320303 01/04/18 CITY OF CARMEL, INDIANA VENDOR: 00352108
d ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $********27.17*
a� CARMEL, INDIANA 46032 PO BOX 530934 CHECK NUMBER: 320303
ATLANTA GA 30353-0934 CHECK DATE: 01/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 27.17 6032202000135815
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00352108 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WAL-MART COMMUNITY IN SUM OF$ 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
$27.17
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
0 42-389.00 $27.17 1 hereby certify that the attached invoice(s),or 12/27/17 0 $27.17
2201 2201 Prior Year 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
Tuesday,January 02,2018
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
Wal mart �,®e
Save money..Live better.
Walmart' CITY OF CARMEL STREET DEPT
Community Card Account Number: 5032 2020 0013 5815 Customer Service:1-877'294-1086
Summary of Account Activity Paymentlnformation
Previous.Balance $35.76 New Balance y $62.93
+Purchases/Debits $27.17 Amount Past Due $35.76
New Balance $62.93, Total Minimum Payment Due $62.93
Payment Due Date 01/11/2018
Credit Limit $1,000
Available Credit $937
Statement Closing Date 12/1,6/2017
Days in Billing Cycle 30
Transaction_Summary
Tran �mPost^
Date Date Reference Number Description of Transaction or Credit Amount
11/22 11/22 P927300AA013KRPEA WALMART.001601 CARMEL IN $27.17
N TOTAL FOR AUTHORIZED BUYER NO 01 $27.17.
Late`Charge°Sumrnary
Annual Percentage Balance Subject to Late Charge
Rate Late Charge
0.00% $0.00 $0.00
Cardh6lder.N6*s.and,Information
YOUR ACCOUNT IS PAST DUE. PLEASE PAY THE MINIMUM PAYMENT DUE OR
CONTACT THIS OFFICE AT THE PHONE NUMBER LISTED ON YOUR STATEMENT.
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 171215 0 PAGE 1 of 3 9273 2000 N122 01EM5404 182982
f
0003 0004
CITY OF CARMEL STREET
DEPT AUTHORIZED BUYER M 01000
ACCOUNT M 6032 2020 0013 5815 P.O.M
INVOICEM 005026 DATE OF SALEM 112217 STORE M 00001601
TRANSACTION M 5026 AUTHORIZATION M 022692 REGISTER M 7
SKU DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
101706890 30T REG TBLCVR 5.000 EA 2.4700 12.35
WHITE
101705899 3CT REG TBLCVR 6.000 EA 2.4700 14.82
RED
SUB$27.17 TAX$0.00 TOTAL INVOICE $27.17
CREDITS TOTAL $0.00
BALANCE DUE $27.17
N