250927 10/22/15 CITY OF CARMEL, INDIANA VENDOR: 178002
d ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******474.06*
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 250927
PO BOX 644467 CHECK DATE: 10/22/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4230200 A32257 17.47 OFFICE SUPPLIES
1081 4239039 A32257 438.84 GENERAL PROGRAM SUPPL
1091 4230200 A32257 17.75 OFFICE SUPPLIES
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504-1648
f°t RETURN SERVICE REQUESTED Statement Date: 10/10/2015
Due Date: DUE UPON RECEIPT
Amount Due: $474.06
:�:_:CEIVED
PAULA SCHLEMMER OCT 13 2015
CARMEL CLAY PARKS& RECREATIO
1411 EAST 116TH STREET
CARMEL, IN 46032 BY:
_29-56-Days, :57-84 Days , 1r,. •,. ..85-1:1.2 Days.:„, .. .; `,,:113+_Days
. ..-.,., ...
$474.06 $0.00 $0.00 1 $0.00 $0.00
ACCOUNT BILLING
TICKET P.O./REF# CARD# STORE DATE TICKET AMOUNT:
PROCESSED
0815367665 115558 283 959 09/16/2015 $34.36
0815367667 122837 283 959 09/16/2015 $41.43
0915369357 186257 283 959 09/24/2015 $19.46
0915369577 229599 283 959 09/25/2015 $32.55
0915370611 125663 283 959 09/30/2015 $24.30
0915370612 134996 283 959 09/30/2015 $10.14
0915370845 191418 283 959 10/01/2015 $258.03
0915372490 242571 283 959 10/09/2015 $36.04
0915372491 267233 273 959 10/09/2015 $17.75
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
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
10/10/15 A32257 General Program supplies $ 258.03
10/10/15 A32257 General Program supplies $ 73.98
1.0/10/15 A32257 General Program supplies $ 60.34
10/10/15 A32257 Office supplies $ 17.47
10/10/15 A32257 General Program supplies $ 46.49
10/10/15 A32257 Office supplies $ 17.75
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 $ 474.06
20_
Clerk-Treasurer
Voucher No. Warrant No.
178002 Kroger- Central Customer Charges Allowed 20
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 474.06
ON ACCOUNT OF APPROPRIATION FOR
108 ESE / 109 Monon Center
PO#or
Dept# INVOICE NO. ACCT#/TITL AMOUNT Board Members
1081-2 A32257 4239039 $ 258.03 1 hereby certify that the attached invoice(s), or
1081-4 A32257 4239039 $ 73.98 bill(s)is(are)true and correct and that the
1081-7 A32257 4239039 $ 60.34 materials or services itemized thereon for
1081-11 A32257 4230200 $ 17.47 which charge is made were ordered and
1081-11 A32257 4239039 $ 46.49 received except
1091 A32257 4230200 $ 17.75
October 14, 2015
Signature
$ 474.06 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund