HomeMy WebLinkAbout254140 02/05/16 'y�'..c+q,;° CITY OF CARMEL, INDIANA VENDOR: 00352108
J/ ,
ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $"""""2,007.05*
:` /4 CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 254140
v;.,__„ o? ATLANTA GA 30353.0934 CHECK DATE: 02/05/16
�T N�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 603220202023 1,777.08 6032202020232576
1096 4239039 603220202023 162.93 6032202020232576
1125 4230200 603220202023 67.04 6032202020232576
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
1/22/16 6032202020232576 Office Supplies $ 67.04
1/22/16 6032202020232576 General Program Supplies $ 315.57
1/22/16 6032202020232576 General Program Supplies _ - $ - 166:58
1/22/16 6032202020232576 General.Program Supplies $ 96.18
1/22/16 6032202020232576 General Program Supplies $ 96.76
1/22/16 6032202020232576 General Program Supplies $ 1,101.99
1/22/16 6032202020232576 General Program Supplies $ 162.93
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 $ 2,007.05
20_
Clerk-Treasurer
I
Voucher No. Warrant No.
00352108 Walmart Comm un ity/RFCS LLC Allowed 20
P.O. Box 530934
Atlanta, GA 30353-0934
In Sum of$
$ 2,007.05
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/109 Monon Center
PO#or Board Members
Dept# INVOICE NO. 4CCT#1TITLE AMOUNT
1125 6032202020232576 4230200 $ 67.04 1 hereby certify that the attached invoice(s),or
1081-3 6032202020232576 4239039 $ 315.57 bill(s)is(are)true and correct and that the
1081-5 6032202020232576 4239039 $ 166.58 materials or services itemized thereon for
1081-7 6032202020232576 4239039 $ 96.18 which charge is made were ordered and
1081-9 6032202020232576 4239039 $ 96.76 received except
1081-99 . 6032202020232576 4239039 $ 1,101.99
1096-60 6032202020232576 4239039 $ 162.93
January 28, 2016
Signature
$ 2,007.05 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Walmart ®'®o Er'
Save money.Live better. ! JAN 2 8 2016
BY:
CARMEL CLAY PARKS.AND RECR Visit us at walmart.com/credit
Community Card Acaou :umN "aber: 6032 2D2Q¢20231257,6 Customer Service: 1-877-294-1085
,.
Summaf Accounf`Achvtty Payment
tInformaion
Previous Balance $2,371.40 New Balance $2,007.05
-Payments $2,371.40 Total Minimum Payment Due $2,007.05
+purchases/Debits $2,007_05 Payment Due Date 02/17/2016
New Balance $2?007.05
Credit Limit $15,000
Available Credit $12 406
Statement Closing Date 01r/22L20116
Days in Billing.Cycle 31
Transaction Summary
Tran Post
` Date Date Reference Number Description of Transaction or Credit Amount
n, 01/08 01/08 P9273000V01SAPXD8 WALMART001601 CARMEL IN $67.04
TOTAL FOR AUTHORIZED BUYER NO 01 $67.04
01/07 01/07 P9273000S01TYQEX9 WALMART 002787 INDIANAPOLIS IN $96.76
TOTAL FOR AUTHORIZED BUYER NO 03 $95.76
01/05 01/05 P927300QR01T5QQRK WALMART 001601 CARMEL IN $200.00
01/05 01/05 P9273000R01T5QQRV WALMART 001601 CARMEL IN r. $200.00
01/05 01/05 P9273000R01T5QQT3 WALMART 001601 CARMEL IN $250.00
TOTAL FOR AUTHORIZED BUYER NO. 04 $660.00
01/04 01/04 P927300QPOIRV9611 WALMART 001601 CARMEL IN $166.58
TOTAL FOR AUTHORIZED BUYER NO 05 $165.58
01/07 01/07 P927300QSOISOGKN6 WALMART 002787 INDIANAPOLIS IN $94.36
01/15 01/15 P92730OD200YYZRDG WALMART 002787 INDIANAPOLIS IN $59.97
01/19 01/19 P92730OD6010AGFXJ WALMART 001601 CARMEL IN $161.24
TOTAL FOR AUTHORIZED BUYER NO 07 $315.57
12/22 12/23 P927300B701L85MNB WALMART 001601 CARMEL IN $41.99
TOTAL FOR AUTHORIZED BUYER NO 10 $41.99
01/04 01/04 P9273000P01RPY3SQ WALMART 001557 FISHERS IN $400.00
TOTAL FOR AUTHORIZED BUYER NO 11 $400.00
01/06 01/06 P9273000S01TEPL4E WALMART 002787 INDIANAPOLIS IN $96.18
TOTAL FOR AUTHORIZED BUYER NO 14 $96.18
12/29 12/29 P927300QH01NRPV88 WALMART 001557 FISHERS IN $162.93
TOTAL FOR AUTHORIZED BUYER NO 15 $162.93
01115 01/15 P92730OD201334K6V PAYMENT-THANK YOU —$2,371_40)_ _
Percentage
Annual ^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.
C6n6 nnna nru z 7 27 1Ln199 DAnr 1 ..t 7 0972 —nn X1199 nlrnc— zzzan
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 state hbnt,;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 forycur Billing Rights and other imRoriairt information,Telephoning about billing errors will not preserve your rights underfederal law.
To preserve your rights,please wnte 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 eitherto use information from your check to make a one-time electronic fund transfer from your accountor to process the payment as a check
transaction.Whenwe use information from yourcheckto makean electronicfund transfer,funds maybewithdrawn from youraccountas soon as thesame
daywe receive your payment,and you will not receive your check back from yourfinancial institution.You maychoose 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 notaccompanied by the remittance coupon attached to your statement, on the Statement.
(d)contains more than one payment orremittance coUpon,(e)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 concerning disputed 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 your account is owned and serviced b Retail Finance Credit
"payment in full"or is tendered as full satisfaction of a disputed amount;or Services,LLC, y
(ii) is tendered with other conditions or limitations ("Disputed
Payments"),-must be mailed or delivered-to us at RO, Box 965023,
Orlando,FL 32896-5023,
Credits To YourAccount: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.
0
0003 0008
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 10000
ACCOUNT M 6032 2020 2023 2576 P.O.M 7476
INVOICE#:009501 DATE OF SALE M 122215 STORE#:00001601
TRANSACTION#:9501 AUTHORIZATION M 022620 REGISTER M 17
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
044900796 70POTISO 2.000 EA 1.9600 3.92
ALOOHOL32OZ
048107782 SVE ON CLARIFY 22.5 8.000 EA 1.5000 12:00
079063273 HEFTY 18OZ CUP 1.000 EA 3.4800 3:48
50CT
092440950 CB CORN STARCH 6.000 EA 0.7800 4.68
094910075 SHARPIE FASH 8+ICT 2.000 EA 5.9700 ':.11.94
F
094910077 SHARPIE 8+1 FINE - 1.000 EA 5.9700 5.97
SUB$41.99 TAX$0.00 TOTAL INVOICE $41.99
CREDITS"TOTAL $0.00
^' BALANCE DUE $41.99
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 15000
ACCOUNT#:6032 2020 2023 2576 P.O.#:39949
INVOICE#:008459 DATE OF SALE M 122915 STORE#:00001557
TRANSACTION M 8459 AUTHORIZATION#:029986 REGISTER M 16
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
060795603 STACKING PITCHER 2.000 EA 2.8800 5.76
078825064 3 GALLON 1.000 EA 19.9600 19.96
DISPENSER
089673959 3 OUTLET POWER 2.000 EA 5.9400 11.88'
STAKE'
092518517 400CT HD MINI- 6.000 EA 14.9200 89.52
CLEAR
095084835 SLVIWHT SNWFLK 1.000 EA 2.8900 2.89
DICUT
__--095205383-__�4 CHESTFEt_CLEAB_�-_ X2.000_______=EA= __- �_�12.5000-.____-__ 25.00-_-�
095364616 GE 10OCT SAL CLEAR 4.000 EA 1.9800 7.92
SUB$162.93 TAX$0.00 TOTAL INVOICE $162.93
CREDITS TOTAL $0.00
BALANCE DUE $162.93
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 11000
.ACCOUNT#:6032 2020 2023 2576 P.O.#:040116
INVOICE#:003245 DATE OF SALE M 010416 STORE#:00001557
TRANSACTION M 3245 AUTHORIZATION M 004215 REGISTER M 62
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
41139477 SHOPPING CARDS 40.000 EA 10.0000 400.00
SUB$400.00 TAX$0.00 TOTAL INVOICE $400.00
CREDITS TOTAL $0.00
BALANCE DUE $400.00
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:06000
ACCOUNT M 6032 2020 2023 2576 P.O.M 3171
INVOICEM 001384 DATE OF SALE M 010416 STORE M 00001601
TRANSACTION#: 1384 AUTHORIZATION#:004315 REGISTER M 10
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
007972961 20MULETEAM BORAX 1.000 EA 3.9700 3.97
0004 0008
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
080382780 ECLIPSE SPRMNT 1.000 EA 5.9800 5.98
GST
087344841 POSTIT 4X4NOTE 3PK 1.000 EA 4.9700 4.97
M
087859432 AVENGERS PUZZLES 1.000 EA 1.0000 1.00
087859437 SPIDERMAN PUZZLES 1.000 EA 1.0000 1.00
087859444 ASSORTED PUZZLE 3.000 EA 1.0000 3.00
088680570 CM 3X3 NOTE 1 PK 4.000 EA 1.3200 5.28
089471153 SORRY 1.000 EA 9.9400 9.94
089992921 GO FISH 1.000 EA 2.9700 2.97
089992923 OLD MAID 1.000 EA 2.9700 2,97
089992925 WAR 1.000 EA 2.9700 2.97
089992938 CRAZY EIGHT'S 1.000 EA 2.9700 2.97
090698070 8 POCKET 1.000 EA 3.9700 3.97
ORGANIZER
090698072 8 POCKET 1.000 EA 3.9700 3.97
ORGANIZER
090598076 8 POCKET 1.000 EA 3,9700 3.97
ORGANIZER
090806721 POLYMESH WHT 1.000 EA 4.7700 4.77
21"X10
®_ 091998321 MOUSTACHE SMACH 1.000 EA 9.9600 9.96
093607994 EQ FLS MNT 120YD 2.000 EA 1.4700 2.94
094162071 WM 28OCT NAPKIN 1.000 EA 1.5300 1.53
® 094385445 POSTIT 2X2 VP 8PK 1.000 EA 6.4700 6.47
® 094683756 4PK BULL CLIPS 2.000 EA 1.8800 3.76
095608011 FG TULLE WHITE 1.000 EA 2.2400 2.24
095833598 BUBBLE YUM CTTN 3.000 EA 1.0000 3.00
CNDY
096943231 FAMILY 12PK PUZZLE 1.000 EA 16.4400 16.44
187001113 LOCAL STORE ITEM 3.000 EA 1.0000 3.00
(TY
SUB$166.58 TAX$0.00 TOTAL INVOICE $166.58
CREDITS TOTAL $0.00
® BALANCE DUE $166.58
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:04000
ACCOUNT#:6032 2020 2023 2576 P.O.#:39273
INVOICEM 007599 DATE OF SALE#: 010516 STORE#:00001601
TRANSACTION#:7599 AUTHORIZATION M 005151 REGISTER#:91
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
41139477 SHOPPING CARDS 20.000 EA 10.0000 200.00
SUB$200.00 TAX$0.00 TOTAL INVOICE $200.00
CREDITS TOTAL $0.00
BALANCE DUE $200.00
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 04000
ACCOUNT#:6032 2020 2023 2576 P.O.#:39273
INVOICEM 007600 DATE OF SALE#: 010516 STORE#:00001601
TRANSACTION#:7600 AUTHORIZATION M 005231 REGISTER#:91
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
41139477 SHOPPING CARDS 20.000 EA 10.0000 200.00
SUB-$200;00- AX-$0:00----`- -` TOTACINVOICE- -`--`$200:00
CREDITS TOTAL $0.00
BALANCE DUE $200.00
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:04000
ACCOUNT#:6032 2020 2023 2576 P.O.#:39273
0005 0008
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 14000
ACCOUNT M 6032 2020 2023 2676 P.O.M 3116
INVOICEM 008842 DATE OF SALE#: 010616 STORE#:00002787
TRANSACTION M 8842 AUTHORIZATION t 006713 REGISTER M 14
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
052159540 EQ JR GRAPE MELT 1.000 EA 2.8400 2.84
24
053380050 HSY KISS MLK LRG 1.000 EA 5.2800: 5.28
055737774 JP MM MINI 16 OZ 3.000 EA 1.9500 5.88
073176574 GV FM CUP 8.50Z 1.000 EA 0.9800 .0.98
51 CT
076454537 NDL TAPESTRY SZ16 1.000 EA 1.4700- .• 1.47
079142531 SW MS MILK CHOC 1.000 EA 3.3800 3.38
30CT
082175142 GV 9"PAPER PLA. 2.000 EA 5.9400 11.88
140CT - -
ro 082580342 NEEDLES 1767/4 1.000 EA 1.2700 1.27
083111297 Z-GRIP BP BLK 18PK 1.000 EA 4.9700 4.97
084707549 PS HOMESTYLE 30T 1.000 EA 2.2800 2.28
090133796 SCTCH.9 45YD EDG 1.000 EA 4.9600 4.96
LC
091772161 WC 200 CTN BALLS 2.000 EA 1.8800 3.76
094024142 SUPER SAND REFIL, 1.000 EA 12.9700 12-.97
2LB
094385449 POSTIT 3X3 SS 1.000 EA 4.9700, 4.97
4PKRIO
095071311 600T COTTON BAG 1.000 EA 0.8800 0.88
095048787 COLORARTLIVINGWO 1.000 EA 4.4300 4.43
NDER
096735900 ULTIMATE WORD 1.000 EA 9.9700 9.97
SRCH
096920552 12"720 AST.BLN 1.000 EA 4.5000 4.50
096940853 COLORARTMANDALA .1.000 EA 4.4300 4.43
WONDR
097057729 POSTER BRD WHT 2.000 EA 2.5400 5.08
_ 8PK _
SUB$96.18' TAX$0.00 TOTAL INVOICE $96.18 J
CREDITS TOTAL $0.00
BALANCE DUE $96.18
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
ACCOUNT M 6032 2020 2023 2676 P.O.#:38989
INVOICEM 006587 DATE OF SALEM 010716 STORE M 00002787
TRANSACTION M 5687 AUTHORIZATION#:007946 REGISTER M 19
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
037265760 SH FINE BLK 12BOX 1.000 EA 8.9700 8.97
053593730 DCK'NEON GR 15YD 1.000 EA 3.3700 3.37
TPE
061287278 MITRE WHISTLE 6.000 EA 3.9700 23.82
COMBO
076258351 6PL MINI MARKER 4.000 EA 3.2400 12.95
080497587 DCK RED 20YD.TAPE 1.000 EA 3.3700 , 3.37
080497593 DCK PURPLE 20YD 1.000 EA 3.3700 3.37
TAPE
080497597 DCK NEON OR 15YD 1.000 EA 3.3700 3.37
TPE
080497601 DCK YELLOW 20YD 1.000 EA 3.3700 3.37
TAPE
088473237 WALLFLOWER DUCK 1.000 EA 3.3700. 3.37
TAPE
090035252 DCKTP RL DSNY 3.000 EA 4.9700 14.91
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#: 03000
® ACCOUNT M 6032 2020 2023 2576 P.O.#:3129
INVOICEM 005588 DATE OF SALE M 010716 STORE M 00002787
TRANSACTION M 5588 AUTHORIZATION M 007088 • REGISTER M 19
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT,PRICE
041531202 G2 F BLACK 4PK 1.000 EA 4.2400 4.24
053303177 GV SANDWICH 2O00T 4.000 EA 3.6600 14.64
091763984 14 POK X&Y 3 DK 2.000 EA 12.9600 25.96
093526784 14 POK XY 4 DK 1.000 EA 12.9600 '12.98
095083103 15 POK XY6 DK 1.000 EA 12.9800 12.98
096052261 POK ANCT ORIGIN DK 1.000 EA 12.9800 12.98
097490381 POK 1.000 EA 12.9800 12.98
BREAKTHROUGH DK
SUB$96.76 TAX$0.00 TOTAL INVOICE $96.76
CREDITSTOTAL $0.00
BALANCE DUE $96.76
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:01000
s
ACCOUNT M 6032 2020 2023 2576 P.O.M 1816
INVOICEM 002500 DATE OF SALE M 010816 STORE M 00001601
TRANSACTION#:2500 AUTHORIZATION M 008298 REGISTER M 8
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
082967989 BH GARMT RACK HD 1.000 EA 49.8800 49.88
087177124 MS HNGR DRIES 4C 6.000 EA 2.8600 17.16
CRYS
SUB$67.04 TAX$0.00 TOTAL INVOICE $67.04
CREDITS TOTAL $0.00
BALANCE DUE $67.04
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:07000
ACCOUNT#:6032 2020 2023 2576 P.O.#:39419
INVOICEM 000114 DATE OF SALE M 011516 STORE M 00002787
TRANSACTION M 114 AUTHORIZATION M 015031 REGISTER M 21
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
081440432 25CT HF LTR ASST 2.000 EA 8.4400 16.88
093166519 NEENAH BRIGHT 2.000 EA 3.9700 7.94
WHITE
095203259 PRECISION PUNCH 1.000 EA 7.8400 7.84
095895185 THERMAL 8.5X11 1.000 EA 22.8400 22.84
10OPK
097206886 KLX LTN 4PK120 1.000 EA 4.4700 4.47
BONUS
SUB$59.97 TAX$0.00 TOTAL INVOICE $59.97
CREDITS TOTAL $0.00
BALANCE DUE $59.97
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
ACCOUNT M 6032 2020 2023 2576 P.O.M 39419
INVOICEM 004434 DATE OF SALE#: 011916 STORE#:00001601
TRANSACTION M 4434 AUTHORIZATION#:019172 REGISTER M 8
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
045024162 ST 20QT CLEAR WHT 1.000 EA 3.8300 3.83
070975480 CMND LG REFILL 4.000 EA 2.9400 11.75
STRPS
0007 0008
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
087784015 ST 40QT EZ CLEAR 2.000 EA 7.8800 15.76
GRN
087926528 MS MICRO GRAY SPC 1.000 EA 4.9400 4.94
088456713 WC 40OCT COTTON 2.000 EA 3.6800 7.36
BALL
088859926 MS GRAY KG PC 1.000 EA 9.4700 9.47
089528274 MS 200 BLUEYS KG 1.000 EA 9.4700 9.47
PC
089528359 MS 200 TURQCV KG 1.000 EA 9.4700 9.47
PC
092462234 MS 200 A WHITE KG 1.000 EA 9.4700 9.47
PC
093534391 MS200 VINE STND PC 1.000 EA 5.4700 5.47
094496722 50OCT EQUATE 1.000 EA 1.9400 1.94
SWABS
095120603 HOSP TOAST OAT 2.000 EA 1.6700 3.34
18.2
095190496 MS 200 A WHITE 1.000 EA 5.4700 5.47
STD/Q
N 097220027 5000T EQ SWAB 2.000 EA 1.9400 3.88
SUB$161.24 TAX$0.00 TOTAL INVOICE $161.24
CREDITS TOTAL $0.00
BALANCE DUE $161.24