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246401 06/1 7/1 5
CITY OF CARMEL, INDIANA VENDOR: 178002 , , , ,,,, k ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $ 25.74 CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 246401 PITTSBURG X 64 4 715264-4467 CHECK DATE: 06/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4343003 A03849 25.74 TRAVEL & LODGING P.O.sox 1648 Customer No: A03849 Hutchinson,KS 675041648 RETURN SERVICE REQUESTED Statement Date: 5/23/2015 Due Date: DUE UPON RECEIPT Amount Due: $25.74 ACCOUNTS PAYABLE CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 �:ilLi .pit i. $,si'r'.Z*7i R+ � �.1' A"�I -MNJ.�' Y.., a vm sr.Y. a46,- Da '� ,, n... ... ..n yw__ _ _ ...x ix .. $7.59 $18.15 $0.00 $0.00 $0.00 ACCOUNT BILLING m� Y � TfGKI~T P©JREF# GARD# STQRE AT CK ANI 1l� T E P ;. S � pp ppyo Yk Y Y P i°'+°.?e ', mss,.. :;. .,,,..«.Yn e. .✓, .>..........:. .... .tx s*i-}3'-..,. ,. .: '.,: '%3':. 8 �t�V�S� Y 0315341509 062280 110 959 04/28/2015 $18.15 0415343347 142287 110 959 05/06/2015 $7.59 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$5.00 fee for each ticket copy requested. Please retain the top portion for your records Page 1 of 1 i VOUCHER NO. WARRANT NO. ALLOWED 20 Kroger IN SUM OF$ Central Customer Charges P.O. Box 644467 Pittsburgh, PA 15264-4467 $25.74 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 0415343347 I 43-430.03 $25.74 I 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, June 11, 2015 —K P 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. r Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 05/23/15 0415343347 refreshments $25.74 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