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250319 10/07/15
a ur.cn9M CITY OF CARMEL, INDIANA VENDOR: 178002 ® _ ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $********11.18- CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 250319 PO BOX 644467 CHECK DATE: 10/07/15 PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 A03849 11.18 OTHER MISCELLANOUS P.O.Box 1648 Customer No: A03849 Hutchinson,KS 67504-1648 0 RETURN SERVICE REQUESTED Statement Date: 9/12/2015 Due Date: DUE UPON RECEIPT Amount Due: $87.22 ACCOUNTS PAYABLE CARMEL POLICE DEPT 3 CIVIC SQUARE CARMEL, IN 46032 Current 29-56 Days 57-84 Days 85-112 Days 113+Days $11.18 $76.04 $0.00 1 $0.00 $0.00 ACCOUNT BILLING TICKET P.O./REF# CARD# STORE DATE TICKET AMOUNT PROCESSED 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 0815363587 154772 110 959 08/27/2015 $9.18 491 0 09/01/2015 $2.00 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$5.00 fee for each ticket copy requested. Please retain the top portion for your records Page 1 of 1 Kroger Invoice# ®®®49$ PO BOX 644467 PITTSBURGH, PA 15264-4467 CARMEL POLICE DEPT Customer: A03849 3 CIVIC SQUARE Terms: Net Cash CARMEL, IN 46032 Date: 9/1/2015 Store: 0 Amount: 2.00 EMAILED ITEMIZED TKT# 0715360440/11.91 TO PAT ON 09/01/2015. For Office Use Only DR 021 0021120 CR 021 117108 2.00 DR 612 117108 CR 612 316900 2.00 S ' W � r Open S nce I T 199 0D.,SWeek= V� •'�N V of a0 or more. Regular Price 029 ZIPIn r . "Not va0d w/any el0er oiler.ene coupon per customer;Par ristf.Exp 11115/15. m ROWERME VONJQ = ` C- S HERE o rN Be seen times-a 'month! T/RE i&&- Crz�a FREE Qd0®rR9MIb4.:. .; . ell to 5 qt Supply he Dull. WITH PURCHASE OF 4 TIRES OP to 5 qts 0WYN0W30 011. AND TIRE PROTECTION: M////o'E's��t\\vehicles.See manager for details.Not valid with other discounts.Expires 11/15/15.KRO959JAS (.ltO o a !1 a U - 0 e 2P s—mom ; ANY HAIR SERVICE ',Expires II/IS/IS.IimB Icoupon per tunomer.1(2O959JAS f 9 ®%® ®FIF - ' ANY HAIR PRODUCT §'-., �• Expires 11/15/15.limit 1 coupon per customer. _ ATTENTION CASHIERS:START THIS TAPE 7/20/18 RTUI•L.P.©2015 ell "tS 9' , t ro er Great food. Low prices. 1217 S. RANGELINE RI). 317-846-4818 YOUR CASHIER WAS TRUDY KROGER PLUS CUSTOMER *******8830 HOMECITY ICE 4.59 F HOMECITY ICE 4.59 F TAX 0.00 ** BALANCE 9.18 IN 46032 PRUT LABEL Purchase ***********+8490 REF#: 154772 TOTAL: 9.18 PRUT LABEL_ 9.18 CHANGE 0.00 TOTAL NUMBER OF ITEMS SOLD = 2 08/27/15 09:07am 959 12 4 135 Tell Us How We Are Doing! Earn 50 BONUS FUEL POINTS! Plus, enter our monthly Sweepstakes: for ONE OF 100 - $100 gift cards and ONE $5,000 gift card grand prize! Go to www.krogerfeedback.com within 7 days. Enter the information below: Date: 08/27/15 Time: 09:07am Entry TO: 021-411-4-959-12-16 Limit one 50 fuel pt bonus per 7 days. No purchase necessary to enter sweepstakes. See website for official sweepstakes rules. 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)) 09/12/15 misc $11.18 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 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Kroger Central Customer Charges IN SUM OF $ P.O. Box 644467 Pittsburgh, PA 15264-4467 $11.18 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 42-390.99 $11.18 I hereby certify that the attached invoice(s), or I 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 Tuesday, September 29, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund