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