245184 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $ ,, ,11.96
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 245184
PO BOX 7CHECK DATE: 05/13/15
PITTSBURG PA 1 5 2 64-4 4 6 7
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 A03849 11.96 OTHER MISCELLANOUS
P.O.Box 1648 Customer No: A03849
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date:- 4/25/2015
Due Date: DUE UPON RECEIPT
Amount Due: $11.96
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
$11.96 $0.00 $0.00 $0.00 $0.00
ACCOUNT BILLING
7 tCKE T P O«RF# CARD# STQRE fy SATE;TICKET IiAOUt+tT
ROCESSED
0215336016 033269 110 959 04/01/2015 $11.96
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$5.00 fee for each ticket copy requested.
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VOUCHER NO. WARRANT NO.
Kroger ALLOWED 20
Central Customer Charges IN SUM OF$
P.O. Box 644467
Pittsburgh, PA 15264-4467
$11.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-390.99 $11.96
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
Friday, ay 08, 2015
/Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/25/15 water $11.96
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