319258 11/30/17 f %� �A9''F• . CITY OF CARMEL, INDIANA VENDOR: 00352108
. d t ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $** '35.76'
CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 319258
MiTON,Lo. ATLANTA GA 30353-0934 CHECK DATE: 11/30/17
DEPARTMENT _ ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 006148 35.76 OTHER MAINT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352108 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WAL-MART COMMUNITY IN SUM of$ CITY OF CARMEL
PO BOX 530934 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.
ATLANTA, GA 30353-0934
Payee
$35.76
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
006148 42-389.00 $35.76 1 hereby certify that the attached invoice(s),or 10/19/17 006148 $35.76
2201 2201 2201 2201
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
Wednesday, November 29,2017.
Huffman, Dave
Director
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Walmart ®'
Save money.Live better.
Walmart' CITY OF CARMEL STREET DEPT
Community Card Account Number: 6032 2020 0013 5815 Customer Service: 1-877-294-1086
Summary of Acco_unt�Actrvity`_- - _ Payment Information ` _ � _ _
Previous Balance $299.90 New Balance $35.76
-Payments $299.90 Total Minimum Payment Due $35.76
+Purchases/Debits $35.76 Payment Due Date 12/12/2017
New Balance $35.76
Credit Limit $1,000
Available Credit $964
Statement Closing Date 11/16/2017
Days in Billing Cycle 31
Transaction Summary
Tran Post
Date Date- Reference Number Description of Transaction or Credit Amount
ro 10/19 10/19 P9273009701LNJR8P WALMART 000923 NOBLESVILLE IN $35.76
TOTAL FOR AUTHORIZED BUYER NO 01 ^$35.76
10/20 10/20 P9273009701SE82NL PAYMENT-THANK YOU ($203:29)
11/10 11/10 P9273009XO131WWDN PAYMENT-THANK YOU
Late'Charge"Summary __�
.,W� �_ Annual Percentage Balance Subject to Late Charge
Rate Late Charge
0.00% $0.00 $0.00
Cardholder News arid 1format on "
Your Walmart Community card account with Retail Finance Credit Services, LLC is now owned by Synchrony Bank.You are
not required to take any action at this time.The Terms and Conditions applicable to your account will continue to apply.The,
customer service number on the back of your card will remain the same for continued support of your account..Please note
that all references to"Retail Finance Credit Services, LLC"in communications regarding your Walmart Community card
account that you receive after March 1,2017,and in any account related terms,including but not limited to the credit card
account agreement,shall be deemed to be references to Synchrony Bank.
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 16 171116 PAGE 1 of 3 9273 2000 N122 OIEM5404 34121
0003 0004
CITY OF CARMEL STREET
DEPT AUTHORIZED BUYER M 01000
ACCOUNT#:6032 2020 0013 5815 P.O.M
INVOICEM 006148 DATE OF SALE#: 101917 STORE M 00000923
TRANSACTION#:6148 AUTHORIZATION#:019300 REGISTER M 25
S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT.PRICE
097555170 MAX POWER 8.000 EA 4.4700 35.76
CARWASH
SUB$35.76 TAX$0.00 TOTAL INVOICE $35.76
CREDITS TOTAL $0.00
BALANCE DUE $35.76
N