HomeMy WebLinkAbout249470 09110/1 b P.O.Box 1648 Customer No: A03849
Hutchinson,KS 67504-1648
0 , RETURN SERVICE REQUESTED Statement Date: 8/15/2015
Due Date: DUE UPON RECEIPT
Amount Due: $204.91
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
Current 29-56 Days 57-84 Days L85-112 Days 113+Days
$76.04 $60.40 $68.47 11 $0.00 $0.00
ACCOUNT BILLING
1 TICKET P.O./REF# CARD# STORE DATE TICKET AMOUNT
I PROCESSED
0515351984 001490 100 959 06/22/2015 `$35.30
0515351985 006789 100 959 06/22/2015 *$33.17
0515352613 218986 100 969 06/25/2015 "$39.08
0615353318 063383 090 959 06/30/2015 *$20.35
0615355946 184529 090 959 07/16/2015 `$0.97
0615356961 115575 110 959 07/22/2015 $41.24
0715359175 091856 110 959 08/04/2015 $22.89
0715360440 070677 090 959 08/11/2015 $11.91
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.
Please retain the top portion for your records Page 1 of 1
9/1/15 16:37 Transaction Details 8/11/15 Page 1 of 1
SKU Extended Trans Disc Tender Record Key
Division Store CSR Reg# Date Time Tran# SKU or UPC Desc Amount Amt Amount Code Code Account Number
21 959 120 11 8/11/15 121400 78 1111080332 KRO PURIFIED WATER $3.97 $0.00 $0.00 Regular Swiped
32PK
1111080332 KRO PURIFIED WATER $3.97 $0.00 $0.00 Regular Swiped
32PK
1111080332 KRO PURIFIED WATER $3.97 $0.00 $0.00 Regular Swiped
32PK
$0.00 $0.00 $11.91 Other Swiped 5858840000008494
Total for Tran# $11.91 $0.00 $11.91
Report Totals $11.91 $0.00 $11.91
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))
09/02/15 city garage water $11.91
09/02/15 refreshments $22.89
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges IN SUM OF $
P.O. Box 644467
Pittsburgh, PA 15264-4467
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department a
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 42-390.99 $11.91 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 43-430.03 $22.89
materials or services itemized thereon for
which charge is made were ordered and
O
received except
Wednesday, September 02, 2015
V41Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund