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207641 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00352108 Page 1 of 1 ONE CIVIC SQUARE WAL -MART COMMUNITY CHECK AMOUNT: $9.88 CARMEL, INDIANA 46032 PO BOX 530934 ATLANTA GA 30353 -0934 CHECK NUMBER: 207641 CHECK DATE: 3126/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4238900 9.88 6032202000135815 Save money. Live better. ,Mmarf CITY OF CARMEL STREET DEPT Visit us at walmart.com/credit Co mmunity C Account Number: 6032 2020 0013 5815 Customer Service: 1- 877 -294 -1086 ,,5umriary Of ACCOfJnt AC ��u5t��s�� f Payment Irformatibn LF ti y .,,��,�r�K,.'�"�p`�'? Previous Balance $57.49 New Balance $9.88 Payments $57.49 Total Minimum Payment Due $9.88 Purchases /Debits $9.88 Payment Due Date 04/11/2612 New Balance $5.88 Credit Limit $1,000 Available Credit $990 Statement Closing Date 03/16/2012 Days in Billing Cycle 29 T eansacti orl S Tran Post t-+o Date Date Reference Number Description of Transaction or Credit Amount Nry 03/07 03/07 P927300EP01T7QBXD EAST 151 STREET CARMEL IN $9.88 TOTAL FOR AUTHORIZED BUYER NO 05 $9.88 03/08 03/08 P927300EP01Q0RK8N PAYMENT THANK YOU ($57.49) Late Char e'S �c. z. a'�«y- �y� Annual Percentage Balance Subject to Late Charge Rate Late Charge 0.00% $0.00 $0.00 PAYMENT DUE BY 5 P.M. ETA ON THE DUE DAT NOTICE: We may convert your payment into an electronic debit. See reverse for details, Billing Rights and other important information. 5404 0QZ1 HER 3 7 16 120316 PAGE 1 of 3 9273 2000 N1ZZ 01DH5404 170541 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 foryour Billing Rights and otherimportant information. Telephoning about billing errors will not preserveyour rights underfederal 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 -lime 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 your own envelope not the enclosed window envelope, addressed to: P.O. Box 960095, Orlando, FL 32896.0095 and not the 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 Daily 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 yourAccount may bedelayed 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, 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," which is 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 32696 -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 tE 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 why you 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 than zerowillbetreatedaszero. A separate average daily balancewillbe inaccurate information, please include a copy of that report. We may calculated foreachbalancelypeon your account. report information about youraccount to 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 your credit report. tothe following 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. OIDH5404 1 0711412011 0003 0004 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER 05000 ACCOUNT 6032 2020 0013 5815 P.O. M INVOICEM 003588 DATE OF SALE 030712 STORE 00001601 TRANSACTION 3588 AUTHORIZATION 007904 REGISTER 21 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 072388254 MS 15" OPP PLASTIC 1.000 EA 9.8800 9.88 SUB $9.88 TAX $0.00 TOTAL INVOICE $9.88 CREDITS TOTAL $0.00 BALANCE DUE $9.88 �o Nt+ N 5404 0021 9EH 3 7 16 120316 PAGE 2 of 3 9273 2000 N1ZZ DIDH5404 170541 VOUCHER NO. WA RRANT NO. ALLOWED 20 Wal -Mart Community IN SUM OF P. O. Box 530934 Atlanta, GA 30353 -0934 $9.88 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 I 42- 389.001 $9.88 1 hereby certify that the attached invoice(s), or bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except A Tliursdajarch 22, 2012 r,l l f Street Commissi ner Stmt= ;T =aei�c Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by Slate 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)) 03/07/12 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