251284 11/04/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352108
CHECK AMOUNT: $*****1,765.39*
ONE CIVIC SQUARE WAL-MART COMMUNITYCARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 251284
ATLANTA GA 30353-0934 CHECK DATE: 11104/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 PARKS 1,663.40 6032-2020-2023-2576
1091 4341991 PARKS 68.34 MARKETING & PROMOTION
1096 4239039 PARKS 33.65 6032-2020-2023-2576
RECEIVEff
Save money.Live better. OCT 2 9 Z015
BY:
Walmarf CARMEL CLAY PARKS AND RECR Visit us at walmart.com/credit
Community Card Account Number: 6032 2020 2023 2576 Customer Ser.vice:1-877-294-1086
Summary of Account
ity T�-
clorm
q a ion.:,
Previous Balance $4,i'35.08 New Balance $1,765.39
Payments $4,682.89 Total Minimum Payment Due $1,765.39
Other Credits $52.19 Payment Due Date 11/17/2015
+Purchases/Debits $1,765.39
New Balance $1,765.39
Credit Limit $15,000
Available Credit $12,424
Statement Closing Date 10/22/2015
Days in Billing Cycle 30
Transaction Summary
Tran Post
Date Date Reference Number Description of Transaction or Credit Amount
10/14 10/14 P9273009301NEKNYR WALMART 001601 CARMEL IN $41.75
TOTAL FOR AUTHORIZED BUYER NO 03 $41.75
10/16 10/16 P9273009401 P4Q20P WALMART 001557 FISHERS IN $572.74
TOTAL FOR AUTHORIZED BUYER NO 06 $572.74
10/09 10/09 P927300SX01 LPFT7Y WALMART 007 601 CARMEL IN $150.06
TOTAL FOR AUTHORIZED BUYER NO 08 $150.06
09/23 09/23 P92730DSE01 F68EWX WALMART 001601 CARMEL IN $15.38
TOTAL FOR AUTHORIZED BUYER NO 10 $15.38
09/23 09/23 P9273008E01F5Z1FY WALMART002787iNDIANAPOLIS IN -.$107.89
10/16 10/16 P9273009401 P56QKT WALMART 002787 INDIANAPOLIS IN $42.53
10/16 10/15 P9273009401 P56Q Ll WALMART002787 INDIANAPOLIS IN $133.86
TOTAL FOR AUTHORIZED BUYER NO 12 $284.28
09/24 09/24 P9273008E0I FKL35V WALMART 001601 CARMEL IN $215.29
10/15 10/15 P9273009301 NW8K8Q WALMART 001601 CARMEL IN $226.63
TOTAL FOR AUTHORIZED BUYER NO 13 $441.92
10/14 10/14 P9273009301 NABKE5 WALMART 001601 CARMEL IN $157.27
TOTAL FOR AUTHORIZED BUYER NO 14 $157.27
10/08 10/08 P9273008W01 L9D22V WALMART 001601 CARMEL IN $68.34
TOTAL FOR AUTHORIZED BUYER NO 15 $68.34
10/09 10/09 P9273008XOlLNJL65 WALMART 001601 CARMEL IN $33.65
TOTAL FOR AUTHORIZED BUYER NO 17 $33.55
119124 09/24 P92730011Q016WPJN6 PAYMENT-THANK YOU ($3,479.59)
09/28 09/28 F9273008F000F0271 *INTEREST CHARGE*PURCHASES REFUND ($52.19)
10/10 10/10 P9273008X01T5X5Z4 PAYMENT-THANK YOU ($1,203.30)
tate 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.
5404 0003 BEH 3 ' 7 22 151022 PAGE 1 of 9 9273 2000 N122 OIDX5404 876
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 forycur 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 32896-5023.
Purchases,returns,and payments made just 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 or to process the payment as a check
transaction.When we use information from yourcheckto make an electronic fund transfer,funds may be withdrawn from youraccountas soon asthesame
day wereceiveyourpayment,andyou will not recelveyourcheck back from your financial institution.You maychoose notto have yourpaymentcollected
electronically by sending your payment(with the payment stub),in your own envelope—not the enclosed window envelope,addressed to:
R0,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)is notaccompanied bythe remittance coupon attached to your statement, on the Statement.
(d)contains morethanone payment or re mittance 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, 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
'payment in full'or is tendered as full satisfaction of a disputed amount;or Your account is.owned and serviced by Retail Finance Credit
(ji) 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.
ME 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 DX5404.1-071221.14
0003 0010
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 10000
ACCOUNT M 6032 2020 2023 2576 P.O.M 2720
INVOICEM 002052 DATE OF SALE M 092315 STORE M 00001601
TRANSACTION M 2052 AUTHORIZATION M 023124 REGISTER#:9
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
072555605 5 GAL WHITE BUCKET 5.000 EA 2.5800 12.90
089772033 GV PORTION SNK 1.000 EA 2.4800 2.48
80CT
SUB$15.38 TAX$0.00 TOTAL INVOICE $15.38
CREDITS TOTAL $0.00
BALANCE DUE $15.38
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:12000
ACCOUNT#:6032 2020.2023 2576 P.O.-#:2732
INVOICEM 001410 DATE OF SALE#: 092315 STORE#:00002787
N
TRANSACTION M 1410 AUTHORIZATION M 023342 REGISTER M 17
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
011833859 JOTS TRKY FRNK 12 1.000 EA 1.2400 1.24
052723809 GV HOT DOG BUNS 12.000 EA 1.1800 14.16
078651911 BUTTERFLY PURSE 1.000 EA 1.9700 1.97
4CT
085018391 NO MINI GEL PENS 6.000 EA 0.3000 1.80
085243454 HW MYSTERY 3.000 EA 0.9400 2.82
MODELS
085360380 HERSHEY SNACK SZ 1.000 EA 2.6800 2.68
088742690 IM EXO CNCT WAR 1.000 EA 2.5000 2.50
MA
088742696 IM EXO CNCT BOXER 1.000 EA 2.5000 2.50
088742698 IM EXO CNCT 1.000 EA 2.5000 2.50
THUMPER
088876827 4PK LIPTUBE FUN DIP 2.000 EA 1.9700 3.94
088878833 MYO LADYBIRD 4 PK 1.000 EA 3.0000 3.00
091026806 TYD BATTLE PACK 1.000 EA 1.0000 1.00
091478992 6 PK PUTTY 2.000 EA 1.9700 3.94
092003920 MONSTER TAIL 2.000 EA 4.9700 9.94
092047252 AVN MARVEL 2.000 EA 1.5000 3.00
CREEPEEZ
092050630 MLP POP PINKIE PIE 1.000 EA 2.5000 2.50
092065287 FROZEN ANNA TIARA 1.000 EA 3.0000 3.00
092172583 SKITTLES ORIGINAL 1.000 EA 1.9800 1.98
FS
092405989 MAYFAIR SELECT 1.000 EA 9.9400 9.94
BRAND
093279227 12 PIECES CHALK 2.000 EA 0.5000 1.00
093442234 SKY RIDERS DLX SET 1.000 EA 7.0000 7.00
094012147 DP LIP GLOSS SET 2 1.000 EA 1.0000 1.00
094012148 DP NAIL POLISH SET 1.000 EA 1.0000 1.00.
2
094441239 MR SKETCH STIX 4CT 2.000 EA 1.0000 2.00
094547753 48 FUN TIME FAVORS 1.000 EA 6.4700 5.47
094641850 JW DINO BLIND BAG 2.000• EA 1.9200 3.84
095268889 DOC BLIND BAG 1.000 EA 2.8800 2.88
FIGURE
095344751 HALO MAF 2.000 EA 2.8400 5.68
095362599 STAR WARS G G 1.000 EA 0.8700 0.87
095362600 MINIONS STANDARD 1.000 EA 0.8700 0.87
095362761 FROZEN G G 1.000 EA 0.8700 0.87
SUB$107.89 TAX$0.00 TOTAL INVOICE $107.89
CREDITS TOTAL $0.00
BALANCE DUE $107.89
t
5404 0003 BEH 3 7 22 151022 PAGE 2 of 9 9273 2000 N122 OIDX5404 876
0004 0010
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 13000
ACCOUNT M 6032 2020 2023 2576 P.O.M 2714
INVOICE#:005668 DATE OF SALE M 092415 STORE M 00001601
TRANSACTION M 5668 AUTHORIZATION M 024272 REGISTER M 7
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
009506296 HW CITY 5PK AST 2.000 EA 4.9700 9.94
042022043 HW MONSTER JAM 2.000 EA 3,8800 7.76
AST
055388706 CROSSOVER CB BB 1.000 EA 10.4700 10.47
28.5
076887693 RED ZONE OFF 1.000 EA 9.9700 9.97
FTBALL
085284830 SMACK SHOT 1.000 EA 10.0000 10.00
088391607 NERF ELITE TRIAD 2.000 EA 6.9600 13.92
EX3
089590192 MBM BEAD PETS 1.000 EA 9.9700 9.97
089591311 JMS PARACORD 1.000 EA 9.9700 9.97
BRACELT
090109557 TWINDUCTION 1.000 EA 9.9700 9.97
091817395 DALMATIAN DOG 1.000 EA 34.6700 34.67
093585420 MH GIGI DOLL 1.000 EA 9.9400 9.94
093798149 CANDY GLO POPS 1.000 EA 7.0000 7.00
093919391 HEX STING 5 SBALL 1.000 EA 9.9700 9.97
BL
094087346 DM MINI FIG 8 PACK 1.000 EA 9.9200 9.92
094470840 EMMAS TOURIST 1.000 EA 9.9700 9.97
KIOSK
094540225 SHOPKINS S3 5 PACK 1.000 EA 4.9700 4.97
094769853 SW 1.000 EA 8.9400 8.94
095332813 MH ORIG 1.000 EA 14.9700 14.97
DRACULAURA
095423742 LG SW SHADOW 1.000 EA 12.9700 12.97
TROOPRS
SUB$215.29 TAX$0.00 TOTAL INVOICE $215.29
CREDITS TOTAL $0.00
BALANCE DUE $215.29 -
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 15000
ACCOUNT M 6032 2020 2023 2576 P.O.M 2779
INVOICE#:007350 DATE OF SALE#: 100815 STORE#:00001601
TRANSACTION M 7350 AUTHORIZATION#:008803 REGISTER M 17
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
085579025 PF COOL TOWEL- 2.000 EA 8.9700 17.94
BLUE
089989332 5 LB NEO DBLL 4.000 EA 5.4800 21,92
095451847 PG 221N DUFFEL PNK 2.000 EA 14.2400 28.48
SUB$68.34 TAX$0.00 TOTAL INVOICE $68.34
CREDITS TOTAL $0.00
BALANCE DUE $68.34
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 17000
ACCOUNT M 6032 2020 2023 2576 P.O.#:2807
INVOICEM 0051.17 DATE OF SALE#: 100915 STORE M.00001601
TRANSACTION M 5117 AUTHORIZATION#:009413 REGISTER#: 11
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
089903698 SPALDING NEEDLE 3.000 EA 0.9600 2.88
2PK
092191930 HEFTY ROYAL BLUE 2.000 EA 3.4800 6.95
CUP
094298444 GV 9"FOAM PLA 1.000 EA 3.9700 3.97
150CT
095364464 CHOC/SUGAR 1.000 EA 19.8400 19.84
ASSORTMNT
SUB$33.65 TAX$0.00 TOTAL INVOICE $33.65
CREDITS TOTAL $0.00
BALANCE DUE $33.65
54114 0003 BEW 3 7 22 151022 PAGE 3 of 9 9273 2900 N122 01DX5404 876
0005 0010
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:08000
ACCOUNT#:6032 2020 2023 2576 P.O.#:6766
INVOICE#:005071 DATE OF SALE M 100915 STORE M 00001601
TRANSACTION M 5071 AUTHORIZATION#:009970 REGISTER#. 11
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
059989185 KENS LITE HONEY 24 1.000 EA 2.9800 2.98
068597633 BEAD BOX SPARKL 1.000 EA 12.9700 12.97
PONY .
075249305 EZ CAKE PAN 9X13 1.000 EA 3.9800 3.98
LID
076767556 TYS CHICKEN 3.000 EA 4.9700 14.91
NUGGETS
077154375 GV LUNCHBAG BRW 2.000 EA 1.0000 2.00
50CT,
079164559 KCM BBQ HNY 6/40OZ 1.000 EA 3.2300 3.23
083189769 APPLE SLG RED 28Z 3.000 EA 4.9800 14.94
FE
N
084549579 CS 30PK STRAW KIWI 1.000 EA 6.4800 6.48
084549587 GS 30PK WILD 1.000 EA 6.4800 5.48
CHERRY
086717152 PUFF BASIC FLAT 3.000 EA 1.9800 5.94
087184734 *FROSTED 200T TRAY 2.000 EA 6.0000 12.00
088455460 DOCMC STUFFIN 1.000 EA 9.9700 9.97
088907211 SPARKLE 8G=12 1.000 EA 8.6200 8.62
089527220 SUPER RAINBOW 1.000 EA 9.9700 9.97
DOUGH
089888003 PF 15ONA WH 1.000 EA 0.9700 0.97
091574208 FROZEN 7PK WOOD 1.000 EA 9.9700 9.97
PZL
091658448 KLX CANISTER 3PK 1.000 EA 4.4700 4.47
092987562 'APPLE PIE MINI CC 1.000 EA 3.2400 3.24
092997755 PC 800CT UNS WIPES 1.000 EA 13.4700 13.47
095907532 'CARAMEL APPLE CC 1.000 EA 3.4700 3.47
SUB$150.06 TAX$0.00 TOTAL INVOICE $150.06
CREDITS TOTAL $0.00
BALANCE DUE $150.06
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 14000
ACCOUNT M 6032 2020 2023 2576 P.O.#:2787
INVOICE#:000132 DATE OF SALE#: 101415 STORE M 00001601
TRANSACTION M 132 AUTHORIZATION#:014582 REGISTER M 6
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
043475017 GV LG WHITE 51-13 2.000 EA 2.9800 5.96
082233873 DRFRESH TBM FM 3.000 EA 1.0000 3.00
6CT
082529837 PUSSNBOOTS WS 1.000 EA 7.5000 7.50
084251077 GDY PINS BLACK 45G 1.000 EA 0.9400 _ 0.94
084345101 GDY PINS BROWN 1.000 EA 0.9400 0.94
45G
084761704 KNOX GELATIN 8 OZ 1.000 EA 9.9200 9.92
088769384 GUARDIANS DVD WS 1.000 EA 7.5000 7.50
089187438 KLX FLAT 85CT 1.000 EA 0.9700 0.97
089813631 EQ FLEX FABRIC 2.000 EA 4.9700 9.94
-ASST --- ----- - -- - -- - --- -
091842742 RIO 2 DVD WS 1.000 EA 12.9600 12.96
092217659 4X6 RULED 1000T 6.000 EA 0.8400 5.04
094312544 PENGUINS MAD WS 1.000 EA 12.9600 12.96
094496537 BALTO FC-WS 1.000 EA 5.0000 5.00
094645804 SUPER HITS 23 1.000 EA 11.8800 11.88
095333166 DESCENDANTS WS 1.000 EA 17.9600 17.96
095362384 SUPER HITS 24 1.000 EA 11.8800 11.88
095825319 HOME(15)DVDOP 1.000 EA 12.9600 12.96
095957417 CINDERELLA LA WS 1.000 EA 19.9600 19.96
SUB$157.27 TAX$0.00 TOTAL INVOICE $157.27
CREDITS TOTAL $0.00
BALANCE DUE $157.27
5404 0003 BEH 3 7 22 151022 PAGE 4 of 9 9273 2000 N122 0lUX5404 876
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 03000
ACCOUNT M 6032 2020 2023 2576 P.O.#:38929
INVOICE#:000133 DATE OF SALE M 101415 STORE M 00001601
TRANSACTION M 133 AUTHORIZATION M 014929 REGISTER#:6
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
034369163 ELM SCH GLUESTK 9.000 EA 0.9700 8.73
2PK
053900480 ELM SCH GLUESTK 4.000 EA 2.2700 9.08
6PK
066479679 MONSTERSVSAWS 1.000 EA 5.0000 5.00
WS
069570774 PLANET 51 AN 1.000 EA 5.0000 5.00
077022841 KLX LOTION CUBE 1.000 EA 5.6800 5.68
4PK
078081758 KLX GO PACK 8PK 2.000 EA 2.2600 4.52
088644962 RANGO WS 1.000 EA 3.7400 3.74
SUB$41.75 TAX$0.00 TOTAL INVOICE $41.75
-_ CREDITS TOTAL $0.00
BALANCE DUE $41.75
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 13000
ACCOUNT M 6032 2020 2023 2576 P.O.#:2831
INVOICEM 009904 DATE OF SALEM 101515 STORE M 00001601
TRANSACTION#:9904 AUTHORIZATION M 015149 REGISTER M 17
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
089301156 CLUE 1.000 EA 9.9400 9.94
089471143 TROUBLE 1.000 EA 9.9400 9.94
089471150 CONNECT 4 1.000 EA 9.9400 9.94
089471163 SORRY 1.000 EA 9.9400 9.94
089565441 EPIC DVD WS 1.000 EA 7.5000 7.50
092629005 DESPICABLE ME 1.000 EA 19.9600 19.96
OPER
092775972 TROUBL DESPICABLE 1.000 EA 14.9600 14.96
ME
092897161 GUESSTURES 1.000 EA 14.9700 14.97
094296330 PADDINGTON 1.000 EA 17.9600 17.96
094312544 PENGUINS MAD WS 1.000 EA 12.9600 12.96
095011512 PRINCESS 1.000 EA 1.0000 1.00
095011514 CAT 1.000 EA 1.0000 1.00
095011516 SKULL 1.000 EA 1.0000 1.00
095011518 PIRATE 2.000 EA 1.0000 2.00
095011520 FRANK 1.000 EA 1.0000 1.00
095333512 HOME(15)DVD WS 1.000 EA 19.8400 19.84
095342518 GOODIE GALORE 1.000 EA 14.9400 14.94
ASSORT
095364461 PEANUT CARAMEL 3.000 EA 14.9400 44.82
VRTY
095541734 LEGO MOVIE SE 1.000 EA 12.9600 12.96
SUB$226.63 TAX$0.00 TOTAL INVOICE $226.63
CREDITS TOTAL $0.00
BALANCE DUE $226.63
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:06000
ACCOUNT#:6032 2020 2023 2576 P.O.M 39149
INVOICEM 009362 DATE OF SALEM 101615 STORE#:00001557
TRANSACTION#:9362 AUTHORIZATION#:016715 REGISTER M 12
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
011920387 GV WHIP TOPPING 2.000 EA 0.8600 1.72
8OZ
012336152 GV BTR SLT STK 1 LB 1.000 EA 3.9700 3.97
012846328 GV 24OZ CHOC 3.000 EA 1.5800 4.74
SYRUP
031229040 LIBBY SLDPK PMPKN 1.000 EA 1.8800 1.88
15
036538567 GV CC FF BRK 8OZ 1.000 EA 1.9600 1.96
037029117 WILTON SUCKER 4.000 EA 2.0000 8.00
STICKS
5404 0003 SEH 3 7 22 151022 PAGE 5 of 9 9273 2000 N122 01DX5404 876
-----------
00090010
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
091851592 MINI SWITGHER 2PK 1.000 EA 2.5000 2.50
092003920 MONSTER TAIL 1.000 EA 4.9700 4.97
092081130 SPIDERMAN 1.000 EA 1.0000 1.00
093087088 GAME 1 1.000 EA 1.9700 1.97
093087093 GAME 2 1.000 EA 1.9700 1.97
093087096 GAME 3 1.000 EA 1.9700 1.97
093463806 HW BASIC CAR(MIX 2.000 EA 0.9400 1.88
5)
094087041 SIMPSON MF 1.000 EA 3.9700 3.97
094501528 DM MAF 1.000 EA 3.4700 3.47
094540223 SHOPKINS S3 2PK 10.000 EA 2.8800 28.80
CDU
094746567 BOO 1.000 EA 0.9700 0.97
094746569 SPIDER 1.000 EA 0.9700 0.97
094747336 SKULL 1.000 EA 0.9700 0.97
094747338 BAT-----1,000-EA--0-9700 -0-97
-
095639695 MAGIC 8 BALL TIE 1.000 EA 8.9700 6.97
DYE
095640259 MINIONS MIC 1.000 EA 5.9700 5.97
SUB$133.86 TAX$0.00 TOTAL INVOICE $133.86
CREDITS TOTAL $0.00.
BALANCE DUE $133.86
I
5404 0003 BEH 3 7 22 151022 PAGE 8 of 9 9273 2000 N122 010X5404 876
0007 0010
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
039026809 GLZ STRAWBERRY 1.000 _ EA 1.5000 1.50
16OZ
048217328 CLEAN RLEAS 1.8 1.000 EA 5.8700 5.87
60YD
050733514 POLY FIL 10LB FIBER 1.000 EA 19.9700 19.97
054796717 GV CHOC SYR FOR 1.000 EA 1.5800 1.58
MILK
055301172 PB SUGAR CHUB 1.000 EA 2"6700 2.67
16.5OZ -
056667128 TWIZZLERS RAINBOW 1.000 EA 2.2300 2.23
057188607 HSY CARAMEL 3.000 EA 2.2800 6.84
SYRUP
060547832 KLG RICE REG 24 1.000 EA 3.9800 3.98
060803683 MILK DUDS SNACK 1.000 EA 2.6800 2.68
SIZE
061206088 STREAMR BLACK 150' 2.000 EA 0.9700 1.94
062680054-- 1-PK-FLORAL-TAPE- _ -1.000-------_EA-- - __0.9700_ -Q_97
063295265 M&MS MC19.2OZ 1.000 EA 4.8600 4.86
063618623 STARTER P10 CREW 1.000 EA 6.9700 6.97
N
063635132 MEM 30PK SLM 1.000 EA 8.9800. -8.98
JEWLCAS
064910535 3.5OZ BK SPRKL GEL 4.000 EA 2.8800 11.52
071368468 PL 25%BNS PNUT 1.000 EA 3.5000 3.50
20OZ
073163182 GV 9"PAPER PLA 1.000 EA 6.2700 6.27
3000T
074152241 FOL P12 MD CREW 1.000 EA 7.9700 7.97
075408885 WLSN 1"FOOTBALL 1.000 EA 5.9700 5.97
TEE
076766375 ELM 8OZ MAX WOOD 1.000 EA 4.7800 4.78
GLU
077418363 ST P12 CREW - 1.000 EA . 6.9700 6.97
077418365 ST P12 ANKLE 1.000 EA 6.9700 6.97
077502046 M&M'S MILK FS 8.000 EA 2.6800 21.44
077852805 7"RD PLT 240T TANG 5.000 EA 0.9700 4.85
078236305 .88OZ SM CNDY 9.000 EA 3.5000 31.50
EYEBAL
080042477 12OZ WH ON DY MLT 3.000 EA 2.4700 7.41
080042487 12OZ DK GR CNDY 3.000 EA 2.4700 7.41
MLT
080630232 MODEL MGC 2.000 EA 5.9700 11.94
PRIMARY
081124345 12PC FOAM BRUSH 1.000 EA 1.4400 1.44
SET .
081546991 CNM CARAMEL 6OZ 2.000 EA 1.0000 2.00
083602969 MEM DVD+R 30PK 1.000 EA 15.9700 15.97
SPDL
084314135 TURA&FIESTA BLUE 1.000 EA 1.4700 1.47
084573377 FOL P10 CREW 1.000 EA . 7.9700 7.97
085762075 WHITE CANDY MELTS 1.000 EA 2.4700 2.47
086206556 APL JAZZ 3#14 HM 5.000 EA 4.9400 29.64
087383845 GV MM MINI 10 5.000 EA 0.9600 4.80
088816732 120T SEQ PARD BLUE 1.000 EA 0.9700 0.97
088866512 GV CC BRK 2PK 16OZ 1.000 EA 3.5700 3.57
088912280 AS 36 DOUBLE 1.000 EA 15.9700 15.97
089285218 ORNG CANDY MLTS 1.000 EA 2.4700 2.47
12OZ
089654302 13Z KRAFT 3.000 EA 1.9800 5.94
CARAMELS
089896388 PAPER CLIP VALUE 1.000 EA - - 5:9700_ - - 5.97
PK
091086159 MM 100%10PK APPLE 5.000 EA 2.9800 14.90
091164317 GV TWIST&SHOUT 3.000 EA 1.7800 5.34
SGL
091186044 MILK CANDY WAFERS 2.000 EA 2.8800 5.76
091218363 STREAMER ORANGE 2.000 EA 0.9700, 1.94
150'
091511372 18X12 ASST CONST 2.000 EA 2.5000 5.00
091595563 24MM CLEAN RLSE 1.000 EA 8.8800 8.88
4PK
091603560 GM SSZ CORN CHEX 1.000 EA 3.9800 3.98
18
092406989 MAYFAIR SELECT 1.000 EA 9.9400 9.94
BRAND
092462037 MS FLT A WHITE KG 2.000 EA 14.4700 28.94
092858329 SINGLE HOLE PUNCH 3.000 EA 0.9700 2.91
093954292 M&MS MC MINIS 2.000 EA 2.9800 5.96
10.8OZ
5404 0003 BEH 3 7 22 151022 PAGE 6 of 9 9273 2000 N122 01DX5404 876
i
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
094384621 CANDY WAFERS 3.000 EA 2.8800 8.64
094400948 PRICE FIRST IC VAN 4.000 EA 4.9800 19.92
094515369 2PK GLOVE 3.000 EA 1.5000 4.50
094586699 6SHT FIESTA B 1.000 EA 0.9700 0.97
TISSUE
094703460 NESQUIK STRAW 8.0 1.000 EA 2.9800 2.98
OZ
095131594 9"PU PMPKN 2.000 EA 6.9700 13.94
ORANGE
095158315 DALLIES RANBOW NP 1.000 EA 1.7800 1.78
JR
095158323 DALLIES SILVER 2.000 EA 1.9800 3.96
SUGAR
095227914 PW 24 PK EXTRA 1.000 EA 5.0000 5.00
BTTER
095329588 MAR CHOC/SGR 1.000 EA 13.8400 13.84
VARIETY
095329593 MARS MIXED 1.000 EA 14.9400 14.94
MINIATURE
095329627 MARS CHOC/SUGAR 2.000 EA 14.9400 29.88
MIX
p 095356925 HSY ORANGE 1.000 EA 14.9400 14.94
MONSTER
®_ 095602194 WHITE MUG 13.000 EA 0.8800 11.44
SUB$572.74 TAX$0.00 TOTAL INVOICE $572.74
CREDITS TOTAL $0.00
BALANCE DUE $572.74
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 12000
ACCOUNT#:6032 2020 2023 2576 P.O.M 2851
INVOICEM 008247 DATE OF SALEM 101615 STORE#:00002787
TRANSACTION M.8247 AUTHORIZATION M 016831 REGISTER M 2
= S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
048282595 LG ROLY POLY 14.000 EA 0.9700 13.58
VOTIVE
`----075581945 --MSUTL 6PK LED-- ---4.000- _EA-----2750D-- -1 X04 --
TLIGHT
093586828 LED VOTIVES 3.000 EA 5.9700 17.91
SUB$42.53 TAX$0.00 TOTAL INVOICE $42.53
CREDITS TOTAL $0.00
BALANCE DUE $42.53
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 12000
ACCOUNT M 6032 2020 2023 2576 P.O.#:2827
INVOICEM 008248 DATE OF SALE#: 101615 STORE#:00002787
TRANSACTION M 8248 AUTHORIZATION M 016773 REGISTER M 2
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
000000007 DEPARTMENT 1.000 EA 0.9700 0.97
NUMBER
012176975 DMNO LT BRN SUGAR 1.000 EA 1.9800 1.98
2
036010724 MC LESS SODIUM 3.000 EA 0.6800 2.04
TACO
043920542 LOL BTR SLT STK 1 LB 1.000 EA 5.2400 5.24
047971987 MP 16OZ MATTE 3.000 EA 6.9700 20.91
048715073 MEZZ SLICED 1.000 EA 1.8200 1.82
JALAPENO
053404202 POCKET ETCH 1.000 EA 2.0000 2.00
055578031 NTH SS MRSL 12 OZ 4.000 EA 2.4800 9.92
061730184 MC PURE VAN EXT 1.000 EA 2.9800 2.98
"D"
052293875 FLARP 2.000 EA 1.0000 2.00
076205352 TACO MILD LESS 3.000 EA 0.6800 2.04
SODIU
078651911 BUTTERFLY PURSE 1.000 EA 1.9700 1.97
4CT
085243454 HW MYSTERY 2.000 EA 0.9400 1.88
MODELS
091142212 BEG CXST-FLOWER 4.000 EA 0.9700 3.88
OWL
091142245 BEG 3.000 EA 0.9700 2.91
CXST-BUTTERFLY
5404 0903 BEHi 3 7 22 151022 PAGE 7 of 9 9273 2000 N122 OIDX5404 876
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.
00352108 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
10/22/15 6032202020232570 Program supplies $ 150.06
10/22/15 160322020202325701 Program supplies $ 441.92
10/22/15 6032202020232570 Program supplies $ — 572.74
10/22/15 16032202020232570 Program supplies $ 15.38
10/22/15 6032202020232570 Program supplies $ 157.27
10/22/15 6032202020232570 Program supplies $ 41.75
10/22/15 6o32202020232570 Program supplies $ 284.28
10/22/15 6032202020232570 Program supplies $ 33.65
10/22/15 6032202020232570 Marketing &Promo $ 68.34
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
Total $ 1,765.39
120
Clerk-Treasurer
Voucher No. Warrant No. _
00352108 Walmart Community/RFCSLLC Allowed 20
P.O. Box 530934
Atlanta, GA 30353-0934
In Sum of$
$ 1,765.39
ON ACCOUNT OF APPROPRIATION FOR
- 108 ESE
0 &01
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-1 6032202020232570 4239039 $ 150.06.. 1 hereby certify that the attached invoice(s), or
1081-4 6032202020232570 4239039 $ 441.92! bill(s)is(are)true and correct and that the
1081-5 6032202020232570 4239039 $ 572.74, materials or services itemized thereon for
1081-6 603220202023257o 4239039 $ 15.38 which charge is made were ordered and
1081-7 603220202023257o 4239039 $ 157.27 received except
1081-9 6032202020232570 4239039 $ 41.75'
1081-11 6032202020232570 4239039 $ 284.28
1096-50 6032202020232570 4239039 $ 33.65
1091 6032202020232570 4341991 $ 68.34
October 29, 2015
-P � Uwoj
Signature
$ 1,765.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund