252693 12/15/15 "Awe CITY OF CARMEL, INDIANA VENDOR: 178002
® 'r ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: S**....*734.24*
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 252693
9�.TON boa PO Box 644467 CHECK DATE: 12/15/15
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 497.60 GENERAL PROGRAM SUPPL
1096 4239039 A32257 236.64 GENERAL PROGRAM SUPPL
mzBox 1*m Customer No: A32257
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 12/5/2015
Due Datei
DUE UPON RECEIPT
Amount Due: $734.24
PAULAGCHLEMK4ER
CARMEL CLAY PARKS& RECREAT0 DEC 8 2015
1411EAST 11GTHSTREET
CARMEL, |N46O32
i
ACCOUNT BILLING
1015378624 008489 283 959 11/09/2015 $32.09
1115380098 049703 283 959 11/16/2015 $37.88
1115380376 118189 283 959 11/17/2015 $27.27
1115380892 262612 283 959 11/19/2015 $11.97
1115381155 332119 283 959 11/20/2015 $43.78
1115381156 348054 283 959 11/20/2015 $68.65
1115382114 231696 283 959 11125/2015 $121.27
1115382628 012489 283 959 11/30/2015 $43.31
1115382629 012616 283 959 11/30/2015 $43.28
1115383396 236265 273 959 12/03/2015 $236.64
For questions or copies,please contact KrogerAccounts Receivabletoll free at 888-327-4911(Cammie 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`ofz
'-'-------------'--------------------'------------'-------------------------------------------
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 12/5/2015
Due Date: DUE UPON RECEIPT
Amount Due: $734.24
ACCOUNT BILLING
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1115383399 268150 283 959 12/03/2015 $17.91
1115383636 336718 283 959 12/04/2015 $50.19
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Cammie 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 2 of 2
--------------
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
12/5/15 A32257 General Program supplies $ 27.27
12/5/15 A32257 General Program supplies $ 68.65
12/5/15 A32257 General Program supplies $. 133.24
12/5/15 A32257 General Program supplies $ 17.91
12/5/15 A32257 General Program supplies $ 156.56
12/5/15 A32257 General Program supplies $ 50.19
12/5/15 A32257 General Program supplies $ 43.78
12/5/15 A32257 - General Program supplies $ 236.64
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 $ 734.24
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
178002 . Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 734.24
ON ACCOUNT OF APPROPRIATION FOR
108 ESE / 109 Monon Center
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-2 A32257 4239039 $ 27.27 1 hereby certify that the attached invoice(s), or
1081-4 A32257 4239039 $ 68.65 bill(s)is(are)true and correct and that the
1081-5 A32257 4239039 $ 133.24 materials or services itemized thereon for
1081-6 A32257 4239039 $ 17.91 which charge is made were ordered and
1081-7 A32257 4239039 $ 156.56 received except
1081-8 A32257 4239039 $ 50.19
1081-99 A32257 4239039 $ 43.78
1096-60"' A32257 4239039 $ 236.64
December 8, 2015
Signature
$ 734.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund