251625 11/18/15 i
ur.C,q MF
CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $**.....100.51*CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 251625
PO BOX 644467 CHECK DATE: 11/18/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 DOCS 100.51 OTHER MISCELLANOUS
11/411509,04 Transaction Details 10/8/15 Page 1 or 1
SKU Extended Trans Dlsc Tender Rewrd Key
DMsion Store CSR Reg# Date Time Trent SKU or UPC D.- Amount Amt Amount Code Code Account Number
21 959 156 12 1018115 104000 29 4000049616 MIX CHOC SUGAR FUN $16.99 $0.00 $0.00 Regular Swiped
SZ SUP
4000049616 MIX CHOC SUGAR FUN $16.99 $0.00 $0.00 Regular Swiped
SZ SUP
$0.00 $0.00 $0.00 Loyalty Card Enter Loyalty4
3400098895 HRSITY DEMON TREATS $15.49 $0.00 $0.00 Regular Swiped
10000023734 "'DESC ($1.50) Loyalty Card Loyaltyll
UNKNOWN-CODE(4301)'
4000049401 MIX CHOC VARIETY $11.99 $0.00 $0.00 Regular Swiped
HALLWEEN
10000023676 "'DESC ($1.00) Loyalty Card Loyalty/I
UNKNOWN-CODE(4301)'
7172000620 TOOTSIE MEGA MIX $8.99 $000 $0.00 Regular Swiped
10000014534 ($1.001 Loyalty Card LoyaltyA
10000023757 "'DESC ($1.00) Loyalty Card LoyaltyA
UNKNOW N-GODE(4301)'
10000023757 "1 ($1.00) Loyalty Card LoyaltyA
UNKNOW N-CODE(4301)'
81101004000 $0.00 $0.00 $2.00 MFR Coupon Swiped
81101004000 $0.00 $0.00 $2.00 MFR Coupon Swiped
$0.00 $0.00 $65.50 Other Swiped 5858640000009983
$0.00 $0.00 $0.00 Loyalty Card Final LoyaltyA
$0.00 $0.00 $000 Used Targeted Coupons LoyaltyA
e 4 ss Tax
Total for Trent 5.00 ($$5.50)5-50), N69.50
.50
Report Totals $75 ( (/Q$69. -
T ���
111411509:06 Transection Details 9116/15 Page t of 1
SKU Extended Trans Disc Tender Reoord Key
Division Stolle CSR Reg# Date Time Trend SKU.,UPC Deec Amount Amt Amount Code Code Account Number
21 944 106 3 9/16115 170800 289 3400020280 HRSHV KIDS STUFF MIX $6.59 $0.00 $0.00 Regular Swiped
1120600190 SMARTIES VALUE BAG $3.79 $0.00 $0.00 Regular Swiped
4000034777 SKITTLES STRBRST $9.99 $0.00 $0.00 Regular Swiped
FUN SIZE
4000034777 SKITTLES STRBRST $9.99 $0.00 $0.00 Regular Swiped
FUN SIZE
3400020280 HRSHV KIDS STUFF MIX $6.59 $0.00 $0.00 Regular Swiped
1120600190 SMARTIES VALUE BAG $3.79 $0.00 $0.00 Regular Swiped
$0.00 $0.00 $0.00 Loyalty Card Enter Loyalty/i
10000014461 ($1.09) Loyally Card LoyaltyA
10000014461 ($1.09) Loyalty Card LoyallyA
10000020766 ($0.50) Loyalty Card Loyalty/I
10000020766 ($0.50) Loyalty Card Loyalty4
10000023277 "'DEW ($1.00) Loyalty Card Loyalty4
UNKNOWN-CODE(4301)'
1 000 00232 7 7 "'DESC ($1.00) Loyalty Card Loyaly8
UNKNOWN-CODE(4301)-
$0.00 $0.00 $37.28 Other Swiped 5858840000009983
$0.00 $000 $0.00 Loyalty Card Final Loyaltyll
_L+Pr- Tax
Total for Tran# - $42.46 ($6.18) /*171r
Report Totals - $42.46 ($5.16) 44r—W
Stewart; Lisa M
From: Combs, Cammie E <cammie.combs@kroger.com>
Sent: Wednesday, November 04, 2015 10:30 AM
To: Stewart, Lisa M
Subject: RE:Invoice Question
Lisa,
There is no way for me to remove the tax from the receipt. Every time a purchase is being made whoever
is making that purchase has to let the cashier know that you are tax exempt. When paying the invoice
remove the tax and we will take care of it on our end.
AODk You,
Ca*n#m.&F. C&m l *
YhoDe: 620-694-6 63
Pox- 620-X60-6973
E-Mgg: eomwie.Combs@Krokncow
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))
10/10/15 A32998 Public Safety Day/State of the City $100.51
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
$100.51
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I A32998 I 42-390.99 I $100.51 I hereby certify that the attached invoice(s), or
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
Monday, November 16, 2015
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund