244278 04/15/15 ('��"''• CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $********48.57*
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 244278
MUTON�. PO BOX 644467 CHECK DATE: 04/15/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 A03849 48.57 TRAVEL & LODGING
P.O.Box 1648 Customer No: A03849
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 3/28/2015
Due Date: DUE UPON RECEIPT
Amount Due: $94.80
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
--- �"
, Curzertt 2 5C Days .,, „ 57771
4 pays , :a5-112 pays<e i�3+Days
$48.57 $46.23 $0.00 $0.00 $0.00
ACCOUNT BILLING
I T1CtET 3 PO��REF� �STE)RE DATE TitKET AMgU15tT
� .<,�..<;.o..
1314325453 251556 110 959 02/06/2015 *$39.40
0115325910 001076 110 959 02/09/2015 *$6.83
0115330067 006831 110 959 03/02/2015 $8.98-
0215331393 069537 110 959 03/09/2015 $7.99-
0215332761 032960 110 959 03/16/2015 $5.98
0215334184 006376 110 959 03/23/2015 $3.99-
0215334420
3.99-0215334420 058889 110 959 03/24/2015 $21.63
For questions or copies,please contact Kroger Accounts Receivable toll free at 868-327-4911(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$5.00 fee for each ticket copy requested.
Please retain the top portion for your records Page 1 of 1
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Tn��Illnnn O.An.n1•nn nn.l Ong.....Onwn...an w.nn n_._ _�.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges IN SUM OF$
P.O. Box 644467
Pittsburgh, PA 15264-4467
$48.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I I 43-430.03 I $48.57 1 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, April 09, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/28/15 refreshments $48.57
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