252428 12/08/1 5 `%r.c�A.Mfi
CITY OF CARMEL, INDIANA VENDOR: 00352108
® 3' ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $*****2,237.27*
r. ?� CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 252428
�M�ron`�°` ATLANTA GA 30353-0934 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 603220202023 1,766.15 GENERAL PROGRAM SUPPL
1094 4238900 603220202023 61.92 OTHER MAINT SUPPLIES
1096 4239039 603220202023 305.83 GENERAL PROGRAM SUPPL
1081 4239039 603220202032 103.37 GENERAL PROGRAM SUPPL
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Save money.Live better.
Walmaff CARMEL CLAY PARKS AND RECR Visit us at walmart.com/credit
VVI munfty Card Account Number: 6032.2020 2023 2576 Customer Service: 1-877-294-1086
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Previous Balance $1,765.39 New Balance $2,237.27
-Payments $1,765.39 Total Minimum Payment Dug $2,237.27
+Purchases/Debits $2,237.27 Payment Due Date 12/18/2015
New Balance $2,237.27 _REC-EFV_f1 ,:
Credit Limit $15,000 NOV 3 0 2015
Available Credit $12,762
Statement Closing Date 11/22/2015
Days in Billing Cycle 31 BY:
Tran Post
Date Date Reference Number Description of Transaction or Credit Amount
10/21 10/23 P9273009A01 RY7FSS WALMART 002787 INDIANAPOLIS IN $313.09
11/05 11/05 P9273009RO10HZ040 WALMART 002787 INDIANAPOLIS IN $255.32
11/19 11/19 P92730OA6015PDLNT WALMART 002787 INDIANAPOLIS IN $219.52
TOTAL FOR AUTHORIZED BUYER NO 03 $787.93
11/10 11/10 P9273009XO129F9R9 WALMART 000923 NOBLESVILLE IN $103.37
TOTAL FOR AUTHORIZED BUYER NO 06 $103.37
10/22 10/23 P9273009A01TI35EDT WALMART 001601 CARMEL IN $100.35
11/11 11/11 P9273009ZO12T5SFX WALMART 002787 INDIANAPOLIS IN $170.80
11/17 11/17 P92730OA401517JQO WALMART 002787 INDIANAPOLIS IN $94.42
TOTAL FOR AUTHORIZED BUYER NO 07 $365.57
10/20 10/23 P9273009801RLHROL WALMART001601 CARMEL IN $155.43
10/26 10/26 P9273009E01SRE5DH WALMART001601 CARMEL IN $154.93
TOTAL FOR AUTHORIZED BUYER NO 08 $310.36
10/21 10/23 P9273009A01RWGTN9 WALMART 002787 INDIANAPOLIS IN $93.38
TOTAL FOR AUTHORIZED BUYER NO 09 $93.38
11/11 11/11 P9273009ZO12N620T WALMART0027871NDIANAPOLIS IN $27.94
TOTAL FOR AUTHORIZED BUYER NO 10 $27.94
10/28 10/28 P9273009KOlVE34PK WALMART 002787 INDIANAPOLIS IN $82.98
11/06 11/06 P9273009TO1 OWV7BB WALMART 002787 INDIANAPOLIS IN $97.99
TOTAL FOR AUTHORIZED BUYER NO 12 $180.97
11/03 11/03 P9273009NDOZS4GVE WALMART 001601 CARMEL IN $246.51
TOTAL FOR AUTHORIZED BUYER NO 15 $246.51
10/21 10/23- P9273009A01RY6SAF WALMART001601 CARMEL IN $54.46
11/05 11/05 P9273009RO10HY9WE WALMART001601 CARMEL IN $4.86
11/05 11/05 P9273009RO10HY9WN WALMART001601 CARMEL IN $61.92
TOTAL FOR AUTHORIZED BUYER NO 17 $121.24
11/07 11/07 P9273009TO1 LP4MNS PAYMENT-THANK YOU ($1,765.39)
Annual Percentage Balance Subject to Late Charge
Rate Late Charge
18.00% $0.00 WOO
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 151122 PAGE 1 of 9 9273 2000 N122 OIER5404 1028
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.
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 prior to billing date may not appear until next month's statement.When you provide a check as 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 electronicfund transfer,funds maybe withdrawn from youraccountas soon as the same
day we receive your payment,and you will not receive your check back from yourfinancial institution.You may choose notto haveyour 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)is not accompanied by the remittance coupon attached toyourstatement, on the Statement.
® (d)contains more than one payment or remittance coupon,(e)is not received
in the remittance envelope provided or(f)includes staples,paperclips,tape, Bankruptcy Notice: you file bankruptcy you must send notice,
a folded check,or correspondence of any type.Conditional Payments:All including account number
er and all information related to the proceeding ceeding
to the following address: Retail Finance Credit Services, LLC, Attn:
written communications concemin disputed amounts,including any check
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
p about your account to credit bureaus.Late payments,missed payments,
® or other defaults on your account may be reflected in your credit report.
e
0003 0010
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 17000
ACCOUNT M 6032 2020 2023 2576 P.O.M 2837
INVOICEM 001218 DATE OF SALE M 102115 STORE M 00001601
TRANSACTION#: 1218 AUTHORIZATION#:021062 REGISTER M 10
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
061044272 9"ASST. BALLOON 1.000 EA 0.9700 0.97
079487441 GV SWITCH A ROOS 1.000 EA 1.7800 1.78
079487449 GV TWIST&SHOUT 1.000 EA 1.7800 1.78
DBL
084679001 36CT 1STR WHT 1.000 EA 9.3600 9.36
TTBALL
085086386 HERSHEY SUPER MIX 1.000 EA 9.9400 9.94
092055481 PF FOAM BOWLS 1.000 EA 0.9700 0.97
30CT
094241037 APL GALA 3#8 HM 3.000 EA 2.9700 8.91
094930358 GV.5L 35PK 1.000 EA 3.3300 3.33
^' 094932816 GV.5L 24PK 1.000 EA 2.4800 2.48
095342548 HSY MUMMY 1.000 EA 14.9400 14.94
ASSORTMENT
SUB$54.46 TAX$0.00 TOTAL INVOICE $54.46
CREDITS TOTAL $0.00
BALANCE DUE $54.46
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
ACCOUNT#:6032 2020 2023 2576 P.O.M 39148
INVOICEM 002130 DATE OF SALE#: 102215 STORE M 00001601
TRANSACTION M 2130 AUTHORIZATION M 022782 REGISTER M 6
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
043987376 BENADRYL CREAM 1.000 EA 3.9700 3.97
077258039 WLCH FRT PNCH 1.000 EA 3.9800 3.98
22CT
077258349 WLCH ISLAND FRT 2.000 EA 3.9800 7.96
22CT - -
080317577 KLG FRTY MX BRY 2.000 EA 3.9800 7.96
20CT
088774619 KLG FRTY STRAW 3.000 EA 3.9800 11.94
20CT
092529791 SP VEGGIE STRAWS 1.000 EA 2.8800 2.88
CHD
094585449 FG LS FLANNEL 1.000 EA 7.8800 7.88
094585459 FG LS FLANNEL 1.000 EA 7.8800 7.88
094739222 FG SNOW BIB 1.000 EA 17.9700 17.97
094739316 FG SNOW BIB 1.000 EA 17.9700 17.97
094925400 BLACK PUMPKIN 2.000 EA 4.9800 9.96
SUB$100.35 TAX$0.00 TOTAL INVOICE $100.35
CREDITS TOTAL $0.00
BALANCE DUE $100.35
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:08000
ACCOUNT M 6032 2020 2023 2576 P.O.M 68992
INVOICEM 001093 DATE OF SALE#: 102015 STORE M 00001601
TRANSACTION M 1093 AUTHORIZATION#: 020785 REGISTER M 10
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
037831985 EB LG 12 A EGG 1.000 EA 3.2800 3.28
039367768 CRAFTLACE VPK 3.000 EA 4.9700 14.91
NEON
042455578 DH LEMON CAKE 1.000 EA 1.2800 1.28
042455589 DH FRCH VANILLA 1.000 EA 1.2800 1.28
CAKE
042455710 DH RED VELVET 1.000 EA 1.2800 1.28
CAKE
050173484 GLAD CLING 300' 2.000 EA 2.8200 5.64
053051447 CRAFTLACE MEGA 1.000 EA 6.9700 6.97
TRANS
055578047 NTH BTRSCTCH MRSL 2.000 EA 2.4800 4.96
11
055578088 NTH SS MORSELS 24 1.000 EA 4.9400 4.94
OZ
5404 0003 BEH 3 7 22 151122 PAGE 2 of 9 9273 2000 N122 OIED5404 1028
0004 0010
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
057409919 ASST COLOR 1.000 EA 3.9700 3.97
® FINDINGS
058558977 NTH SEMI-SWEET 2.000 EA 2.4800 4.96
CHUNK
083303177 GV SANDWICH 2OOCT 2.000 EA 3.9700 7.94
084342979 PB DEVILS FOOD 1.000 EA 1.0800 1.08
CAKE
084342985 PB STRAWBERRY 1.000 EA 1.0800 1.08
CAKE
088378834 SB STAND MIXER 1.000 EA 69.0000 69.00
WHITE
090201461 PARCHMENT PAPER 4.000 EA 2.9800 11.92
45
094015773 STORAGE BOX 2.000 EA 2.4700 4.94
096281285 PL HOUSEWARE 1.000 EA 6.0000 6.00
$69.99
SUB$155.43 TAX$0.00 TOTAL INVOICE $155.43
CREDITS TOTAL $0.00
BALANCE DUE $155.43
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:09000
ACCOUNT#:6032 2020 2023 2576 P.O.M 6694
INVOICEM 005529 DATE OF SALE#: 102115 STORE M 00002787
TRANSACTION#:5529 AUTHORIZATION#:021234 REGISTER M 3
SKU DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
042189936 OUR ALK 9V2 2.000 EA 6.9700 13.94
047974620 30-4 INCH GLUE STKS 1.000 EA 3.9700 3.97
063882290 GERMX ORIG 10OZ 2.000 EA 1.9800 3.96
067865979 BEADS WOOD NATUR 2.000 EA 3.9700 7.94
NIX
070001014 72CT COLORED 3.000 EA 5.9700 17.91
PENCILS
076593754 DCK 55YD BASIC 1.000 EA 3.3700 3.37
TAPE
081669582 GEVALIA COLOMBIA 1.000 EA 5.8400 5.84
122 ----- - -
090201451 WAX PAPER 75 2.000 EA 1.3700 2.74
090596889 GERMX REFILL 56OZ 3.000 EA 5.9700 17.91
092453650 MP3 MICROPHONE 1.000 EA 9.9700 9.97
096463482 GEVALIA COSTA RICA 1.000 EA 5.8300 5.83
SUB$93.38 TAX$0.00 TOTAL INVOICE $93.38
CREDITS TOTAL $0.00
BALANCE DUE $93.38
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 03000
ACCOUNT#:6032 2020 2023 2576 P.O.M 38929
INVOICEM 008250 DATE OF SALE M 102115 STORE#:00002787
TRANSACTION#:8250 AUTHORIZATION#:021576 REGISTER M 15
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
032519228 FILLER PAPER WR 24.000 EA 0.5800 13.92
054049620 PM FLAIR AST 12CT 1.000 EA 12.8800 12.88
062969245 IGOR FW 1.000 EA 4.0000 4.00
063276509 WK#3 LAST STRAW 1.000 EA 9.7600 9.76
073749717 WK#5 UGLY TRUTH 1.000 EA 9.7600 9.76
082530732 25 CAP ERASER 4.000 EA 0.5000 2.00
083323361 20CT BOX PENCIL 13.000 EA 1.2400 16.12
084926272 ALL TIME GREATS 1.000 EA 9.9400 9.94
087218893 DIARY OF WIMPY KID 1.000 EA 9.7600 9.76
7
088527764 HOTEL T AN 1.000 EA 9.9600 9.96
089235790 MONSTER STASH 2.000 EA 19.8400 39.68
089925189 30CT FASHION 2.000 EA 2.9700 5.94
PENCILS
091390523 3X5 RULED 10OCT 3.000 EA 0.4200 1.26
092217665 3X5 BLANK 100CT 2.000 EA 0.4800 0.96
092457276 VARIETY PUZZLES 8 1.000 EA 4.9900 4.99
GA
092842126 DORK DIARIES 8 1.000 EA 9.7900 9.79
093367627 1"ECON WHT BNDR 2.000 EA 5.9700 11.94
4PK
5404 0003 BEH 3 7 22 151122 PAGE 3 of 9 9273 2000 N122 OlED5404 1028
0005 0010
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
093663833 PUZZLERS WRD 1.000 EA 4.9900 4.99
SRCH
094276968 MONSTER HIGH 1.000 EA 5.0900 5.09
HAUNT
094550910 SBSPOUTOFWATE 1.000 EA 12.9600 12.96
WS
094584999 20CT YELLOW PENCIL 1.000 EA 0.9700 0.97
094721244 TAPPER TWINS GO 1.000 EA 11.8800 11.88
TO
095248469 CHILDS PLAY 66.8OZ 2.000 EA 9.9400 19.88
095327613 SATHERS KIDDIE MIX 1.000 EA 9.9400 9.94
095551920 MINIONS V1 BANANA 1.000 EA 5.9400 5.94
095825319 HOME(15)DVDOP 1.000 EA 12.9600 12.96
095833308 AUG15 BARG 4 48 E 2.000 EA 4.4800 8.96
095833311 AUG15 BARG 4 48 G 1.000 EA 4.4800 4.48
095833536 DORK DIARIES 10 1.000 EA 9.7800 9.78
095901856 CASPERVI FACE FF 1.000 EA 5.7700- 5.77
096138819 GUINNESS 2016 1.000 EA 14.9700 14.97
N 096458144 MONSTER HIGH BOO 1.000 EA 5.0800 5.08
Y
096735808 HOUSE OF ROBOTS 1.000 EA 6.7800 6.78
TP
SUB$313.09 TAX$0.00 TOTAL INVOICE $313.09
CREDITS TOTAL $0.00
BALANCE DUE $313.09
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 08000
ACCOUNT M 6032 2020 2023 2576 P.O.M 6892
INVOICEM 001958 DATE OF SALE M 102615 STORE M 00001601
TRANSACTION M 1958 AUTHORIZATION#:026524 REGISTER M 10
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
065657767 ETCH A SKETCH 1.000 EA 14.9600 14.96
070892447 12CT COLORED 7.000 EA 0.9700 6.79
PENCILS
070928421 NPL 8OZ 12PK 2.000 EA 1.8800 3.76.
074802764 ST NRW MDLR DRW 3.000 EA 5.4700 19.41
WHT
082689379 PAINT DOT MARKRS 2.000 EA 4.9700 9.94
4PK
089539480 COSMIC 2PLUG HOOP 2.000 EA 8.0000 16.00
091155042 CRAY CRN 120 REG 1.000 EA 6.9700 6.97
094713402 ST LARGE DR WHITE 3.000 EA 12.4400 37.32
095341428 BRACHS AUTUMN MIX 1.000 EA 1.9800 1.98
095341451 BRACHS PUMPKINS 2.000 EA 1.9800 3.96
095341470 BRACHS INDIAN 2.000 EA 1.9800 3.96
CORN
095763501 DPI CD BOOMBOX 1.000 EA 29.8800 29.88
RED
SUB$154.93 TAX$0.00 TOTAL INVOICE $154.93
CREDITS TOTAL $0.00
BALANCE DUE $154.93
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 12000
ACCOUNT M 6032 2020 2023 2576 P.O.#:
INVOICEM 009929 DATE OF SALE M 102815 STORE M 00002787 -
TRANSACTION#:9929 AUTHORIZATION M 028794 REGISTER M 6
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
MERCHANDISE/CONS 1.000 EA 82.9800 82.98
UMABLES
SUB$82.98 TAX$0.00 TOTAL INVOICE $82.98
CREDITS TOTAL $0.00
BALANCE DUE $82.98
5404 0003 BEH 3 7 22 151122 PAGE 4 of 9 9273 2000 N122 OIED5404 1028
6
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 15000
® ACCOUNT M 6032 2020 2023 2576 P.O.M 2902
INVOICEM 004126 DATE OF SALE#: 110315 STORE M 00001601
TRANSACTION M 4126 AUTHORIZATION#:003471 REGISTER M 5
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
061058758 FIGURE/ANIMAL 1.000 EA 3.0000 3.00
062065123 STD.FOAM 1.000 EA 5.8800 5.88
FOOTBALL
076606558 MS CNDL COL APL 1.000 EA 10.4700 10.47
PIE
® 080597621 STEN SET ALL 1.000 EA 1.5000 1.50
HOLIDAY
080842138 AB 16POT 1.000 EA 3.9700 3.97
SET-BRIGHTS
085284830 SMACK SHOT 1.000 EA 10.0000 10.00
085871017 MAGIC 8 BALL 1.000 EA 8.9700 8.97
086796480 TWIST BALLOONS 1.000 EA 5.0000 5.00
®_ 088372216 BROWN BASKET 1.000 EA 5.9700 5.97
088391607 NERF ELITE TRIAD 2.000 EA 6.9600 13.92
E X3
088478445 24CT MINI TWISTS 1.000 EA 4.4700 4.47
089471143 TROUBLE 1.000 EA 9.9400 9.94
m 089471163 SORRY 1.000 EA 9.9400 9.94
089471917 CANDY LAND 1.000 EA 4.8200 4.82
089926332 2WHL SCTR 1.000 EA 19.9700 19.97
AVENGERS
_® 089973479 SEAGRASS BSK W/CB 3.000 EA 5.9700 17.91
091235753 MS SEAGRASS TRAY 1.000 EA 5.8700 5.87
093665479 MS 10IN TPR 1.000 EA 0.7200 0.72
APPL&BRY
093665483 MS 10IN TPR RED 1.000 EA 0.7200 0.72
093665691 RESCUE DON 1.000 EA 6.9700 6.97
093912446 KEEP CALM MUG 2.000 EA 2.9700 5.94
093919319 HEX ORANGE SZ3 1.000 EA 9.9700 9.97
093919391 HEX ORANGE SZ5
._ -1.000-- _ EA - -----=99700 -z="=9:97 - ---
093919463 HEX SILVER SZ4 1.000 EA 9.9700 9.97
094089020 CACHETSTML 4.000 EA 0.9600 3.84
094193893 OLAF WAFFLE MAKER 1.000 EA 19.4400 19.44
094547581 THROW POLAR 1.000 EA 5.9600 5.96
CRITTER
094585955 SHRED FUCHSIA 1.000 EA 1.4700 1.47
PAPER
094585977 SHRED SKY BLUE 1.000 EA 1.4700 1.47
PAPER
094587983 WRAP CELLO ROLL 1.000 EA 2.9700 2.97
094645737 RB TAPMLT 8 END 1.000 EA 2.4400 2.44
FLAT
094755277 KC PIZZA PARTY 1.000 EA 9.9700 9.97
PLAYS
095071285 SHRED 2OZ PAPER 1.000 EA 0.9700 0.97
RED
095071287 SHRED 2OZ PAPER 1.000 EA 0.9700 0.97
GRN
095268715 AVENGERS G G C A 1.000 EA 0.8700 0.87
095320459 CRA-Z-HAIR SHOP 1.000 EA 4.9700 4.97
095337517 BLAZE VEHICLE 1.000 EA 4.4400 4.44
095624253 FROZEN HALLOWEEN 1.000 EA 0.8700 0.87
SUB$246.51 TAX$0.00 TOTAL INVOICE $246.51
CREDITS TOTAL $0.00
BALANCE DUE $246.51
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 17000
ACCOUNT#:6032 2020 2023 2576 P.O.M XX2941
INVOICEM 004655 DATE OF SALE M 110515 STORE#:00001601
TRANSACTION M 4655 AUTHORIZATION#:005251 REGISTER M 5
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
093497354 DCK WHITE 20YD MAX 1.000 EA 4.8600 4.86
SUB$4.86 TAX$0.00 TOTAL INVOICE $4.86
CREDITS TOTAL $0.00
BALANCE DUE $4.86
5404 0003 BEH 3 7 22 151122 PAGE 5 of 9 9273 2000 N122 ClED5404 1028
0007 0010
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 17000
ACCOUNT#:6032 2020 2023 2576 P.O.M XX2948
INVOICEM 008093 DATE OF SALEM 110515 STORE M 00001601
TRANSACTION#:8093 AUTHORIZATION M 005860 REGISTER#:9
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT, PRICE
033200894 PRESTONE RV 6.000 EA 2.5800 15.48
ANTIFR
085580299 ST RV ANTIFREEZE 18.000 EA 2.5800 46.44
-50
SUB$61.92 TAX$0.00 TOTAL INVOICE $61.92
CREDITS TOTAL $0.00
BALANCE DUE $61.92
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 03000
_ r4C.C.O.UN.T_#:_6.Q32-2D2O-2Q23-257.6 —P—O—#.;-392J7
096735910 INSIDE OUT WS 1.000 EA 19.9600 19.96 —
SUB$255.32 TAX$0.00 TOTAL INVOICE $255.32
CREDITS TOTAL $0.00
BALANCE DUE $255.32
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 12000
ACCOUNT M 6032 2020 2023 2576 P.O.M 7008
INVOICEM 004252 DATE OF SALE#: 110615 STORE#:00002787
TRANSACTION M 4252 AUTHORIZATION#:006879 REGISTER M 13
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
007972961 20MULETEAM BORAX 1.000 EA 3.9700 3.97
65
011850977 GV BAKING SODA 3.000 EA 0.5400 1.62
160Z
034507706 COKE.5LT6P 1.000 EA 3.0000 3.00
I5404 0003 BEN 3 7 22 151122 PAGE 6 of 9 9273 2000 N122 OlED5404 1028
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
034507852 DT COKE.5LT6P 2.000 EA 3.0000 6.00
® 046402165 KARO RED SYRUP 1.000 EA 2.5600 2.56
16OZ
054315293 A&H BAKING SODA 1.000 EA 0.7400 0.74
16OZ
061070539 GV EVOO 25.5 FO 1.000 EA 5.4600 5.46
075858770 SQUARE MAGNETIC 2.000 EA 1.8800 3.76
CLIP
075858776 120T BALL MAGNETS 1.000 EA 2.8800 2.88
076664613 MENTOS MINT ROLL 1.000 EA 31400 3.14
6PK
078823363 GV ASST FD COLOR 3.000 EA 1.9400 5.82
® 'F'
089724963 ELM FOAM CORKBRD 1.000 EA 8.9700 8.97
2PK
089931035 SILVER MAGNETS 2.000 EA 2.8800 5.76
6CT
091172675 7"STAINLESS STEEL 1.000 EA 29.0000 29.00
091194001 PURE CANE SUGAR 4 1.000 EA 2.6800 2.68
LB
093496987 4CT CORK MAGNETS 1.000 EA 2.4700 2.47
094511966 1 CT NEON ERASER 4.000 EA 0.1000 0.40
096137971 FROZEN GIRLS PINK 1.000 EA 4.8800 4.88
CR
096285131 SUP4147WM 1.000 EA 4.8800 4.88
s FLASHING K
SUB$97.99 TAX$0.00 TOTAL INVOICE $97.99
v CREDITS TOTAL $0.00
■= BALANCE DUE $97.99
_ CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:06000
ACCOUNT#:6032 2020 2023 2576 P.O.#:2956
INVOICEM 006054 DATE OF SALE M 111015 STORE M 00000923
TRANSACTION M 6054 AUTHORIZATION M 010103 REGISTER M 3
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
l?''- .niizz - 'PAGE 7 of 9 - 9273 2000 N122 01E05404
1028
0009 0010
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 10000
ACCOUNT#:6032 2020 2023 2576 P.O.#:0
INVOICEM 005014 DATE OF SALE#: 111115 STORE M 00002787
TRANSACTION#:5014 AUTHORIZATION#:011861 REGISTER M 19
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
088431012 ISLAND BREEZE 9 1.000 EA 9.9700 9.97
093498887 PLAYMATE ELITE 1.000 EA 17.9700 17.97
GRN
SUB$27.94 TAX$0.00 TOTAL INVOICE $27.94
CREDITS TOTAL $0.00
BALANCE DUE $27.94
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
AC.C_OUNT M 6032 2020 2023 2576 P.O.M 38989
ACCOUNT M 6032 2020 2023 25760 :sy
I _
INVOICEM 005796 DATE OF SALE#: 111715 STORE#:00002787
TRANSACTION M 5796 AUTHORIZATION#:017654 REGISTER M 15
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
054940124 CAGE METAL BINGO 1.000 EA 11.9700 11.97
056180163 WHT FUDGE OREO 1.000 EA 2.9800 2.98
089714736 HOSTESS CHOC 1.000 EA 2.9700 2.97
CUPCAKE
089714738 HOST COFFEE CAKE 2.000 EA 2.9800 5.96
089714740 HOSTESS TWINKIE 4.000 EA 2.9700 11.88
10CT
092086353 OR MTB 12CT 5.000 EA 4.9800 24.90
092425384 HST CHOC TWINKIE 2.000 EA 2.9700 5.94
MP
093163412 SOLO 10" PLT TREE 1.000 EA 2.5000 2.50
093166519 NEENAH BRIGHT 2.000 EA 3.9700 7.94
WHITE
5404 0003 BEH 3 7 22 151122 PAGE 8 of 9 9273 2000 N122 OlED5404 1028
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
093710982 HST REDVELVET CUP 1.000 EA 2.9700 2.97
® 094169155 HSW WOOD CRATE 1.000 EA 11.4400 11.44
TAN
094451797 HST CHOC ZINGER 1.000 EA 2.9700 2.97
10CT
SUB$94.42 TAX$0.00 TOTAL INVOICE $94.42
CREDITS TOTAL $0.00
BALANCE DUE $94.42
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:03000
ACCOUNT M 6032 2020 2023 2576 P.O.#:2987
® INVOICEM 006291 DATE OF SALE M 111915 STORE#:00002787
TRANSACTION M 6291 AUTHORIZATION#:019094 REGISTER M 15
S.K.0 DESCRIPTION (QUANTITY UNIT PRICE EXT. PRICE
059235691 WK#1 WIMPY KID 1.000 EA 9.7600 9.76
070065436 SC TWIST UP 12 PK 1.000 EA 2.6800 2.68
079004421 CHILDS PLAY 5.000 EA 5.4800 27.40
o CHRISTMS
080847837 DIARY OF WIMPY KID 1.000 EA 9.7600 9.76
6
083613057 SC COLA 12PK 1.000 EA 2.6800 2.68
m
084549579 CS 30PK STRAW KIWI 3.000 EA 6.4800 19.44
084549587 CS 30PK WILD 2.000 EA 6.4800 12.96
CHERRY
® 089673883 YORK PEPPERMNT 1.000 EA 2.8400 2.84
PATTY
0 090081973 DIARY OF A WIMPY 1.000 EA 9.7600 9.76
KID
092118753 TWEEN PARTY PACK 1.000 EA 29.8800 29.88
0
1
092602862 PW 3PC CTRPC FLK 1.000 EA 2.5200 2.52
®_ RD
092842126 DORK DIARIES 8 1.000 EA 9.7900 9.79
095185667 PW TBLCVR MTL SLV 1.000 EA 2.9700 2.97
095308502 NV 12CT FLK BUBBLE 9.000 EA ' aon^
uti uuuo utn 3 7 22 151122 PAGE 9 of 9 9273 2000 N122 OIED5404 1028
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
11/22/15 6032202020232570 General Program Supplies $ 310.36
11/22/15 603220202023257o General Program Supplies $ 435.33
11/22/15 1603220202023257o General Program Supplies $ 103.37
11/22/15 603220202023257o General Program Supplies $ 27.94
11/22/15 603220202023257o General Program Supplies $ 718.17
11/22/15 6032202020232570 General Program Supplies $ 93.38
11/22/15 603220202023257o General Program Supplies $ 180.97
11/22/15 6032202020232570 Other Supplies $ 61.92 "
11/22/15 6032202020232570 General Program Supplies $ 54.46
11/22/15 6032202020232570 General Program Supplies $ 4.86
11/22/15 6032202020232570 General Program Supplies $ 246.51
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
Total $ 2,237.27
120
Clerk-Treasurer
Voucher No. Warrant No.
00352108 Walmart Community/RFCSLLC Allowed 20
P.O. Box 530934
Atlanta, GA 30353-0934
In Sum of$
$ 2,237.27
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1081-1 6032202020232570 4239039 $ 310.36 1 hereby certify that the attached invoice(s), or
1081-3 6032202020232570 4239039 $ 435.33 bill(s) is(are)true and correct and that the
1081-5 6032202020232570 4239039 $ 103.37 materials or services itemized thereon for
1081-6 6032202020232570 4239039 $ 27.94 which charge is made were ordered and
1081-9 6032202020232570 4239039 $ 718.17 received except
1081-10 603220202023257o 4239039 $ 93.38
1081-11 6032202020232570 4239039 $ 180.97
1094 1603220202023257o 4238900 $ 61.92
1096-22 6032202020232570 4239039 $ 54.46
1096-50 6032202020232570 4239039 $ 4.86 December 1, 2015
1096-60 6032202020232570 4239039 $ 246.51
1pkfi'&��
Signature
$ 2,237.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund