258293 05/06/16 CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******466.45*
-•i� Sao CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 258293
PO BOX 644467 CHECK DATE: 05/06/16
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 328.06 GENERAL PROGRAM SUPPL
1096 4239039 A32257 82.24 GENERAL PROGRAM SUPPL
1096 4340800 A32257 25.63 ADULT CONTRACTORS
1125 4359000 A32257 30.52 SPECIAL PROJECTS
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
4/23/16 A32257 Special Projects $ 30.52
4/23/16 A32257 General Program supplies $ 29.29
4/23/16 A82257 General Program supplies $ 23.22
4/23/16 A32257 General Program supplies $ 24.68
4/23/16 A32257 General Program supplies $ 216.80
4/23/16 A32257 General Program supplies $ 34.07
4/23/16 A32257 General Program supplies $ 82.24
4/23/16 A32257 Contract Services $ 25.63
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 $ 466.45
, 20
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 466.45
ON ACCOUNT OF APPROPRIATION FOR
101 General/108 ESE/109 Monon Center
1
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 A32257 4359000 $ 30.52 1 hereby certify that the attached invoice(s), or
1081-2 A32257 4239039 $ 29.29 1 bill(s)is(are)true and correct and that the
1081-5 A32257 4239039 $ 23.22 .materials or services itemized thereon for
1081-7 A32257 4239039 $ 24.68 which charge is made were ordered and
1081-8 A32257 4239039 $ 216.80 received except
1081-11 A32257 4239039 $ 34.07
1096-22 A32257 4239039 $ 82.24
1096-35 A32257 4340800 $ 25.63
i
April 27, 2016
I
Signature
$ 466.45 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Tt4 1Y.11S,p,y Kf
P.O.Box 1648 �Customer,No � ,;F L2267 -
Hutchinson,KS 87504-1648
i - RETURN SERVICE REQUESTED
RECE! yS�tate�mentDate 4/23/2016
Due Date: DUE UPON RECEIPT
.7APP 2 6 2016 , Amount Due: $466.45
BY:
PAULA SCHLEMMER
CARMEL CLAY PARKS& RECREATIO
1411 EAST 116TH STREET
CARMEL, IN 46032
„, Current ..,; " :,, .... +29,'x6 Days a• ;57.84 Days.,'
. . .
v
$466.45 11 $0.00 11 $0.00 $0.00 1 $0.00
ACCOUNT BILLING
xTIGKET t'O1REF'# C%1i2D# STOFtE3PROCESSED �. , AMOUNT
N,7
0216404474 088417 283 959 03/29/2016 $10.74
0216404667 144105 283 959 03/30/2016 $24.68
0216405067 269638 273 959 04/01/2016 $25.63
0316406219 268223 273 959 04/08/2016 $30.52
0316406240 291077 283 980 04/08/2016 $23.22
0316406901 080129 283 959 04/12/2016 $23.33
0316407409 188166 283 959 04/14/2016 $11.23
0316408091 016795 283 959 04/18/2016 $18.06
0316408610 134651 273 959 04/20/2016 $82.24
0316408844 198565 283 959 04/21/2016 $216.80
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Ayla ext.65563 or Sarah ext.61825)or by email(ayla.george@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.
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