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240731 01/07/15 CITY OF CARMEL, INDIANA VENDOR: 178002 b 'r ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $ 19.60" CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 240731 PO BOX 644467 CHECK DATE: 01/07/15 PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 A03849 19.60 POSTAGE P.O.Box 1648 Customer No: A03849 Hutchinson,KS 67504-1648 0 # RETURN SERVICE REQUESTED Statement Date: 12/6/2014 Due Date: DUE UPON RECEIPT Amount Due: $19.60 ACCOUNTS PAYABLE CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 Current 29-56 Days 57-84 Days 85-112 Days 113+Days $19.60 $0.00 $0.00 IL11 $0.00 $0.00 ACCOUNT BILLING TICKET P.O.IREF# CARD# STORE DATE TICKET AMOUNT PROCESSED 1114310588 090516 090 959 11/18/2014 $19.60 For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Gammie ext.65563 or Sarah ext.61825)or by email(cammie.combs@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 your records Page 1 of 1 ro er Great food . L®w prices . 1217 S. RANGELINE RD. 317-846-4818 YOUR CASHIER WAS BIRTTANY MR BK OF STAMPS NP 9.80 MR BK OF STAMPS NP 9.80 TAX 0.00 * BALANCE 19.60 021 KROGER #959 1217 S. RANGELINE RD. CARMEL IN 46032 PRIVATE LABEL Purchase ************8494 TOTAL: 19,60 REF#: 090516 PRIVATE LABEL 19.60 CHANGE 0.00 BK OF STAMPS *** 2@9.80 19.60 TOTAL NUMBER OF ITEMS SOLD = 0 11/18/14 11 :53am 959 31 11 358 THANK YOU FOR SHOPPING KROGER CUSTOMER SERVICE IS EVERYONE'S JOB. LET ME KNOW HOW WE ARE DOING. KAREN HANSEN, MANAGER 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)) 01/02/15 postage stamps $19.60 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Kroger Central Customer Charges IN SUM OF $ P.O. Box 644467 Pittsburgh, PA 15264-4467 $19.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 43-421.00 $19.60 I hereby certify that the attached invoice(s), or I 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 Wednesday, December 31, 2014 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund