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236915 09/10/14
� CITY OF CARMEL, INDIANA VENDOR: 178002 I ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******145.63* =q. CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 236915 PO BOX 644467- CHECK DATE: 09/10/14 PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 A03849 2.00 OTHER MISCELLANOUS 1110 4343003 A03849 143.63 TRAVEL & LODGING P.O.Box 1648 Customer No: A03849 Hutchinson,KS 67504-1648 RETURN SERVICEREQUESn*,) ---- Statement Date: 8/16/2014 Due Date: DUE UPON RECEIPT Amount Due: $185.35 ACCOUNTS PAYABLE CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 $143.63 $41.72 $0.00 11 $0.00 $0.00 ACCOUNT BILLING _ 0514282145 109693 110 959 06/25/2014 *$36.90 0614284659 194295 110 959 07/10/2014 *$4.82 0614287332 197805 110 959 07/25/2014 $27.98 0714289181 053794 110 959 08/05/2014 $42.56 0714289182 110 959 08/05/2014 ($0.11) 0714289384 103848 110 959 08/06/2014 $23.49 0714289579 152873 110 959 08/07/2014 $23.79 0714290187 020784 110 959 08/11/2014 $25.92 For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Cammie ext.65563 or Sarah ext.61825)or by email(cammie.00mbs@kroger.com or sarah.mueller@kroger.com).Please review your account promptly and advise if payments have been made.There will be a$5.00 fee for each ticket copy requested. Please retain the top portion for yourrecords Page 1 of 1 n Kroger Invoice# 000264 PO BOX 644467 PITTSBURGH, PA 15264-4467 CARMEL POLICE DEPT Customer: A03849 3 CIVIC SQUARE Terms: Net Cash CARMEL, IN 46032 Date: 9/3/2014 Store: 0 Amount: 2.00 EMAILED RECEIPT COPY: 0614287332 For Office Use Only DR 021 0021120 CR 021 117108 2.00 DR 612 117108 CR 612 316900 2.00 �s/3/1411:5s _ ^~ - Transaction Details 7/25h4 Page 1 orTi i SKU Extended Trans Disc Tender Record Key Division Store CSR Reg# _ Date Time Tran# SKU or UPC Desc Amount Amt Amount Code Code Ac_count Number - - - _ _ .._I 21 959 999 85 7/25/14 070600 4 $0.00 $0.00 $0.00 Loyalty Card Enter Loyalty'/! $0.00 $0.00 $0.00 Loyalty Card Enter Loyally/ 1111083386 KRO HMS COMBO $1.59 $0.00 $0.00 Regular Swiped CUTLERY 10000018604 ($0.20) Loyally Card Loyalty/ 4200015734 DIXIE ULTRA PLATE 6 $2.99 $0.00 $0.00 Regular Swiped 7/81N 2100061984 PHLLY WHIPD CREAM $2.99 $0.00 $0.00 Regular Swiped CHEESE 10000013110 ($0.50) Loyalty Card Loyalty/! 1111058088 KRO WHPD CREAM $1.89 $0.00 $0.00 Regular Swiped CHS SPREAD 2100061984 PHLLY WHIPD CREAM $2.99 $0.00 $0.00 Regular Swiped CHEESE 10000013110 ($0.50) Loyalty Card Loyalty/! 1111002885 KRO CIN SWRL RSN $2.39 $0.00 $0.00 Regular Swiped BAGL 6CT 10000014698 ($0.39) Loyalty Card Loyalty/I 1111002887 KRO 100%W HL WHT $2.39 $0.00 $0.00 Regular Swiped BAGL 6CT 10000014698 ($0.39) Loyalty Card Loyalty/I 1111002884 KRO PLAIN BAGELS $2.39 $0.00 $0.00 Regular Swiped 6CT 10000014698 ($0.39) Loyalty Card Loyalty/I 1111002886 KRO BLUEBERRY $2.39 $0.00 $0.00 Regular Swiped BAGELS 6CT 10000014698 ($0.39) Loyalty Card Loyalty/I 3967700077 MPLF STW BRY CC $2.99 $0.00 $0.00 Regular Swiped SRTDL20CT 1111026433 BFG GLZ YST RNG DNT $3.99 $0.00 $0.00 Regular Swiped 12CT 10000010293 ($0.99) Loyalty Card Loyalty/ 4011 BANANAS CHIOUITA/ $1.38 $0.00 $0.00 Regular Keyed UMV 4011 BANANAS CHIOUITA/ $1.05 $0.00 $0.00 Regular Keyed UMV 10000008061 "'DESC $0.00 $0.00 $0.00 Loyalty Keyed UNKNOW N-CODE(4301)' $0.00 $0.00 $0.00 Manager Override Loyalty/I $0.00 $0.00 $27.98 Other Keyed 5858840000008490 $0.00 $0.00 $0.00 Loyalty Card Final Loyalty/ $0.00 $0.00 $0.00 Used Targeted Coupons Loyalty/ $0.31 Tax S Total for Tran#. $31.73 ($3.75) $27.98 I Report Totals $31.73 . ($3.75) $27.98 VOUCHER NO. WARRANT NO. ALLOWED 20 Kroger - IN SUM OF $ Central Customer Charges P.O. Box 644467 Pittsburgh, PA 15264-4467 $145.63 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-430.03 $143.63 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1110 264 42-390.99 $2.00 materials or services itemized thereon for which charge is made were ordered and received except Thursday, September 04, 2014 Chief of Police 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)) 08/16/14 Refreshments $143.63 09/03/14 264 Duplicate Reciept Fee $2.00 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