HomeMy WebLinkAbout253917 01/26/16 J4/ 4,p*Fi178002
CITY OF CARMEL, INDIANA VENDOR: KROGER CO CHECK AMOUNT: $********79.84*
� ONE CIVIC SQUARE KROGE
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 253917
PO BOX 644467 CHECK DATE: 01/26/16
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4357001 A32998 79.84 INTERNAL TRAINING FEE
P.O:Box 1648 Customer No: A32998
Hutchinson,KS 67604-1648
RETURN SERVICE REQUESTED Statement Date: 1/2/2016
Due Date: DUE UPON RECEIPT
1�
cAmount Due: $83.84
01
LISA STEWART
CITY OF CARMEL DEPT COMM SVCSv
1 CIVIC SID
CARMEL, IN 46032
Current 29-56 Days 67-84 Days 85-112 Days 11'3+:Days=
$79.84 $0.00 $4.00 $0.00 $0.00
ACCOUNT BILLING
TICKET P.O./REF# CARD# STORE DATE TICKET AMOUNT
i PROCESSED
545 0 11/04/2015 '$4.00
1115385235 308129 - 003 959 12/11/2015 79.84
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 foryour records Page 1 of 1
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TearAlong Perforation and Return Bottom Portion Page 1 of 1
TICKETS, AMT �: TICKETS AMT �: Customer No:- A32998
545 $4.00 1115385235 $79.84
Statement Date: 1/2/2016
Amount Due:
Amount Enclosed:
ease indicate tickets Deing paly placing a cnecKDox in the corresponding DOX it amount paid is di event,p ease
denote the amount
REMIT PAYMENT TO:
Central Customer Charges
P.O Box 644467
Pittsburgh, PA 16264-4467
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
01/22/16 I 1115385235 I I $79.84
1192 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
KROGER CO
CENTRAL CUSTOMER CHARGES
IN SUM OF$
t
PO BOX 644467
PITTSBURG, PA 15264-4467
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$79.84 1"
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service
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Alzq `1
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PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT i Board Members
I 1115385235 I 43-570.01 I $79.84, 1 hereby certify that the attached invoice(s), or
1192 101
t 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
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Monday, January 25, 2016
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Cost distribution ledger classification if
claim paid motor vehicle highway fund
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