248903 08/26/1 5 CITY OF CARMEL, INDIANA VENDOR: 178002
® a ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******768.95*
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 248903
PO BOX 644467 CHECK DATE: 08/26/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 450.24 GENERAL PROGRAM SUPPL
1082 4239039 A32257 166.78 GENERAL PROGRAM SUPPL
1091 4239099 A32257 38.94 OTHER MISCELLANOUS
1095 4239040 A32257 28.84 FOOD & BEVERAGES
1096 4239039 A32257 84.15 GENERAL PROGRAM SUPPL
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504-1648
0RETURN SERVICE REQUESTED Statement Date: 8/15/2015
Due Date: DUE UPON RECEIPT
Amount Due: $768.95
PAULA SCHLEMMER -==--;-
CARMEL CLAY PARKS& RECREATIO C
1411 EAST 116TH STREET
CARMEL, IN 46032 'T AUG 19 2015
J'J f
Current 29-56;Days, 57-84 Days__- , ;. 85-117 Days 113+:D4s
$0.00 $0.00 $0.00 $0.00 $0.00
ACCOUNT BILLING
-TICKET"':_ . : ,:' "', PO:/REF# CARD,#"`': _ _STORE-;- DATE TICKET:- (AMOUNT
i, ..PROCESSED
0615357165 187340 273 959 07/23/2015 $28.84
0615357166 164332 283 959 07/23/2015 $8.00
0715358379 209325 283 959 07/30/2015 $39.47
0715358380 162038 283 959 07/30/2015 $214.68
0715358585 216992 283 959 07/31/2015 $6.00
0715358586 217083 283 959 07/31/2015 $16.99
0715358587 217126 283 959 07/31/2015 $6.00
0715358965 001117 283 959 08/03/2015 $130.91
0715359395 156703 273 959 08/05/2015 $84.15
0715359801 283528 283 959 08/07/2015 $56.95
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, RETURN SERVICE REQUESTED Statement Date: 8/15/2015
Due Date: DUE UPON RECEIPT
Amount Due: $768.95
ACCOUNT BILLING
TICKET P.O./REF#' CARD#`: STORE AMOUNT ,
." -_.- _.• _.• _
DATE TICKET-
,, w - -
_. .. PROCESSED"
0715360645 123975 283 959 08/12/2015 $51.67
0715361054 245689 283 959 08/14/2015 $86.35
0715361055 249199 273 959 08/14/2015 $38.94
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.
Pleac retain rhe trn norhon for vnur 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 Purchase Order No.
178002 Kroger- Central Customer Charges
P.O. Box 644467 Date Due
Pittsburgh, PA 15264-4467
Invoice Invoice Description
Date Number (
or note attached invoice(s) or bill(s)) PO# Amount
$ 86.35
8/15/15 A32257 General Program supplies $ 51.67
35
8/15/15 A32257 General Program supplies :0_�
8/15/15 A32257 General Program supplies
8/15/15 A32257 General Program supplies
8/15/15 A32257 General Program supplies
8/15/15 A32257 General Program supplies
8/15/15 A32257 General Program supplies 8/15/15 A32257 General Program supplies
8/15/15 A32257 Special Projects $ 28.84
8/15/15 A32257 IFood & Beverage
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance 768.95
Total $
with I 5-11-10-1.6
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 768.95
ON ACCOUNT OF APPROPRIATION FOR
108 ESE / 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-1 A32257 4239039 $ 86.35 1 hereby certify that the attached invoice(s), or
1081-4 A32257 4239039 $ 51.67 bill(s) is(are)true and correct and that the
1081-11 A32257 4239039 $ 56.95 materials or services itemized thereon for
1081-99 A32257 4239039 $ 255.27 which charge is made were ordered and
1082-3 A32257 4239039 $ 36.99 received except
1082-7 A32257 4239039 $ 90.32
1082-9 A32257 4239039 $ 39.47
1096-70 A32257 4239039 $ 84.15
1091 A32257 4239099 $ 38.94
1095-1 A32257 4239040 $ 28.84
August 20, 2015
Signature
$ 768.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund