157278 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 00352108 Page 1 of 1
ONE CIVIC SQUARE WAL -MART COMMUNITY CHECK AMOUNT: $81.37
CARMEL, INDIANA 46032 PO BOX 530933
ATLANTA GA 30353 -0933 CHECK NUMBER: 157278
CHECK DATE: 315/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239099 STREET 81.37 6032202000135815
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ACCOUNT INFORMATION BALANCE SUMMARY
Account Number 6032 2020 0013 5815 Previous Balance $311.00
Statement Date 02/16/2008 Payments $0.00
Payment Due Date: 03/12/2008 FINANCE CHARGE (net) $0.00
Days In Billing Period 31 New Purchases $81.87
Credits, Insurance, Fees Adjustments (net) $0.00
s New Balance $392.87
Minimum Payment $392.87
ANSACTION SUMMARY
Buyer# Date Invoice Number Description Amount
02 02/06 007282 EAST 151 STREET CARMEL IN $81 87
TOTAL FOR AUTHORIZED BUYER NO 02 $81.87
LATE CHARGE;SUMMA.R..Y
Monthly Corresponding Portion of Balance Subject Late
Periodic Annual Balance Assessed to Late Charge
Rate Percentage This Rate Charge
Rate
0.000% 0 00 ENTIRE $000 $0.00
ANNUAL PERCENTAGE RATE 0.000%
CARDHO NEWS &INFORMATION
YOUR ACCOUNT HAS 2 PAYMENTS DUE. PLEASE MAIL THE MINIMUM PAYMENT DUE
TODAY. PLEASE DISREGARD IF PAYMENT HAS ALREADY BEEN MAILED.
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INQUIRIES: FOR CUSTOMER SERVICE: MAIL PAYMENTS TO:
Send Inquiries (no payments) including your account number to: For customer service or to report your card lost
Wal -Mart or stolen, call: Wal -Mart
P.O. Box 981064 P.O. Box 530934
El Paso, TX 79998 -1064 1- 877 294 -1086 Atlanta, GA 30353 -0934
Telephoning about billing errors will not preserve your rights, Notice: See below for Billing Rights and other
please write to the Billing Rights Summary Address below, important information
T
Purchases, returns, and payments made just prior to billing date may not appear until next month's statement. Unless promotions call for special terms,
additional finance charges can be avoided if we receive the new balance by 5 p.m. (ET) on the due date. We reserve the right to obtain pay',ent
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 to: P.O. Box 960095, Orlando, FL 32896 -0095
and not the Payment Address.
Billing Errors and Questions: In case of Errors or Questions about Payments: If you make a payment at a location other than the address
your Bill: If you think your bill is wrong, or if you need more information about shown on the front of this statement for receipt of payment, crediting that
a transaction on your bill, write to us on a separate sheet at P.O. Box payment to your account may be delayed by up to 5 days. Payments
981401, El Paso. TX 79998 -1401 as soon as possible. In your letter give us received by 5:00 p.m. (ET) at the address shown on the front of this
the following information: Your name and account. The dollar amount of the statement for receipt of payments will be credited as of the date received.
suspected error. Describe the error and explain, if you can, why you believe Conditional Payments: Any check or payment instrument in an amount less
there is an error. If you need more information, describe the item you are than the full amount due that you send us marked "PAID IN FULL' or you
unsure about. otherwise tender as full satisfaction of a disputed amount, must be sent to
Credit Reports and Account Information: If you believe that us at P.O. Box 981401, El Paso. TX 79998 -1401 and NOT the "Payments"
we have reported inaccurate information about you to a credit bureau, address shown on the front of this statement for your undisputed amounts
please write to us at P.O. Box 981400, El Paso, TX 79998 -1400. In doing Telephone Monitoring: We treat every customer call confidentially.
so, please identify the inaccurate information and tell us why you believe To ensure that you receive accurate and courteous customer service, on
it is incorrect. If you have a copy of the credit report that includes the occasion, your call may be monitored by a second employee.
inaccurate information, please send a copy of that report to us as well. 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, GE Money Bank, Attn: Bankruptcy Dept., P.O Box
103104, Roswell, GA 30076
WA` *MART Community 0002 0002
CITY OF CARMEL STREET DEPT 43483
AUTHORIZED BUYER 02
ACCOUNT #:6032 2020 0013 5815 P.O.
IN'.6OICE 007282 DATE OF SALE :020608 STORE 1601
TRANSACTION 7282 AUTHORIZATION: 006677 REGISTER 95
S.IC.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
039990854 WAND SCRUBBER REFILL 1.000 EA $2.1400 $2.14
058767599 JVC KDS14 1.000 EA $79.7300 $79.73
SUB $81.87 TAX $0.00 TOTAL INVOICE $81.87
CREDITS TOTAL $0.00
BALANCE DUE $81.87
0
0
This is an attempt to collect debt and any information obtained will be used for that purpose.
Credit Bureau Reporting: 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.
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Please print change of address, phone number, and or email below.
Street
Address
F1 1
City,
ST, ZIP
Phone
E -mail
Business Phone Cell phone or other phone E -mail address
we can use to contact you
INQUIRIES: FOR CUSTOMER SERVICE: MAIL PAYMENTS TO:
Send Inquiries (no payments) including your account number to: For customer service or to report your card lost
Wal -Mart or stolen. call: Wal -Mart
P.O. Box 981064 P.O. Box 530934
El Paso, TX 79998 -1064 1 -877- 294 -1086 Atlanta, GA 30353 -0934
Telephoning about billing errors will not preserve your rights, Notice: See below for Billing Rights and other
please write to the Billing Rights Summary Address below. important information.
made just prior to billing date may not a p p ear until next month's statement. Unless p romotions call for s pecial terms
Purchases, returns, and payments d f p g y pp p p
additional finance charges can be avoided if we receive the new balance by 5 p.m (ET) on the due date. 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 to: P.O. Box 960095, Orlando, FL 32896 -0095
and not the Payment Address.
Billing Errors and Questions: In case of Errors or Questions about Payments: If you make a payment at a location other than the address
your Bill If you think your bill is wrong. or if you need more information about shown on the front of this statement for receipt of payment, crediting that
a transaction on your bill, write to us on a separate sheet at P.O Box payment to your account may be delayed by up to 5 days. Payments
981401, El Paso, TX 79998 -1401 as soon as possible. In your letter give us received by 5.00 p.m. (ET) at the address shown on the front of this
the following information: Your name and account. The dollar amount of the statement for receipt of payments will be credited as of the date received.
suspected error. Describe the error and explain, if you can, why you believe Conditional Payments: Any check or payment instrument in an amount less
there is an error. If you need more information, describe the item you are than the full amount due that you send us marked "PAID IN FULL' or you
unsure about. otherwise tender as full satisfaction of a disputed amount, must be sent to
Credit Reports and Account Information: If you believe that us at P.O. Box 981401, El Paso, TX 79998 -1401 and NOT the "Payments'
we have reported inaccurate information about you to a credit bureau, address shown on the front of this statement for your undisputed amounts
please write to us at P.O. Box 981400, El Paso, TX 79998 -1400. In doing Telephone Monitoring: We treat every customer call confidentially.
—Minn and tell us why you
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom,4ates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
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Wa ry I OL} t Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
U-0 I �,'7
Total
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
Clerk- Treasurer
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