156347 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 00352108 Page 1 of 1
ONE CIVIC SQUARE WAL -MART COMMUNITY
CARMEL, INDIANA 46032 PO BOX 530933 CHECK AMOUNT: $311.00
ATLANTA GA 30353 -0933
.o„ CHECK NUMBER: 156347
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 2240 61.36 ACCT 6032202000135815
t
2201 4232100 2630 7.94 ACCT 6032202000135815
2201 4232100 2881 27.92 ACCT 6032202000135815
2201 4232100 2954 198.06 ACCT 6032202000135815
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2201 4238900 8438 15.72 ACCT 6032202000135815
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::ACCOLINT INFORMATION BALANCE SUMMARY::
Account Number: 6032 2020 0013 5815 Previous Balance $0.00
Statement Date 01/16/2008 Payments $0.00
Payment Due Date 02/11/2008 FINANCE CHARGE (net) $0.00
Days In Billing Period 31 New Purchases $311.00
Credit Line $3,000 Credits, Insurance, Fees Adjustments (net) $0.00
Available Credit $2,689 New Balance $311.00
t Minimum Payment $311.00
TRANSACTION SUMMARY
Buyer# Date Invoice Number Description Amount
0
02 12/14 002630 EAST 151 STREET CARMEL IN $7.94
02 12/14 002954 EAST 151 STREET CARMEL IN $198.06
02 12/31 008438 EAST 151 STREET CARMEL IN $15.72
02 01/07 002240 EAST 151 STREET CARMEL IN $61.36
02 01/11 002881 CLOVER ROAD NOBLESVILLE IN $27.92
TOTAL FOR AUTHORIZED BUYER NO 02 $311.00
LATE`CHARGE`SUMMARY
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 $0.00 $0.00
ANNUAL PERCENTAGE RATE 0.000%
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0
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. 1
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. 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 addr +ss
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. at the address shown on the front of this statement for
the following information: Your name and account. The dollar amount of the receipt of payments will be credited as of the date received. Conditional
suspected error. Describe the error and explain, if you can, why you believe Payments: Any check or payment instrument in an amount less than the full
there is an error. If you need more information, describe the item you are amount due that you send us marked "PAID IN FULL' or you otherwise
unsure about. tender as full satisfaction of a disputed amount, must be sent to us at P.O.
Credit Reports and Account Information: If you believe that Box 981401, El Paso, TX 79998 -1401 and NOT the "Payments' address
we have reported inaccurate information about you to a credit bureau, 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.
WAS *MARY' Community 0002 0002
CITY OF CARMEL STREET DEPT 45522
AUTHORIZED BUYER 02
ACCOUNT #:6032 2020 0013 5815 P.O.
INVOICE 002630 DATE OF SALE 121407 STORE 1601
TRANSACTION 2630 AUTHORIZATION: 014642 REGISTER 19
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
041924389 GM CONNECTOR 1.000 EA $7.9400 $7.94
SUB $7.94 TAX $0.00 TOTAL INVOICE $7.94
CREDITS TOTAL $0.00
BALANCE DUE $7.94
CITY OF CARMEL STREET DEPT 45522
AUTHORIZED BUYER 02
ACCOUNT #:6032 2020 0013 5815 P.O.
INVOICE 002954 DATE OF SALE 121407 STORE 1601
TRANSACTION 2954 AUTHORIZATION: 014991 REGISTER 95
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
036144727 FULL -SIZE TRUCK KIT 1.000 EA $13.4600 $13.46
056006283 PANASONIC CD W/MP3 1.000 EA $89.7300 $89.73
059138720 SONY CAR CD PACK 1.000 EA $94.8700 $94.87
SUB $198.06 TAX $0.00 TOTAL INVOICE $198.06
CREDITS TOTAL $0.00
BALANCE DUE $198.06
CITY OF CARMEL STREET DEPT 45522
AUTHORIZED BUYER 02
ACCOUNT #:6032 2020 0013 5815 P.O.
INVOICE 008438 DATE OF SALE 123107 STORE 1601
TRANSACTION 8438 AUTHORIZATION :031697 REGISTER 91
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
058667953 FILE CUBE 80CD GRAY 1.000 EA $8.7600 $8.76
058927239 TAKEALONG 1G BONUS 2.000 EA $3.4800 $6.96
SUB $15.72 TAX $0.00 TOTAL INVOICE $15.72
CREDITS TOTAL $0.00
BALANCE DUE $15.72
CITY OF CARMEL STREET DEPT 45522
AUTHORIZED BUYER 02
ACCOUNT #:6032 2020 0013 5815 P.O.
INVOICE 002240 DATE OF SALE 010708 STORE 1601
TRANSACTION 2240 AUTHORIZATION: 007479 REGISTER 7
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
043732308 PW -8X11 MATTE 50CT 1.000 EA $7.3600 $7.36
056624976 8X10 MED WOOD 18.000 EA $3.0000 $54.00
SUB $61.36 TAX $0.00 TOTAL INVOICE $61.36
CREDITS TOTAL $0.00
BALANCE DUE $61.36
CITY OF CARMEL STREET DEPT 45522
AUTHORIZED BUYER 02
ACCOUNT #:6032 2020 0013 5815 P.O.-
INVOICE 002881 DATE OF SALE :011108 STORE 923
TRANSACTION 2881 AUTHORIZATION: 011389 REGISTER 22
I
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
049573311 6X9 SUB ENCLOSURE 2.000 EA $13.9600 $27.92
4
SUB $27.92 TAX $0.00 TOTAL INVOICE $27.92
CREDITS TOTAL $0.00
BALANCE DUE $27.92
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.
a
Please print change of address, phone number, and or email below.
Street
Address
City,
ST, ZIP
Phone
E -mail
Business Phone Cell phone or other phone E -mail address
we can use to contact you
J
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.
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. 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. at the address shown on the front of this statement for
the following information: Your name and account. The dollar amount of the receipt of payments will be credited as of the date received. Conditional
suspected error. Describe the error and explain, if you can, why you believe Payments' Any check or payment Instrument in an amount less than the full
there is an error. If you need more information, describe the item you are amount due that you send us marked "PAID IN FULL" or you otherwise
unsure about. tender as full satisfaction of a disputed amount, must be sent to us at PO.
Credit Reports and Account Information: If you believe that Box 981401, El Paso, TX 79998 -1401 and NOT the "Payments" address
we have reported inaccurate information about you to a credit bureau, 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.
l
Prescribed by State Board of Accounts City Form No. 201
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:
whclp, rates per day,. number of hours, rate per hour, number of units, price per unit, etc.
W n,, Payee
Y I ci�t Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
311,
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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