249770 09/23/15 'F CITY OF CARMEL, INDIANA VENDOR: 178002
.; ® �• ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $ 505.39"
,. CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 249770
PO BOX 644467 CHECK DATE: 09/23/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 442.07 GENERAL PROGRAM SUPPL
1091 4230200 A32257 4.47 OFFICE SUPPLIES
1091 4239099 A32257 39.58 OTHER MISCELLANOUS
1096 4239039 A32257 19.27 GENERAL PROGRAM SUPPL
�
puBox 1wm Customer No: A32257
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 9/12/2015
RF-%CF-,TN7E Due Date: DUE UPON RECEIPT
7D Amount Due: $505.39
SEP 1,6 2015
PAULA SCHLEMMER
CARMEL CLAY PARKS& RECREAT|O
1411EAST 11GTHSTREET
CARMEL, |N48O33
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504-1648
+ - RETURN SERVICE REQUESTED Statement Date: 9/12/2015
Due Date: DUE UPON RECEIPT
Amount Due: $505.39
ACCOUNT BILLING
� DATE TICKET � - i.r. k
e
STORES PROCESSED!!-A MO NT i
0815366367 163863 273 959 09/10/2015 $19.27
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Gina ext.65567 or Sarah ext.61825)or by email(gina.gonzales@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.
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
9/12/15 A32257 General Program supplies $ 187.00
9/12/15 A32257 General Program supplies $ 92.46
9/12/15 1 A32257 General Program supplies $ 139.91
9/12/15 A32257 General Program supplies $ 22.70
9/12/15 A32257 Office supplies $ 4.47
9/12/15 A32257 General Program supplies $ 19.27
9/12/15 A32257 Other Misc $ 39.58
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 Total $ 505.39
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 505.39
ON ACCOUNT OF APPROPRIATION FOR
108 ESE / 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 A32257 4239039 $ 187.00 1 hereby certify that the attached invoice(s), or
1081-6 A32257 4239039 $ 92.46 bill(s)is(are)true and correct and that the
1081-7 A32257 4239039 $ 139.91 materials or services itemized thereon for
1081-11 A32257 4239039 $ 22.70 which charge is made were ordered and
1091 A32257 4230200 $ 4.47 received except
1096-70 A32257 4239039 $ 19.27
1091 A32257 4239099 $ 39.58
September 17, 2015
Signature
$ 505.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund