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253403 01/15/16 CITY OF CARMEL, INDIANA VENDOR: 178002 ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $********52.46* ,.�; ® 1•: CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 253403 PO BOX 644467 +.,,TON�• CHECK DATE: 01/15/16 PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 A32257 52.46 GENERAL PROGRAM SUPPL I I Voucher No. Warrant No. 178002 Kroger- Central Customer Charges !Allowed 20 P.O. Box 644467 Pittsburgh, PA 15264-4467 :In Sum of$ $ 814.91 ,I ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-2 A32257 4239039 $ 52.46 1 hereby certify that the attached invoice(s), or 1081-3 A32257 4239039 $ 39.65 bill(s)is(are)true and correct and that the 1081-4 - A32257 4239039 $ 520.46 materials or services itemized thereon for 1081-7 A32257 4239039 $ 132.15 which charge is made were ordered and 1081-99 A32257 4239039 $ 70.19 received except i January 6, 2016 i Signature $ 814.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund II ti P.O.Box 1648 CUOmYgrOf?� l1.�Al� W � L",}tsA3?2r5,7:" Hutchinson,KS 67504.1648 at REQ URN SERVICE REQUESTED �S7' t21T1erfitDate e+r DUE UPON RECEIPT{ Amount 6UeE�Fr �y�f�� r8�4�/t;tt�stF1�t� t PAULA SCHLEMMER CARMEL CLAY PARKS&RECREATIO 1411 EAST 116TH STREETa :3 VIE CARMEL, IN 46032 JAN 5 20.16 BY: {�t kCur�ent� .;t ...f. . 29:56,;Days+� ?,'; .57-84Days ;85-112Daysi a_ 7 ?ci;<1,13.-'P orf $785.98 $28.93 $0.00 1 $0.00 1 $0.00 ACCOUNT BILLING 1 i ;' CARD# r STORE iD/4TE`T.ICKET AMOUNT t..a. " 4 ' `7 5 e a�� _- �P,° n, PROCESSED 1115384142 008250 283 959 12/07/2015 $28.93 1115384484 102966 283 998 12/08/2015 $29.80 1115384485 103094 283 998 12/08/2015 $22.66 1115384974 249383 283 959 12/10/2015 $8.95 1115385236 368176 283 959 12/11/2015 $219.95 1215385675 057344 283 959. 12/14/2015 $62.56 1215386230 192551 283 959 12/16/2015 $30.70 1215386492 270887 283 959 12/17/2015 $53.69 1215386494 283 959 12/17/2015 ($1.84) 1215386699 359205 283 959 12/18/2015 $16.50 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 too oonion for vour records Page 1 of 2 P.o.Box 1646 Customer No: A32257 Hutchinson,KS 67504-1648 RETURN SERVICE REQUESTED Statement Date: 1/2/2016 Due Date: DUE UPON RECEIPT Amount Due: $814.91 ACCOUNT BILLING TICKET,` CARD#'. STORE' ,DATE TICKET ,AMOUNT PROCESSED �€; 1215386700 359692 283 959 12/18/2015 $300.51 1215386701 350457 283 959 12/18/2015 $42.50 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.