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242031 02/10/15 a i'C�Nb CITY OF JCARMEL, INDIANA VENDOR: 178002: ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*****1,062.54* ® CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 242031 PO BOX 644467 CHECK DATE: 02/10/15 PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 A32257 780.52 GENERAL PROGRAM SUPPL 1095 4239040 A32257 54.77 FOOD & BEVERAGES 1096 4239039 A32257 195.60 GENERAL PROGRAM SUPPL 1125 4239039 A32257 31.65 GENERAL PROGRAM SUPPL P.O.Box 1648 Customer No: A32257 Hutchinson,KS 67504-1648 RETURN SERVICE REQUESTED Statement Date: 1/31/2015 Due Date: DUE UPON RECEIPT Amount Due: $1,062.54 PAULA SCHLEMMER CARMEL CLAY PARKS &RECREATIO 1411 EAST 116TH STREET CARMEL, IN 46032 Current 29756 Days 57-84 bays 85-112 Days 113+Days $1,062.54 $0.00 $0.00 $0.00 $0.00 ACCOUNT BILLING_ TICKET P.O.IREF# CARD# STORE DATE TICKET AMOUNT, --PROCESSED 1214319756 135637 273 998 01/07/2015 $13.73 1314320695 059844 283 959 01/13/2015 $188.60 1314320912 174367 273 959 01/14/2015 $16.12 1314321163 203167 273 959 01/15/2015 $138.54 1314321164 231796 283 959 01/15/2015 $70.72 1314321504 378518 273 959 01/17/2015 $54.77 1314321798 456643 273 959 01/19/2015 $16.16 1314322040 005486 273 959 01/20/2015 $31.65 1314323435 052273 283 959 01/27/2015 $75.37 1314323437 060469 283 959 01/27/2015 $41.23 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.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 2 P.o.sox 1648 Customer No: A32257 Hutchinson,KS 67504-1648 RETURN SERVICE REQUESTED Statement Date: 1/31/2015 Due Date. DUE UPON RECEIPT Amount Due: $1,062.54 ACCOUNT BILLING TICKET P.O./REF# CARD#. STORE DATE TICKET AMOUNT PROCESSED 1314323438 069762 273 959 01/27/2015 $11.05 1314323691 114737 283 959 01/28/2015 $339.13 1314324185 230096 283 959 01/30/2015 $65.47 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.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 yourrecords _ ___ _ __________ ____���,__ _—pan 2.a� f �I Kroger Fund 109 f enera enera en—era enera enera enera enera Prog Prog Prod Prog Prog Prog Prog Footl, & Supplies Supplies Supplies Supplies Supplies Supplies Supplies Beverage V#178002 4239039 4239039 4239039 4239039 4239039 4239039 4239039 4239040 1125 1081-4 1081-7 1081-10 1081-11 1096-70 1096-60 10951-1 $ 1,062.54 $ 31.65 $ 339.13 $ 70.72 $ 263.97 $ 106.70 $ 57.06 $ 138.54 $ 154.77 $ 31.65 $ 339.13 $ 70.72 $ 75.37 $ 41.23 $ 13.73 $ 138.54 $ X54.77 $ 188.60 $ 65.47 $ 16.12 i $ 16.16 $ 11.05 I ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 178002 Kroger- Central Customer Charges P.O. Box 644467 Date Due Pittsburgh, PA 15264-4467 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 1/31/15 A32257 General Program supplies $ 31.65 1/31/15 A32257 General Program supplies $ 339.13 1/31/15 A32257--' General Program supplies $ 70.72 1/31/15 A32257 General Program supplies $ 263.97 1/31/15 A32257 General Program supplies $ . 106.70 1/31/15 A32257 General Program supplies $ 57.06 1/31/15 _ A32257 General Program supplies $ 138.54 1/31/15 A32257 Food &Beverage $ 54.77 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 Total_ $ 1,062.54 , 20 Clerk-Treasurer I Voucher No. Warrant No. I Allowed 20 178002 Kroger- Central Customer Charges P.O. Box 644467 Pittsburgh, PA 15264-4467 In Sum of$ $ 1,062.54 ON ACCOUNT OF APPROPRIATION FOR 101 General/ 108 ESE/109 Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 A32257 4239039 $ 31.65 1 hereby certify that the attached invoice(s), or 1081-4 A32257 4239039 $ 339.13 bill(s) is(are)true and correct and that the 1081-7 A32257 4239039 $ 70.72 materials or services itemized thereon for 1081-10 A32257 4239039 $ 263.97 which charge is made were ordered and 1081-11 A32257 4239039 $ 106.70 received except 1096-70 A32257 4239039 $ 57.06 1096-60 A32257 4239039 $ 138.54 1095-1 A32257 4239040 $ 54.77 r February 5, 2015 i I i Signature $ 1,062.54 I Accounts Payable Coordinator Cost distribution ledger classification if Title i claim paid motor vehicle highway fund I