 $38.20 06/23/15 001890 $36.86 06/29/15 006183 $46.66 07/06/15 006260 $19.76 I 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 $141.48 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department ��Z•�b 2e�--b613-Sg 1 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 009219 42-389.00 $38.20 1 hereby certify that the attached invoice(s), or 2201 001890 42-389.00 $36.86 bill(s) is (are) true and correct and that the 2201 006183 42-389.00 $46.66 materials or services itemized thereon for 2201 1 006260 1 42-389.00 $19.76 which charge is made were ordered and received except r hu 12015 Str9 We�OfT fnf9Sl6Iter Title Cost distribution ledger classification if claim paid motor vehicle highway fund