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187482 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352108 Page 1 of 1 ONE CIVIC SQUARE WAL -MART COMMUNITY CHECK AMOUNT: $75.46 CARMEL, INDIANA 46032 PO BOX 530934 ATLANTA GA 30353.0934 CHECK NUMBER: 187482 CHECK DATE: 7/7/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 STREET 75.46 6032202000135815 Walmart' CITY OF CARMEL STREET DEPT Visit us at walmart.com /credit Co Card Account Number: 6032 2020 0013 5815 Customer Service: 1- 877 -294 -1086 S ummary of Account Acti vity- Pa yment Informafion Previous Balance $0.00 New Balance $75.46 Purchases /Debits $75.46 Total Minimum Payment Due $75.46 New Balance $75.46 Payment Due Date 07/12/2010 Credit Limit $1,000 Available Credit $880 Statement Closing Date 06/16/2010 Days in Billing Cycle 31 .7, Transactiori S 7 Tran Date Post Date Reference Number Description of Transaction or Credit Amount 05/14 05/17 P927300GT01S8XXQ7 EAST 151 STREET CARMEL IN $9.38 05/28 05/28 P92730OH70175SBES EAST 151 STREET CARMEL IN $5.00 06/08 06/08 P927300HJ01 FE8DAZ EAST 151 STREET CARMEL IN $61.08 N TOTAL FOR AUTHORIZED BUYER NO 02 $75.46 Late' Char Corresponding Monthly ANNUAL Balance Periodic PERCENTAGE Subject to LATE Rate RATE Late Charge CHARGE 0.000% 0.00% $0.00 $0.00 ANNUAL PERCENTAGE RATE 0.00% Cardholder News andlrifor Important Payment Information Payments made in Sam's Clubs or Walmart Stores using a combination of checks, cash or debit will now appear on your statement as a separate payment amount for each tender type utilized (check, cash or debit). For example: A $75 check and $25 in cash presented as a $100 total payment will appear as separate payments on your statement transaction summary. 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 0002 BEH 3 7 16 100616 PAGE 1 of 3 9273 2000 N122 01CB5404 11977 Custom or Service/ Questions: For account information, please call the toll free number on the front of this statement. 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: PO Box 981469, El Paso TX. 79998.1469. 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 or pay online. Notice: See below foryour 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 981470, El Paso, TX. 79998 -1470. Purchases, returns, and payments made just prior to billing date may not appear until next month's statement. We reserve the right to obtain payment electronically for any check or other instrument that you send to us by initiating an ACH (electronic) debit in the amount of your check or instrument to your account. Your check or instrument will not be returned to you by us or your bank. Your bank account may be debited as early as the same day we receive your payment. You may choose not to have your payment collected electronically by sending your payment (with the payment stub), In your own envelope not the enclosed window envelope, addressed to: PO Box 960095 Orlando, FL. 32896.0095 and not the Payment Address, Information About Payments: You may pay more than the Total Minimum Payment at any time. Payments received after 5:00 PM (ET) on any day will be credited on the next day. Credit to your Account maybe delayed up to five days if payment (a) is not received at the Payment Address, (b) is not made in U.S. dollars drawn on a U.S. financial institution located in the U.S., (c) is not accompanied by the remittance coupon attached to your statement, (d) contains more than one payment or remittance coupon, (e) is not received in the remittance envelope provided or (f) includes staples, paper clips, tape, a folded check, or correspondence of any type. Conditional Payments All written communications concerning disputed amounts, including any check or other payment instrument that: (i) indicates that the payment constitutes "payment in full" or is tendered as full satisfaction of a disputed amount; or (ii) is tendered with other conditions or limitations "Disputed Payments must be mailed or delivered to us at P.O. Box 981470, EI Paso, TX. 79998 -1470. Credits to Your Account; An amount shown in parenthesis 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 maybe due. Telephone Monitoring: To ensure that you receive accurate and courteous customer service, your telephone calls with us may be monitored by our employees or agents and you agree to this monitoring. Credit Reports and Account Information: If you believe that we may have reported inaccurate information about you to a consumer reporting agency, please contact us at P.O. Box 981471, El Paso, TX, 79998 -1471. 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 maybe reflected in your credit report, Bankruptcy Notice: If you file bankruptcy you must send us notice, including account number and all information related to the proceeding to the following address: General Electric Capital Corporation, Attn: Bankruptcy Dept., P.O. Box 103104, Roswell, GA. 30076. Your account Is owned and serviced by General Electric Capital Corporation. For complete terms and conditions of your account, consult your Credit Card Agreement. Hearing Impaired: TDD users call 1 -800- 444 -1732. 01C85404 -4- 042912010 0003 0004 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER 02000 ACCOUNT M 6032 2020 0013 5815 P.O. M INVOICE# 009341 DATE OF SALE M 051410 STORE M 00001601 TRANSACTION 9341 AUTHORIZATION 014022 REGISTER M 16 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 060038755 SCIENTIFIC CALC 1.000 EA 9.3800 9.38 30XA SUB $9.38 TAX $0.00 TOTAL INVOICE $9.38 CREDITS TOTAL $0.00 BALANCE DUE $9.38 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER 02000 ACCOUNT M 6032 2020 0013 5815 P.O. M INVOICE# 003637 DATE OF SALE M 052810 STORE M 00001601 TRANSACTION M 3637 AUTHORIZATION 028606 REGISTER M 16 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 058896641 $1 SWIRL FORK 5.000 EA 1.0000 5.00 SUB $5.00 TAX $0.00 TOTAL INVOICE $5.00 CREDITS TOTAL $0.00 BALANCE DUE $5.00 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER 02000 ACCOUNT M 6032 2020 0013 5815 P.O. M INVOICE# 001533 DATE OF SALE M 060810 STORE M 00001601 TRANSACTION M 1533 AUTHORIZATION 008564 REGISTER M 23 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 039590425 KRYLON LTX ENAMEL 1.000 EA 7.9700 7.97 QT 045412731 SMPL BRSH 10 OIL 1.000 EA 6.9700 6.97 LNG 053481238 DISPOSABLE 2.000 EA 2.9700 5.94 PALETTES 058875921 #68 BRASS KEY 2.000 EA 1.3700 2.74 060046620 CG XCLEAN TB 4PK 1.000 EA 3.6700 3.67 063627452 27FT HD WOOD 1.000 EA 19.9600 19.96 DRYER 063842346 GV HD SPOONS 1.000 EA 2.5000 2.50 100CT 068547806 25PC BRUSH SET 1.000 EA 4.9700 4.97 071462743 SCOTT ES 12PK DR 1.000 EA 6.3600 6.36 SUB $61.08 TAX $0.00 TOTAL INVOICE $61.08 CREDITS TOTAL $0.00 BALANCE DUE $61.08 5404 0002 BEH 3 7 16 100616 PAGE 2 of 3 9273 2000 N122 01CB5404 11977 V NO. WAR NO. ALLOWED 20 Wal -Mart Community IN SUM OF P. O. Box 530934 Atlanta, GA 30353 -0934 $75.46 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 42- 389.00 $75.46 1 hereby certify that the attached invoice(s), or 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 Thursda July 01, 201 C Street Commissi e r Street Go.TpisTaner Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 06/25/10 $75.46 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 20 Clerk- Treasurer