206848 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00352108 Page 1 of 1
ONE CIVIC SQUARE WAL -MART COMMUNITY
CARMEL, INDIANA 46032 PO BOX 530934 CHECK AMOUNT: $57.49
ATLANTA GA 30353 -0934 CHECK NUMBER: 206848
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 STREET 57.49 6032- 2020 -0013 -5815
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n�omxunonuwonv«� wwmund Account Number: 6032 2020 0013 5e15 Customer Service: 1'877'2e*'1086
Previous Balance $43.76 New Balance $57.49
Payments $43.76 Total Minimum Payment Due $57.49
Other Credits $9.88 Payment Due Date 03/13/2012
Purchases/Debits $67.37
New Balance $57.49
Credit Limit $1,000
Available Credit $942
Statement Closing Date 02/16/2012
Days in Billing Cycle 31
Date Date Reference Number Description of Transaction or Credit Amount
01/25 01/25 P92730ODDOOY5P5BP EAST 151 STREET CARMEL IN $19.76
01/27 01/27 P927300DEOOZJAH04 EAST 151 STREET CARMEL IN $47.61
01/27 01/27 P92730ODHOOZJAGZS EAST 151 STREET CARMEL IN ($9.88)
TOTAL FOR AUTHORIZED BUYER NO 05 $57.49
,02/09 02/09 P92730ODT01AZ9D47 PAYMENT THANK YOU
Annual Percentage Balance Subject to Late Charge
Rate Late Charge
Tran Post
Effective October 1. 2011. GE Money Banx(^GEmB') changed its name toss Capital Retail asmx(^GEC9Bl During the
next few months you may see either name on documents you receive while we complete the transition.
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 0006 ocx 3 7 16 120216 "woc I of 3 9273 2000 woz vlcmeo^ 34440
Customer 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: P.O. Box 965022,
Orlando, FL 32896.5022. 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 for your 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 965023, Orlando, FL 32896 -5023.
Purchases, returns, and payments made just prior to billing date may not appear until next month's statement. When you provide a check as
payment, you authorize us either to use information from your check to make a one -time electronic fund transfer from your account or to process the
payment as a check transaction. When we use information from your check to make an electronic fund transfer, funds maybe withdrawn from your
account as soon as the same day we receive your payment, and you will not receive your check back from your financial institution. You may
choose not to have your payment collected electronically by sending your payment (with the payment stub), In yourown envelope not
the enclosed window envelope, addressed to: P.O. Box 960095, Orlando, FL 32896-0095 and notthe Payment Address.
Information About Payments: You may at any time pay, in whole or Balance Subject To interest Charge Calculation
in part, the total unpaid balance without any additional charge for Method 2M (Average Dally Balance including current transactions):
prepayment. Payments received after 5:00 PM (ET) on any day will be We figure the interest charge on your account by applying the periodic
credited as of the next day. Credit to your Account may be delayed up to rate to the "average daily balance" of your account. To get the "average
five days if payment (a) is not received at the Payment Address, (b) is not daily balance" we take the beginning balance of your account each day,
s made in U.S. dollars drawn on a U.S. financial institution located in the which includes any unpaid interest charges from the previous billing
U.S., (c) is not accompanied by the remittance coupon attached to your cycle, add any new charges, and applicable fees and subtract any
statement, (d) contains more than one payment or remittance coupon, payments or credits. This gives us the daily balance. Then, we add up
(e) is not received in the remittance envelope provided or (f) includes all the daily balances for the billing cycle and divide the total by the
staples, paper clips, tape, a folded check, or correspondence of any number of days in the billing cycle. This gives us the "average daily
type. Conditional Payments All written communications concerning balance," whichlis the balance shown in the Interest Charges section of
disputed amounts, including any check or other payment instrument this statement. Any average daily balance of less than zero will be
that: (i) indicates that the payment constitutes "payment in full' or is treated as zero. A separate average daily balance will be calculated for
tendered as full satisfaction of a disputed amount: or (ii) is tendered with each balance type on your account.
other conditions or limitations "Disputed Payments must be mailed or Method 6 (Average Daily Balance Including current transactions
delivered to us at P.O. Box 965023, Orlando, FL 32896-5023. and excluding unpaid interest charges): We figure the interest charge
Credits To Your Account: An amount shown in parenthesis or on your account by applying the periodic rate to the "average daily
preceded by a minus sign is a credit or credit balance unless balance" of your account. To get the "average daily balance" we take
otherwise indicated. Credits will be applied to your previous balance the beginning balance of your account each day, add any new charges
immediately upon receipt, but will not satisfy any required payment that and applicable fees and subtract any payments, credits and unpaid
may be due, interest charges from the previous billing cycle. This gives us the daily
Credit Reports And Account Information: If you believe that we have balance. Then, we add up all the daily balances for the billing cycle and
reported inaccurate information about you to a credit bureau, please divide the total by the number of days in the billing cycle. This gives us
contact us at P.O. Box 965024, Orlando, FL 32896 -5024. In doing so, the "average daily balance," which is the balance shown in the Interest
please identify the inaccurate information and tell us whyyou believe it Charges section of this statement. Any average daily balance of less
is incorrect. If you have a copy of the credit report that includes the thanzerowillbetreatedaszero. A separate average daily balancewillbe
inaccurate information, please include a copy of that report. We may calculated foreach balancetype on your account.
report information about your accountto credit bureaus. Late payments, Bankruptcy Notice: If you file bankruptcy you must send us notice,
missed payments, or other defaults on your account may be reflected in including account number and all information related to the proceeding
v your credit report. to the fallowing address: GE Capital Retail Bank, Attn: Bankruptcy Dept.,
Your account is owned and serviced by GE Capital Retail Bank. P.O. Box 103104, Roswell, GA 30076.
Hearing Impaired: TDD users call 1- 800 444 -1732.
a
01 DH5404 -1 0711412011
0003 0004
CITY OF CARMEL STREET
DEPT AUTHORIZED BUYER 05000
ACCOUNT M 6032 2020 0013 5815 P.O.
INVOICEM 001127 DATE OF SALE 012512 STORE M 00001601
TRANSACTION 1127 AUTHORIZATION M 025631 REGISTER M 22
S.K.0 DESCRIPTION Q UANT ITY UNIT PRICE EXT. PRICE
072388254 MS 15' OPP PLASTIC 2.000 EA 9.8800 19.76
SUB $19.76 TAX $0.00 TOTAL INVOICE $19.76
CREDITS TOTAL $0.00
BALANCE DUE $19.76
CITY OF CARMEL STREET
DEPT" AUTHORIZED BUYER 05000
ACCOUNT 6032 2020 0013 5815 P.O. M
INVOICEM 004784 DATE OF SALE 012712 STORE 00001601
TRANSACTION M 4784 AUTHORIZATION M 027672 REGISTER M 21
N S.K.0 D ESCRIPTION Q UANTITY UNIT PRICE EXT PRICE
037221261 ENR MAX D8 1.000 EA 11.9700 11.97
041606473 2PK LETRATAG TAPE 1.000 EA 5.8600 6.88
057475631 DYMO LBL MICR 1.000 EA 18.8800 18.88
TBLTP
072388254 MS 15" OPP PLASTIC 1.000 EA 9,8800 9.88
SUB $47.61 TAX $0.00 TOTAL INVOICE $47.61
CREDITS TOTAL $0.00
BALANCE DUE $47.61
CITY OF CARMEL STREET
DEPT AUTHORIZED BUYER 05000
ACCOUNT M 6032 2020 0013 5015 P.O. M
INVOICE 005576 DATE OF SALE 012712 STORE 00001601
TRANSACTION M 5576 AUTHORIZATION REFUND REGISTER 92
S.K.0 DESCRIPTION QUAN TITY UNIT PRICE EXT. PRICE
MERCHANDISE /CONS 1.000 EA 9.8600- 9.88
U MABLES
SUB $9.88- TAX $0.00 TOTAL INVOICE $9.88
CREDITS TOTAL $0.00
BALANCE DUE $9.88-
VOUCHER NO. WARR NO.
ALLOWED 20
Wal -Mart Community
IN SUM OF
P. O. Box 530934
Atlanta, GA 30353 -0934
$57.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
bD3 X)�600R r
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
2201 42- 389.00 $57.49 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
7 >r
fThursda,y,�Feb ry 23, 2012
Street Commission er
Title
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))
02/13/12 $57.49
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