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CITY OF CARMEL, INDIANA VENDOR: 361015
�;�/ �� CHECK AMOUNT: S***"'**52.91'
® �• ONE CIVIC SQUARE RACHEL KEESLING
:9 ?�. CARMEL, INDIANA 46032 5319 BOULEVARD PLACE CHECK NUMBER: 252338
M,_,_,� INDPLS IN 46208 CHECK DATE: 12/08/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4463000 52.91 FURNITURE & FIXTURES
12/3/2015 American Express US:Manage Your Card Account:Online Statement
Transaction Details Prepared for
Rachel M Keesling
�s Account Number
XXXX-XXXX)C
DATE DESCRIPTION AMOUNT
NOV272015 WALMART.COM BENTONVILLEAR $56.61
Doing business as: Transaction Details
WALMART.COM Description
View Details on Merchant Website
APPAREL
702 SW 8TH ST HSWRS/ACC
BENTONVILLE
AR
72716-6299
UNITED STATES OF AMERICA(THE)
Additional Information:WAYLJ8HZ2CK 800-966-6546
800-966-6546
Reference:320153310708665168
Category:Merchandise&Supplies-Internet Purchase
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https://online.americanexpress.com/myca/shared/summary/estatement/print_doc2015-R5.html 1/1
11/24/2015 Gmail-Thanks for your Walmart.com Order 5991508-741227
k Rachel Keesling <rmkeesling@gmail.com>
Thanks for your Walmart.com Order 5991508-741227
1 message
Walmart.com <help@walmart.com> Tue, Nov 24, 2015 at 10:01 AM
Reply-To: donotreply@walmart.com
To: rmkeesling@gmail.com
Visit Walmart.com Help My account
Hi Rachel,
Recommendations
Thanks for your order—we hope you found everything you need at our Every Day
Low Prices! Prices and availability
are subject to change. f
Need to change your order?
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You can request a cancellation and then place a corrected order, but act quickly!
Orders are usually prepared for shipment within a few minutes of being placed. i 8
If there's no Request Cancellation button at the link above,it is too late to cancel the *=i
order,but you can always return it for free according to our return policy. i
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Item Qty Price Total
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Holiday Time Battery Operated LED 3 $15.98 $47.94
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Subtotal: $47'94 4'
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Order subtotal: $47.94
Walmart Shipping: $4.97
Total Tax: $3.70 ' Timex Woman's
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11/24/2015 Thank You-Walmart
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FREE shipping on$50+orders
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Thank you for your order#5991508741227
Continue on Website i
Continue in App
We'll send you an email with tracking information when your items ship.
Order placed
Value shipping"
Arrives by Wed,Dec 2
Sold by Walmart.com
Order#5991508741227
Shipping address
Rachel Keesling
5319 Boulevard Place
Indianapolis,IN 46208
rmkeesling@gmail.com
Holiday Time Battery Operated LED Incandescent-Style...
Quantity:3
$47.94
$15.98 each
Value shipping:Arrives by Wed,Dec 2
View order status
Order Summary
Subtotal(3 items) - $47.94 —"
Value shipping $4.97
Est.tax $3.70
Total
$56.61
Payment type
Ending in 2019
Billing address
Rachel Keesling
5319 Boulevard Place
Indianapolis,IN 46208
rmkeesling@gmail.com
https://www.walmart.com/checkouYthankyou 1/2
VOUCHER NO. WARRANT NO.
RACHEL KEESLING ALLOWED 20
5319 BOULEVARD PLACE IN SUM OF$
INDPLS, IN 46208
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT
Board Members
5991508-741227 j 44-630.00s'61
1205 1 1 hereby certify that the attached invoice(s), or
01
�a q 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
Monday, December 07, 2015
I
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
li Date Due
�I
iInvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
11/27/15 5991508-741227 Reimbursement lights purchased from Walmart.com $56.61
1205 101
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