246878 06/30/1 5 CITY OF CARMEL, INDIANA VENDOR: 178002
® i'r ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $ .....438.42*
�. ?4 CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 246878
PO BOX 644467 CHECK DATE: 06/30/15
= PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 136.15 GENERAL PROGRAM SUPPL
1082 4239039 A32257 60.30 GENERAL PROGRAM SUPPL
1096 4239039 A32257 241.97 GENERAL PROGRAM SUPPL
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504.1648
RETURN SERVICE REQUESTED Statement Date: 6/20/2015
Due Date: DUE UPON RECEIPT
Amount Due: $1,012.20
-N 679J9
2PAULq3g 42-
PAULA
A SCHLEMMER
CARMEL CLAY PARKS & RECREATIO [R-b
1411 EAST 116TH STREET
CARMEL, IN 46032
JUN 2 3 2015
_
"57-84:Days :85-112,Days N 113+:Days
$438.42 $573.78 1 $0.00 $0.00 1 $0.00
ACCOUNT BILLING
[ .TICKETIREF# - `'CARD# :S.T.ORE. _ DATE TICKET -AMOUNT-_
_ PROCESSED
0315341744 123077 d 283 959 04/29/2015 *$121.56
0315342248 242498 283 959 05/01/2015 *$29.97
0315342249 246998 283 959 05/01/2015 *$44.91
0415343348 161679 273 959 05/06/2015 *$13.81
0415343598 225512 283 959 05/07/2015 *$112.70
0415344874 214239 273 959 05/13/2015 *$10.25
0415345334 340061 283 944 05/15/2015 *$53.41
0415345348 318487 283 959 05/15/2015 *$31.10
0415346054 069642 283 959 05/19/2015 *$45.98
0415346314 120671 273 959 05/20/2015 *$12.09
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
f r RETURN SERVICE REQUESTED Statement Date: 6/20/2015
Due Date: DUE UPON RECEIPT
Amount Due: $1,012.20
ACCOUNT BILLING
`TICKET°.-7;,' z F:OaREF# ,.CARD#' , 'S.T._ORE- _ ..,,DATE TICKET AMOUNT
t.' i-PROCESSED
0415346556 195634 283 959 05/21/2015 *$11.00
0415346606 187953 283 998 05/21/2015 *$59.58
0415346771 266026 283 959 05/22/2015 *$27.42
0415347309 008936 283 959 05/26/2015 $28.02
0415347310 009139 283 959 05/26/2015 $83.85
0415347565 063982 283 959 05/27/2015 $24.28
0415347566 099080 273 959 05/27/2015 $14.35
0515349015 173085 273 959 06/04/2015 $23.96
0515349028 172219 273 980 06/04/2015 $199.42
0515349029 273 980 06/04/2015 ($25.64)
0515349201 237701 273 959 06/05/2015 $29.88
0515349202 242727 283 959 06/05/2015 $9.60
0515350396 228382 283 980 06/12/2015 $8.00
0515350397 229224 283 980 06/12/2015 $42.70
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 2 of 2
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
178002 Kroger- Central Customer Charges Purchase Order No.
P.O. Box 644467
Pittsburgh, PA 15264-4467 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO#
6/20/15 A32257 General Program supplies Amount
6/20/15 A32257 General Program supplies $ 24.28
6/20/15 A32257 General Program supplies $ 111.87
6/20/15 A32257 General Program supplies $ 17.60
6/20/15 A32257 General Program supplies $ 42.70
6/20/15 A32257 General Program supplies $ 14.35
$ 227.62
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 $ 438.42
, 20
Clerk-Treasurer
A
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 438.42
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
-3aa5
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-4 A32257 4239039 $ 24.28 1 hereby certify that the attached invoice(s), or
1081-7 A32257 4239039 $ 111.87 bill(s)is(are)true and correct and that the
1082-3 A32257 4239039 $ 17.60 materials or services itemized thereon for
1082-4 A32257 4239039 $ 42.70 which charge is made were ordered and
1096-70 A32257 4239039 $ 14.35 received except
1096-60 A32257 4239039 $ 227.62
June 25, 2015
1pkh"-�
Signature
$ 438.42 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund