301407 07/28/16 u±.4ngy CITY OF CARMEL, INDIANA VENDOR: 178002
G/ P�
® ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $********68.86*
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 301407
PO BOX 644467 CHECK DATE: 07/28/16
P17SBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 A03849 68.86 OTHER EXPENSES
i
P.O.sox 1648 Customer No: A03849
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 7/16/2016
Due Date: DUE UPON RECEIPT
Amount Due: $94.00
I
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL, IN 46032
Current 29-56 Days 57=84 Days IL85-112 Days 113+Days
$22.43 $71.57 $0.00 11 $0.00 $0.00
ACCOUNT BILLING
j TICKET P.O./REF# CARD# STORE DATE TICKET AMOUNT
PROCESSED
0516417074 135844 000 959 06/02/2016 *$10.01
0516418071 147522 010 959 06/08/2016 "`$13.34
0516420071 005064 030 959 06/20/2016 $48.22-
0516420863 269033 000 959 06/24/2016 k S.\tr $15.86-
0616421424 062887 000 959 06/28/2016 $6.57
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$5.00 fee for each ticket copy requested.
Please retain the top portion for your records Page 1 of 1
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995)
KROGER CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CENTRAL CUSTOMER CHARGES IN SUM OF$ CITY OF CARMEL
PO BOX 644467 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PITTSBURG, PA 15264-4467 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
0 50-239.90 $47.13 1 hereby certify that the attached invoice(s),or 7/16/16 0 teen academy refreshments $47.13
1110A0 852 1 1110 852
bill(s)is(are)true and correct and that the
Q' materials or services itemized thereon for
2N.13 which charge is made were ordered and
received except
Wednesday,July 27,2016
Tim Green
Chief of Police
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
tribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer