242339 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 178002
® t1• ONE CIVIC SQUARE KROGER CO
CHECK AMOUNT: S"''""119.60'
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 242339
PO BOX 644467 CHECK DATE: 02/17/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 A03849 119.60 TRAVEL & LODGING
P.O.Box 1648 Customer No: A03849
Hutchinson,KS 67504-1648
9 RETURN SERVICE REQUESTED Statement Date: 1/31/2015
Due Date: DUE UPON RECEIPT
Amount Due: $185.66
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
Current 29-56 Days 57-84 Days 85-112 Days 113+Days"
$69.11 $116.55 $0.00 1 $0.00 $0.00
ACCOUNT BILLING
TICKET P.O./REF# CARD# STORE DATE TICKET AMOUNT
PROCESSED
1214316273 001347 110 959 12/15/2014 *$8.83
1214316594 075088 110 959 12/16/2014 *$14.11
1214316881 154718 110 959 12/17/2014 *$16.58
1214317130 277788 110 959 12/18/2014 *$1.99
1214318488 005301 110 959 12/29/2014 *$24.55
1214319406 007740 110 959 01/05/2015 $50.49
1314320696 061519 110 959 01/13/2015 $28.15
1314322205 069375 110 906 01/21/2015 $10.47
1314322258 052196 110 959 01/21/2015 $30.49
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
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))
02/10/15 open house Graham/Scott $119.60
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges
IN SUM OF $
P.O. Box 644467
Pittsburgh, PA 15264-4467
$119.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-430.03 $119.60 I 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
Thursday, February 12, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund