308794 03/03/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352108ONE CIVIC SQUARE WAL-MART COMMUNITYCHECK AMOUNT: S*"""*1,623.03*
CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 308794
ATLANTA GA 30353-0934 CHECK DATE: 03/03/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 244.19 6032202020232576
1081 4239039 1,278.76 GENERAL PROGRAM SUPPL•
1096 4239039 100.08 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
00352108 Walmart Community/RFCSLLC Allowed 20
P.O. Box 530934
Atlanta, GA 30353-0934
In Sum of$
$ 1,623.03
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/109 MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-1 6032202020232576 4239039 $ 244.19 1 hereby certify that the attached invoice(s), or
1081-2 6032202020232576 4239039 $ 75.76 bill(s) is(are)true and correct and that the
1081-3 6032202020232576 4239039 $ 284.19 materials or services itemized thereon for
1081-4 6032202020232576 4239039 $ 227.11 which charge is made were ordered and
1081-6 6032202020232576 4239039 $ 135.96 received except
1081-9 6032202020232576 4239039 $ 241.21
1081-10 6032202020232576 4239039 $ 71.66
1081-11 6032202020232576 4239039 $ 95.61
1081-99 6032202020232576 4239039 $ 147.26
1096-40 6032202020232576 4239039 $ 100.08 February 28, 2017
Signature
$ 1,623.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Waitrn r-t ®
Save money.Live better.
Walmarr CARMEQQLA_Y PARKS,AND RF-GR�
Community Card Accou�rot:Numb r;:_60$2,Zd20-20 3 2576 Customer Service:1-877-294-1085
Summary of Ac_count;Actwity• ::_, __._: �w_-.__. w Payment Information
VPrevious Balance $1,161.61 New Balance $1,623.03
-Payments $1,161.61 Total Minimum Payment Due $1,623.03
+Purchases/Debits $1,623.03 Payment Due Date 03/20/2017
New i3alancet323iQ34 ^�
u
�,`z`s! r
r;_ d r r ? S 2s g'0
RECEIVED
Credit Limit $15,000 q 'y
Available Credit $13,37.6 FEB 2 8 ZU 17
Statement Closing Date 02/22(20.17
Days in Billing Cycle .31
BY:
-Tran'saction:Summary
TranM _ Post-
N Date Date Reference Number Description of Transaction or Credit Amount
01/23 01/23 P9273000S01F71JFG WALMART001601 CARMEL IN $10.39
01/25 01/25 P9273000X01FVRLDE WALMART001601 CARMEL IN: $230.82
TOTAL FOR AUTHORIZED BUYER NO 03 $241.21
01/31 01/31 P9273001201HSNE81 WALMART001601 CARMEL IN $75.76
TOTAL FOR AUTHORIZED BUYER NO 05 $75.76
01/20 01/23 P9273000P01E9FSEQ WALMART001601 CARMEL IN $99.42
01/23 01/23 P9273000SOIF947AE WALMART 002787 INDIANAPOLIS IN $55.68
01/27 01/27 P9273000YOIGKTPRQ WALMART001518INDIANAPOLIS IN $8.21
02/13 02/13 P9273001 F01 N96X1 D WALMART 001518 INDIANAPOLIS IN $95:15
02/14 02/14 P9273001 G01 NKY2SM WALMART001601 CARMEL IN $25.73
TOTAL FOR AUTHORIZED BUYER NO 07 $284.19
02/06 02/06 P9273001801KWDFXY WALMART001601 CARMEL IN $244.19
TOTAL FOR AUTHORIZED BUYER NO 08 $244.19
02/13 02/13 P9273001 F01 N4MBQE WALMART001601 CARMEL IN $147.26
02/14 02/14 P9273001 G01 N FS38V WALMART001518INDIANAPOLIS IN $71.66
TOTAL FOR AUTHORIZED BUYER NO 09 $218.92
02/09 02/09 P9273001B01LT0MT8 WALMART001557FISHERS IN $9.92
02/09 02/09 P9273001 B01 LTOMTG WALMART001601 CARMEL IN $126.04
TOTAL FOR AUTHORIZED BUYER NO 10 $135.95
01/23 01/23 P9273000S01F637RN WALMART 002787 INDIANAPOLIS IN $74.69
01/26 01/26 P9273000X01G5DGJA WALMART002787INDIANAPOLIS IN $3.48
02/02 02/02 P9273001401JFASSD WALMART 002787 INDIANAPOLIS IN $17.44
TOTAL FOR AUTHORIZED BUYER NO 12 $95.51
01/31 01/31 P9273001201HXVJNZ WALMART 001601 CARMEL IN $227.11
TOTAL FOR AUTHORIZED BUYER NO 13 $227.11
01/31 01/31 P9273001201 HVMH3T WALMART001601 CARMEL IN $52.76
01/31 01/31 P92730D1201HVMH3H WALMART 002787 INDIANAPOLIS IN $47.32
TOTAL FOR AUTHORIZED BUYER NO 17 $100.08
02/04 02/04 P92730D1501VFISZ1 PAYMENT-THANK YOU ($1,161.61)
Late Charge Summary _
_ 1 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 0007 BEH 3 7 22 170222 PAGE 1 of 11 9273 2000 N122 GlED5404 667
0003 0012
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:07000
ACCOUNT M 6032 2020 2023 2576. P.O.M 40389
INVOICE#:001545 DATE OF SALE#:012017 STORE M 00001601
TRANSACTION M 1545 AUTHORIZATION M 020341 REGISTER M 7
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
047781977 SMARTIES MED 1.000 EA 2.2800 2.28
054391810 REESE MINIATR MED 1.000 EA 3.5400 3.54
056653312 SKITTLES GUSST ' ' 1.000 EA 5.9800 . 5.98
058431468 WNKA MX UPS GUSST 1.000 EA 8.4800 8.48
052398385 ST 27QT DRAWER 1.000 EA 8.5200 8;52
WHT
052464192 ST 16QT DRAWER 2.000 EA 6.4400 12.88
WHT
080382734 WRIG FAMFAV GUSST 2.000 EA 5.9800 11.96
099763455 OREO OR MEG ST 1.000 EA 2.9800 2.98
f+ ,
13.2Z;
ro 100373803 DUMDUMS 30OCT GST 1.000 EA 9.9800 9.98
104149156 NESTLE VDAY 3.000 EA 4.9800 14.94
MIXUPS
104149304 NESTLE VDAY FUN 6.000 EA 2.9800 17.88
DIP
SUB$99.42 TAX$0.00 TOTAL INVOICE $99.42
CREDITS TOTAL $0.00
BALANCE DUE $99.42
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 03000
ACCOUNT#:6032 2020 2023 2576 P.O.#:40974'
INVOICE#:004066 DATE OF SALE M 012317 STORE M 00001601 "
TRANSACTION#:4066 AUTHORIZATION#:023887 REGISTER M 17
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
038998000 BANANA PRM 40# 1.510 . EA 0.5231 0.79
DOLE
078329791 CUCUMBER BULK HM 2.000 EA 0.5200 1.04
087070883 GV 6-WHITE BAGELS 2.000 EA 1.6400 3.28
093341414 TOM HH BULK HP 0.690 EA 1.6853 1.50
102955837 GV CC TUB 160Z 1.000 EA 3.7800 3.78
SUB$10.39 TAX$0.00 TOTAL INVOICE $10.39
CREDITS TOTAL $0.00
BALANCE DUE $10.39
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:12000
ACCOUNT M 6032 2020 2023 2576 P.O.#:0123
INVOICEM 005357 DATE OF SALE M 012317 STORE M 00002787
TRANSACTION M.5357 AUTHORIZATION#:023920 REGISTER M 11
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
012176975 DMNO LT BRN SUGAR 1.000 EA 1.9800 1.98
2
050254983 HOT DOG SQZ 1.000 EA 1.9400 1.94
RELISH
055417792 GDY ELST MD BLK 2.000 EA 3.8400 7.68
50C
050051648 CLX WPS 3X75/ 1.000 EA 9.97001 9.97
225CT
063871902 FRENCH SPCY BRWN 1.000 EA 1.9800 1.98
18Z
076645589 MINI PARTY 20Z CUP 3.000 EA 2.9700 8.91
088955420 3PCS HEADWRAP 1.000 EA 0.8800 0.88
092754185 GREAT VALUE 38Z 1.000 EA 1.5300 1.53
KET
092932296 GV YELLOW SQZ 1.000 EA 0.8000 0.80
MSTD
096836985 TROLU SOURS 2.000 EA 2.9800 5.96
0005 0012
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
088405279 FMSTK STAR W/S/G 2.000 EA 1.9700 3.94
GLT
088723492 XL WATERCOLOR 1.000 EA 9.9700 9.97
11X15
088736927 XL ACRYLIC 11X14 :, 1.000 EA 12.9700 12.97
088953849 GV GRK VAN 320Z 2.000 EA 3.6200 7.24
089002756 FMSTK'FOILSTAR 1.000 EA 11.9700 1.97
089187452 KLX FLAT 21 OCT 3PK 1.000 EA 5.9800 5.98
089888972 GV TEXAS TOAST 1.000 EA 1.7200. 1.72
090044377 APL RED DEL 5#5 OH 2.000 EA 4.8200 9.64
090576508 SMPL CNV PN 8X10 3P 5.000 EA 2.9700 14.85
090876467 NAT.SQUEZE STRAW 1.000 EA 2.9400. 2.94
091100472 RASPBERRY 120Z HM 1.000 . EA 4.9400 - 4.94
091679932 BLACKBERRY 120Z 1.000 EA 2.9400 2.94
092107568 CHICHI TORTILA 100T 2.000 EA 1.7800 3.56
095121523 SWTHME HNY NUT 24 1.000 EA 3.9600 3.96
095158309 DALLIES CELEBRATE, 1.000 EA 1.7800 1.78
NP
095657409 BHG STRG.BIN 2.000 EA 9.9500 19.92
BURLAP
096331021 GV 16Z PARTY 1.000 EA 2.0800 2:08
PEANUTS
097206159 SOUR PATCH 1.000 EA 4.9800 4.98
EXCHANGE
098630142 GV 10"WHT PLA 700T 1.000 EA 3.8400 3.84
099551370 LITTLE HANDY SCRUB 1.000 EA 2.4700 2.47
099763134 CHPS AHY MINI BAG 2.000 EA 1.9800 3.96
8Z
101945208 OTB CAFE TORTILLAS 1.000 EA 2.9800 2.98
102447318 GV 18:LRG A EGG 1.000 EA 1.1400: 1.14
104078361 KRABBY PATTIE 2.000 EA 2.9800 5.96
EXCHG
104289554 GREEN BLUE.DISC 1.000 EA 3,4700 3.47
1:04289564 PINK YELLOW DISC 1.000 EA 3.4700 3.47
SUB$230.82 TAX$0.00 TOTAL INVOICE $230.82
CREDITS TOTAL $0.00
BALANCE DUE $230.82
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 12000
ACCOUNT M 6032 2020 2023 2576•. P.O.M.0126
INVOICEM 002072 DATE OF SALE M 012617 STORE M 00002787
TRANSACTION M 2072 AUTHORIZATION M 026930 REGISTER M 12
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
105167517 HEARTS 60X102 VTC 1.000 EA 3.4800 3.48
SUB$3.48 TAX$0.00 TOTAL INVOICE $3.48
CREDITS TOTAL $0.00
BALANCE DUE $3.48
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
ACCOUNT#:6032 2020 2023 2576 P.O.M 40786
INVOICEM 001005 DATE OF SALE M 012717 STORE M 00001518
TRANSACTION M 1005 AUTHORIZATION M 027409 REGISTER#:'6 '
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
059870773 ELMERS CLEAR 1.000 EA 1.7700 1.77
SCHGLUE
062464192 ST-16QTDRAWER1.000 EA 6:4400" 6.44
WHT
SUB$8.21 TAX$0.00 TOTAL INVOICE , $8.21
CREDITS TOTAL $0.00
BALANCE DUE $8.21
0007 0012
S.K.0 DESCRIPTION QUANTITY UNIT PRICE` EXT.PRICE
104285847 6 CT JUMBO CHALK 1.000 EA 3.8800 3.88
104292841 52 PIECES CHALK 1.000 EA 3.8800 3.88
104545158 LG CY"BUGGY 1.000 EA' ' 9.6400 9.64
104545196 LG SH IRONMN V 1.000 EA 9.6400 9.64
THANO
104579730 BUBBLE STICK_ 3.000 EA 0.9700 2.91
104588853 JUMBO TUBE 2.000 EA 4.9700 9.94
WHISTLE
105504626 NERF JOLT BLASTER 2.000 EA 3.9700 7.94
106392970 JMS LAYERED LIP 1.000 EA 9.9700 9.97
BALM
SUB$227.11 TAX$0.00 TOTAL INVOICE $227.11
CREDITS TOTAL , $0.00
BALANCE DUE $227.11
CARMEL CLAY PARKS AND.
RECR AUTHORIZED BUYER M 17000 "
ACCOUNT M 6032 2020 2023 2576 P.O.M XX4831
INVOICEM 002558 . DATE OF SALE#:'013117 STORE M 00002787
TRANSACTION#:2558 AUTHORIZATION M 031240 REGISTER M 12
S.K.0 DESCRIPTION QUANTITY :UNIT PRICE EXT.PRICE
094401560 WM FROSTED TRAY 2.000 EA 4.9400 9.88
094401562 WM BLUE FSC 100T 10.000 EA 2.3400 23.40
0944.12859 WM ICED COOKIE ED 6.000 EA 2.3400 14.04
SUB$47.32 TAX$0.00 TOTAL INVOICE $47.32
CREDITS TOTAL $0.00
BALANCE DUE $47.32
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:12000
ACCOUNT M 6032 2020 2023 2576 P.O.M 4834
INVOICEM 002749 DATE OF SALE M 020217 STORE#:.00002787
TRANSACTION#:2749 AUTHORIZATION#:002824 REGISTER#:,13
S.K.0 DESCRIPTION QUANTITY UNIT PRICE__ _ EXT.PRICE -
093664711 MS RED SPOON 2.000 EA 0.8800 1.76
095334625 PW 12"WOOD SPOON 4.000 EA 3.9200 15.68
SUB$17.44 TAX$0.00 TOTAL INVOICE $17.44
CREDITS TOTAL $0.00
BALANCE DUE $17.44
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:08000
ACCOUNT M 6032 2020 2023 2576 P.O.M 11390
INVOICEM 003009 DATE OF SALE M 020617 STORE M 00001601
TRANSACTION M 3009 AUTHORIZATION M 006835 REGISTER#:9 .
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT..PRICE
032618965 FILLER PAPER CR 4.000 EA 0,8200 3.28
059571653 CLX WPS 3X35/ 1.000 EA 5.8800 5.88
105CT
073291002 MELTY BEADS 1.000 EA 12.9700 12.97
ULTIMATE
076110392 6PK PINK ERASERS 5.000 EA 1.8400 9.20
087344812 POSTIT 4X6 MIX 3PK 4.000 EA 3.9700 15.88
087550729 USA GOLD 48CT 3.000 EA 5.9300 17.79
091155042 CRAY CRN 120 REG 2.000. EA 6.9700 13.94
093208232 20CT•SHEET PRT 4.000 EA 0.8800 3.52
094180795 PC 2160T SOLO SENS 1.000 EA 4.7700 4.77
094555486 HP 63XL COLOR INK 1.000 EA 33.9700 33.97
094565488 HP 63XL BLK INK 1.000 EA 31.9700 31.97
CRTC
094805691 BUNCHEMS MEGA 2.000 EA 24.9400 49.88
PACK
097849148 8 DIGIT HANDHELD 10.000 EA 0,9400 9.40
CAI
0009 0012
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:07000
ACCOUNT M 6032 2020 2023 2576 P.O.M 41107
INVOICEM 008720 DATE OF SALE M 021317 STORE M 00001518
TRANSACTION M 8720 AUTHORIZATION M 013886 REGISTER#: 14
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
012838698 DT MT DEW 20 OZ 1.000 + EA 1.7800 1.78
027535699 DT COKE 20FO 4.000 EA 1.7800" 7.12
027536726 CH COKE 20 OZ 2.000 EA 1.7800 3.56
039025208 KK 6CT ORIG. 1.000 EA 3.8800: 3.88
GLAZED
043854980 PEPSI.5LTR 6P 1.000 EA 2.5000 2.50
044933789 DRP 20Z 2.000 EA 1.7800 3.56
053354701 SOUR-PATCH KD TB 2.000 EA 0.9800 1.95
057132284 WW LAFFYTAFFY 1.000 EA 4.3200 4.32
MED
063295267 SKTTLESORIG MED 1.000 EA 2.1800 2.18
064474340 COOKIENCRM XL 1.000 EA 1.4800 1.48
082825681 M&M MLK SUP 1.000 EA 2.9800 2.98
094163368 M&MS CRISPY MED 2.000 EA 2.9800 5.96
094193432 SPK SUP LRG 2.000 EA 2.1800 4.36
094586413 LG�CHARTREUSE SO 4.000 EA 1.4800 5.92
BAG
094586461 LG TURQUOISE SOL 6.000 ' EA 1.4800 '8.88
BAG
094586859 50SHT BULK WH 1.000 EA 3.9800 3.98
TISSUE
095312236 A2 KETTLE CORN BCT 1.000 EA 2.6400" 2.64
095400381 TY BLUE STRIPE 1.000 EA 3.9700 3.97
NOTE
096861099 GODIVA STRWCHSCK 1.000 EA 3.7800 3.78
SUP
096905780 GODIVA ASST DSRT 2.000 , EA 3.7800 7.55
SUP
099010213 MIKE&IKE MEGA MX 1.000 EA 0.9800 0.98
TB
099763456 OREO OR MEG ST 1.000 EA 2.9800- 2.98
13.2Z
104913641 APL HNYCRSP 2.5# 1.000 EA 4.5400 4.54
107177815 DORITOS NACHO 1.000 EA 2.5000 2.50
107250454 SWEDISH FISH ASST 1.000 EA 1.7800 1.78
SUB$95.15 TAX$0.00 TOTAL INVOICE $95.15
CREDITS TOTAL $0.00
BALANCE DUE $95.15
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER#:09000
ACCOUNT M 6032 2020 2023 2576 P.O.#: 11487
INVOICE#:008090 DATE OF SALE M 021317 STORE M 00001601
TRANSACTION M 8090 AUTHORIZATION M 013191 REGISTER-#:6
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
039763140 MILK DUDS TB 1.060 EA 0.9800 0.98
042527745 GV PLASTIC WRP 200' 4.000 EA 1.5300 6.12
043533294 WHOPPERS TB 1.000 EA 0.9800 0.98
043557357 REESES PIECES TB 2.000 EA 0.9800 1.95
046391145 RAISINETS TB 1.000 EA 0.9800 0.98 -
089930312 CONVERSATION 4.000 EA 2.9800 11.92
-------HEARTS-
094155057
------HEARTS-094155057 CHPSTK MANGO REF 2.000 EA 0.9800 1.96
094923948 SILVER KEY EAR 1.000 EA 1.0000 1.00
094926207 OWL EARRING 1.000 EA .1.0000 1.00
096952886 RUFFLES CHEDDAR& 1.000 EA 0.4900 0.49
SO
096952888 DORITOS NACHO 1.000 EA 0.4900 0.49.
1.125
097200320 RING POP EXCHANGE 5.000 EA 4.9800 24.90
0011 0012
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
092107365 GV DCD GN CH HOT 1.000 EA 0.5700 0.67
4OZ
095260646 SWNSN CHICKEN 1.000 EA 1.9800 1.98
32OZ
103204904 GV 18X37.5 HD FOIL 1.000 EA 1.9800 1.98
103886607 LIFE GAME 1.000 EA 16.4400 16.44
108059726 GV 9"90 CT PLATE 3.000 EA 1.5800 4.74
SUB$71.66 TAX$0.00 TOTAL INVOICE $71.66
CREDITS TOTAL $0.00
BALANCE DUE $71.66
CARMEL CLAY PARKS AND
RECR AUTHORIZED BUYER M 07000
ACCOUNT M 6032 2020 2023 2576 P.O.#:41107
INVOICE#:005355 DATE OF SALE M 021417 STORE M 00001601
TRANSACTION#:5355 AUTHORIZATION M 014036 REGISTER M 7
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
N
012832270 MT DEW 20 OZ 2.000 EA 1.7800 3.55
032248861 SKITTLES 1.000 EA 0.7800 0.76
032250551 REESE PB CUPS BAR 1.000 EA 0.7800 0.78
044933789 DRP 20Z 2.000 EA 1.7800 3.56
093242774 CHZIT ORG CRK 12.4Z 1.000 EA 2.8800 2.88
094226571 SOUR PNCH BIT SUP 1.000 EA 2.4800 2.48
094586413 LG CHARTREUSE SO 2.000 EA 1.4800 2.96
BAG
095400459 TY STACKED THAN 1.000 EA 4.9700 4.97
NOTE
097631033 SNICKER CRISPER 1.000 EA 0.7800 0.78
SNG
098415259 CHEETOS CRUNCHY 1.000 EA 2.9800 2.98
REG
SUB$25.73 TAX$0.00 TOTAL INVOICE $25.73
CREDITS TOTAL $0.00
BALANCE DUE $25.73