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220829 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00352108 Page 1 of 1 ONE CIVIC SQUARE WAL-MART COMMUNITY CHECK AMOUNT: $198.00 CARMEL, INDIANA 46032 PO BOX 530934 ATLANTA GA 30353-0934 CHECK NUMBER: 220829 CHECK DATE: 6/412013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4464000 000095 198 . 00 OFFICE EQUIPMENT Save money.Live better. Walmarf CITY OF CARMEL STREET DEPT Visit us at walmart.com/credit Community Card Account Number: 6032 2020 0013 5815 Customer Service: 1-877-294-1086 Previous Balance $0.00 New Balance $198.00 +Purchases/Debits $198,00 Total Minimum Payment Due $198.00 New Balance $198.00 Payment Due Date 06/11/2013 Credit Limit $1,000 Available Credit $802 Statement Closing Date 05/16/2013 Days in Billing Cycle 30 .TiArisactidwSummary. - Tran Post Date Date Reference Number Description of Transaction or Credit Amount 04/29 04/29 P9273003S01G4KBYZ WLMRT-CARMEL CARMEL IN $198.00 TOTAL FOR AUTHORIZED BUYER NO 05 $198.00 -Late Char66.tumrnary .2, Annual Percentage Balance Subject to Late Charge Rate Late Charge 0.00% $0.00 $0.00 PAYMENT DUE BY 5 P.M.JET YON THE DUE DATE. NOTICE:We may convert your payment into an electronic debit. See reverse for details, Billing Rights and other important information. __5404_0012_BE1H__3 7 16 130516 PACE 1 of 3 9273 2000 N1Z2 OlDH5404 126282 IIIIIIIIIN 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,FL32896.5022.Please include your account numberon 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 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 your Account may bedelayed up to rate to the"average daily balance"of your account.To gel 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 e delivered to us at P0.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 P0.Box 965024,Orlando, FL 32896-5024. In doing so, the"average daily balance,"which is the balance shown in the Interest o 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 zero will be treated as zero.A separate average daily balance will be ® inaccurate information,please include a copy of that report.We may calculated for each balance type on your account. report information about your account 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. to the following address:GE Capital Retail Bank,Attn:Bankruptcy Dept., 0 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. 01DH5404-1-07114/2011 0003 0004 CITY OF CARMEL STREET DEPT AUTHORIZED BUYER M 05000 ACCOUNT M 6032 2020 0013 5815 P.O.M INVOICEM 000095 DATE OF SALE M 042913 STORE M 00001601 TRANSACTION M 95 AUTHORIZATION M 029006 REGISTER M 14 S.K.0 DESCRIPTION QUANTITY UNIT PRICE EXT. PRICE 088830898 ELEMENT 32 LCD 1.000 EA 198.0000 198.00 SUB$198.00 TAX$0.00 TOTAL INVOICE $198.00 CREDITS TOTAL $0.00 BALANCE DUE $198.00 N 5404 0012 BEH 3 7 16 130516 PACE 2 of 3 9273 2000 N122 OIDH5404 126282 VOUCHER NO. WARRANT NO. ALLOWED 20 Wal-Mart Community IN SUM OF $ P. O. Box 530934 Atlanta, GA 30353-0934 $198.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 000095 1 2201-640.0 $198.00 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 ` rsd 13 3t p�sorr�lii�'t4�' 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)) 04/29/13 000095 $198.00 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