HomeMy WebLinkAbout258446 05/10/16 CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $""•"""46.16"
r. ?� CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 258446
PO BOX 644467 CHECK DATE: 05/10/16
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT P0.NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 A03849 46.16 TRAVEL & LODGING
VOUCHER NO. WARRANT NO.
ALLOWED 20
KROGER CO
CENTRAL CUSTOMER CHARGES
IN SUM OF$
PO BOX 644467
PITTSBURG, PA 15264-4467
$46.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
0216404231 43-430.03 $6.99 1 hereby certify that the attached invoice(s), or
1110 101
0216404473 43-430.03 $22.83 bill(s) is (are)true and correct and that the
1110 101 materials or services itemized thereon for
0316406904 43-430.03 $5.34
1110 101 which charge is made were ordered and
0316408612 43-430.03 $11.00 received except
1110 101
Tuesda , May 03, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/28/16 0216404231 event refreshments $6.99
1110 101
03/29/16 0216404473 event refreshments $22.83
1110 101
04/12/16 0316406904 event refreshments $5.34
1110 101
04/20/16 0316408612 event refreshments $11.00
1110 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
20
Clerk-Treasurer
P.O.Box 1648 Customer No: A03849
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 4/23I2016 .
Due Date: DUE UPON RECEIPT
Amount Due: $46.16
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
Current 29-66 Days 57-84 Days 85-112 Days 113+Days
$39.17 $6.99 - $0.00 $0.00 $0.00
ACCOUNT BILLING
TICKET P.OJREF# CARD# STORE DATE TICKET . AMOUNT
PROCESSED
0216404231 001022 000 959 03/28/2016 $6.99
0216404473 075513 010 959 03/29/2016 $22.83
0316406904 073964 010 959 04/12/2016 $5.34
0316408612 137882 000 959 04/20/2016 $11.00
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911 (A la 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.
Please retain the top portion for your records Page 1 of 1
--------------_-------------- .. —- ---------------------------------------------------------
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Great food.
Low prices.
1217 S. RANGELINE RD.-
317-846-4818
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KROGER PLUS CUSTOMER **#####8830
KROGER TEA .PC . 1.50 B
Sc KROGER SAVINGS 0.79
KROGER TEA PC 1.50 B
SC KROGER SAVINGS 0.79
HOMECITY ICE 4.59 F
TKYH LEMONADE 2.99 B
KROGER PLUS CUSTOMER 40#0#8830
TAX 0�2�
### BALANCE 11.00
IN 46032
PRVT LABEL Purchase
####*##**##*8493 - SWIPED
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1217 S. RANGELINE RD.
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#### BALANCE 6.99
IN 46032
PRVT LABEL Purchase
############8493 - SWIPED
REF#: 001022 TOTAL: 6.99
PRVT LABEL
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TOTAL NUMBER OF ITEMS SOLD = 1
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