168742 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 322100 Page 1 of 1
ONE CIVIC SQUARE WAL -MART
0 CHECK AMOUNT: $79.22
CARMEL, INDIANA 46032 2001E 151ST STREET
CARMEL IN 46032 CHECK NUMBER: 168742
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 008659 79.22 OTHER EXPENSES
ACCOUNT INFORMATION.....:.. BALANCE:SUMMARY
Amount Number: 6032 2020 2016 5891 Previous Balance $270.76
Statement Date 111222008 Payments $0.00
Payment Due Date 12/182008 FINANCE CHARGE (net) $0.00
Days In Billing Period 31 New Purchases $127.71
Credits, Insurance, Fees Adjustments (net) $0.00
New Balance $398.47
Minimum Payment $398.47
TRANSACTION :SUMMARY
Buyer# Date Invoice Number Description Amount
03 10/31 008659 EAST 151 STREET CARMEL IN $127.71
TOTAL FOR AUTHORIZED BUYER NO 03 $127.71
LATE CHARGE;SUMM:ARY
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
CARDHOLDER 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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PAYMENT DUE BY 5:00 PM ON THE DUE DATE. See reverse for details.
NOTICE: See reverse side for Billing Rights and other important information.
5404 0009 8JD 3 7 22 081121 D Page 1 of 2 9273 2000 N122 3741
QUESTIONS? CUSTOMER SERVICE: PAYMENTS:
Mail questions (not payment) and your account number to: For account information, call toll free: Send payments to:
Wal -Mart Wal -Mart Community
P.O. Box 981064 1- 877 294 -1086 P.O. Box 530934
El Paso, TX 79998 -1064 Unless your name is listed on this Atlanta, GA 30353 -0934
Please write to the Billing Errors and Questions address below statement, your access to information Notice: See below for Billing Errors and other
if you have a question about your bill. on the account may be limited. 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 5:00 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 (with the payment stub), in your own envelope
not the enclosed window envelope addressed to: Wal -Mart Community, P.O. Box 960095 Orlando, FL 32896 -0095 and not the Payment Address.
Billing Errors and Questions: In case of Errors or Questions about your Bill: If you think your bill is wrong, or if you need more information about a transaccon
on your bill, write to us on a separate sheet at P.O. Box 981401, El Paso, TX 79998 -1401 as soon as possible. In your letter give us the following information:
Your name and account The dollar amount of the suspected error Describe the error and explain, if you can, why you believe there is an error. If you
need more information, describe the item you are unsure about.
Information About Payments: You must pay at least the Total Minimum Credits To Your Account: An amount followed by a minus sign is a credit
Payment by 5:00 p.m. (ET) on the Payment Due Date shown on the or credit balance unless otherwise indicated. Credits will be applied to your
Statement You may pay more than the Total Minimum Payment at any previous balance immediately upon receipt, but will not satisfy any required
time. Any Payments received after 5:00 p.m. (ET) on any business day, or payment that may be due.
on any day other than a business day, will be credited on the next business Telephone Monitoring: To ensure that you receive accurate and courteous
day. We may also offer services in which you may pay your bill by telephone customer service, your telephone calls with us may be monitored by our
"Pay by Phone or through the Internet. We may charge fees for these employees or agents and you agree to this monitoring.
services. Our customer service representatives are instructed to tell you
about any fees for Pay by Phone services and any fee for making an online Credit Reports and Account Information: If you believe that we have
payment will be disclosed to you online. Credit to your Account may be reported inaccurate information about you to a credit bureau, please contact
delayed up to five days if payment (a) is not received at the Payment us at P.O. Box 981400. El Paso, TX 79998 -1400. In doing so, please
Address, (b) is not made in U.S. dollars drawn on a U.S. financial institution identify the inaccurate information and tell us why you believe it is incorrect.
located in the U.S., (c) is not accompanied by the remittance coupon If you have a copy of the credit report that includes the inaccurate
attached to your statement, (d) contains more than one payment or information, please include a copy of that report. You are hereby notified
remittance coupon, (e) is not received in the remittance envelope provided that a negative credit report reflecting on your credit record may be
or (f) includes staples, paper clips, tape, a folded check, or correspondence submitted to a credit bureau if you fail to fulfill the terms of this Agreement,
of any type. Conditional Payments: All written communications concerning Bankruptcy Notice: If you file bankruptcy you must send us notice,
disputed amounts, including any check or other payment instrument that: (i) including account number and all information related to the proceeding to
indicates that the payment constitutes "payment in full" or is tendered as full the following address, GE Money Bank, Attn: Bankruptcy Dept., P.O. Box
satisfaction of a disputed amount, or (ii) is tendered with other conditions or 103104, Roswell, GA 30076.
limitations "Disputed Payments must be mailed or delivered to us at PO
Box 981401, El Paso, TX 79998 -1401.
Hearing Impaired Notice: Your account is owned and serviced by General Electric Capital
TDD users call 1- 800 444 -1732 Corporation. For complete terms and conditions of your account, consult
your Credit Card Agreement.
Walmar o 0 0 0002 0002
o d e. Community
CARMEL WATER DEPARTMENT 3741
AUTHORIZED BUYER 03
ACCOUNT #:6032 2020 2016 5891 P.O.
INVOICE 008659 DATE OF SALE: 103108 STORE 1601
TRANSACTION 8659 AUTHORIZATION: 031355 REGISTER 16
S.K.U. DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE
011848198 GV WHITE VINEGAR 128 2.000 EA $2.2600 $4.52
012112156 BUNN 8 -12 BSKT FLTR 5.000 EA $0.9700 $4.85
034620662 FOAM CUP 12OZ 24CT 2.000 EA $1.2300 $2.46
039085928 GLD OIL REF HAWAIIAN 5.000 EA $2.0000 $10.00
039085934 GLD OIL REF VANILLA 11.000 EA $2.0000 $22.00
041431294 HOST SUGAR DONETTE 1.000 EA $2.3300 $2.33
041431299 HOST CHOCOLATE DONET 1.000 EA $2.3300 33
044917755 4 PC SPOON SET 1.000 EA $0.9700 0.97
048061743 COMMERCIAL SNF CLOCK 1.000 EA $15.7700 $15.77
051004412 VICLTOTALMOIST BONUS 1.000 EA $5.1200 $5.12
053664849 FW SG CAN OPENER 2.000 EA $7.9700 $15.94
054852097 MS BOTTLE BRUSH 1.000 EA $2.7700 $2.77
054939610 CLOROX TOIL WAND REF 3.000 EA $4.1800 $12.54
055428039 P12 PUFFS PLUS 3PK 1.000 EA $5.3600 $5.36
056696966 MS BLACK CASCADE 1.000 EA $3.7700 $3.77
057782279 GLD ESOIL WRM LAVNDR 1.000 EA $3.9400 $3.94
0 059949133 CAN OPENER 1.000 EA $6.3300 $6.33
061456756 FEBREZE REFRSH REG 1.000 EA $4.9700 $4.97
062667204 MARDI GRAS 250CT NPK 1.000 EA $1.7400 $1.74
SUB $127.71 TAX $0.00 TOTAL INVOICE $127.71
CREDITS TOTAL $0.00
BALANCE DUE $127.71
s
a
0
I
5404 0009 8JD 3 7 22 081 121
D Page 2 of 2 9273 2000 N122 3741
.w srt
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This is an attempt to collect debt and any information obtained will be used for that purpose.
m
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.
Please print change of address, phone number, and or email below.
Street
Address
City,
!ST, ZIP
Phone
of -mail
Business Phone Cell phone or other phone E -mail address
we can use to contact you
QUESTIONS? CUSTOMER SERVICE: PAYMENTS:
Mail questions (not payment) and your account number to: For account information, call toll free: Send payments to:
Wal -Mart Wal -Mart Community
P.O. Box 981064 1- 877 294.1086 P.O. Box 530934
El Paso, TX 79998 -1064 Unless your name is listed on this Atlanta, GA 30353 -0934
Please write to the Billing Errors and Questions address below statement, your access to information Notice: See below for Billing Errors and other
if you have a question about your bill. on the account may be limited. 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 5:00 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 (with the payment stub), in your own envelope
not the enclosed window envelope addressed to: Wal -Mart Community, P.O. Box 960095 Orlando, FL 32896.0095 and not the Payment Address.
Billing Errors and Questions: In case of Errors or Questions about your Bill: If you think your bill is wrong, or if you need more information about a transaction
on your bill, write to us on a separate sheet at P.O. Box 981401, El Paso, TX 79998 -1401 as soon as possible. In your letter give us the following information:
Your name and account The dollar amount of the suspected error Describe the error and explain, if you can, why you believe there is an error. If you
need more information, describe the item you are unsure about.
Information About Payments: You must pay at least the Total Minimum Credits To Your Account: An amount followed by a minus sign is a credit
Payment by 5:00 p.m. (ET) on the Payment Due Date shown on the or credit balance unless otherwise indicated. Credits will be applied to your
Statement You may pay more than the Total Minimum Payment at any previous balance immediately upon receipt, but will not satisfy any required
time. Any Payments received after 5:00 p.m. (ET) on any business day, or payment that may be due.
on any day other than a business day, will be credited on. the next business Telephone Monitoring; To ensure that yoll receive accurate and courteous
day. We may also offer services in which �I6u may pay'your bill by telephone customer service, your telephone calls with us may be monitored by our
"Pay by Phone or through the Internet. We may charge fees for these employees or agents and you agree to this monitoring.
services. Our customer service representatives are instructed to tell you
about any fees for Pay by Phone services and any fee for making an online Credit Reports and Account Information: If you believe that we have
payment will be disclosed to you online. Credit to your Account may be reported inaccurate information about you to a credit bureau, please contact
delayed !io.ln_fiv? �a�s ;f ��vfn�nt i� iy 1e`nae�ea wifY o t tl) ndt ors ort us at P0. Box 981900, El Pay TX 79998- 1400. p n y d De n t.sP.O. l Box
l y UL Mone Bank, Attn: Bankruptcy p
limitations "Disputed Payments must be mailed or delivered to us at PO 103104, Roswell, GA 30076.
Box 981401, El Paso, TX 79998 -1401.
Heating Impaired Notice: Your account is owned and serviced by General Electric Capital
TDD users call 1 -800- 444 -1732 Corporation. For complete terms and conditions of your account, consult
your Credit Card Agreement.
�ms
e
Imar
Save,money. Live better..
WE SELL FOR LESS
MANAGER MIKE SMITH
317 844 0096
STS 1601. OP8 00005250 TE8 16 TR4 08659
FOAM CUP 004159414037 1.23 0
FOAM CUR 004159414037 1.23 0
FOAM CUP 004159414037 1.23 0
VOIDED
FOAM CUP 004159414037 1.23 -0
GV WHT VNGR 007874235255 F 2.26 0
GV WHT VNGR 007874235255 F 2.26 0
PUFF PL 3PK 003700007608 5.36 0
MG 250CT NPK 004200045819 1.74 0
VICLTLMSTBNS 034589302118 5.12 0
FW SG HDOPN 002413183274 7.97 0
FW SG HDOPN 002413183274 7.97 0
BOTTLE BRUSH 075609300232 2.77 0
CLOCK 079268422114 3:77 0
COMM SNF CLK 007239746004 15.77 0
COFFEE FILTR 007250400501 0.97 0
COFFEE FILTR 007250400501 0.97 0
COFFEE FILTR 007250400501 0.97 0
COFFEE FILTR 007250400501 0.97 0
COFFEE FILTR 007250400501. 0.97 0
FEBREZE 003700019772, t` 4.97 0
CLOROX TWAND 004460001717 4.18 0
CLOROX TWAND 004460001717 4.18 0
CLOROX TWAND 004460001717 4.18 0
SNACK CAKE 004500001018 F 2.33 0
SNACK CAKE 004500001019 F 2.33 0
CAN OPENER 065577200512 6.33 0
AIR FRESHNER 004650000016 2.00 0
AIR FRESHNER 004650000016 2.00 0
AIR FRESHNER 004650000016 2.00 0
AIR FRESHNER 004650000016 2.00 0
GLADE 1 004650000018 2.00 0
AIR FRESHNER 004650000016 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018 2.00 0
GLADE 004650000018, 2.00 0
GLADE 004650000018 2.00 0
OIL WRM LAVN 004650017619 3.94 0
SPOON SET 001634647770 0.97 0
SUBTOTAL 127.71
TOTAL 127.71
WALMART CREDIT TEND 127.71
ACCOUNT 89103
APPROVAL #031355
TRANS ID
VALIDATION
PAYMENT SERVICE
CHANGE DUE 0.00
ITEMS SOLD 42
TC>t 0493 1292 7360 0602.8708
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i
Get hundreds of money saving tlPa.
VOUCHER 083735 WARRANT ALLOWED
322100 IN SUM OF
VVAL -MART
PO Box 530934
Atlanta, GA 30353 s® eR
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
008659 01- 6200 -06 071
Voucher Total $1
Cost distribution ledger classification if
claim paid under vehicle highway fund
Pe
w
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc..
Payee
322100
WALWART Purchase Order No.
PO Boz 530934 Terms
Atlanta, GA 30353 Due Date 12/2/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/2/2008 008659 0 1+2 r
a.�Z
d
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
A/ Z'
Date ffi