303229 09/22/16 CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******265.40*
r ?� CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 303229
'M�roN. PO BOX 644467 CHECK DATE: 09/22/16
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 211.67 GENERAL PROGRAM SUPPL
1096 4239039 A32257 53.73 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 265.40
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 A32257 4239039 $ 91.31 1 hereby certify that the attached invoice(s), or
1081-7 A32257 4239039 $ 29.82 bill(s)is(are)true and correct and that the
1081-8 A32257 4239039 $ 90.54 materials or services itemized thereon for
1096-40 A32257 4239039 $ 29.97 which charge is made were ordered and
1096-60 A32257 4239039 $ 18.98 received except
1096-70 A32257 4239039 $ 4.78
September 14, 2016
'PAM"VVUAJ
Signature
265.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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
9/10/16 A32257 General Program supplies $ 91.31
9/10/16 A32257, General Program supplies $ 29.82
9/10/16 A32257 General Program supplies $ 90.54
9/10/16 A32257 General Program supplies $ 29.97
9/10/16 A32257 General Program supplies $ 18,98
9/10/16 A32257 General Program supplies $ 4.78
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 F Total $ 265.40
, 20
Clerk-Treasurer
. .
�C
� }
.0.Box 1648 Customer No:
Hutchinson,KS 67504-1648
F RETURN SERVICE REQUESTED
Statement Date: 911.0/20,
SEP 13 2016 Due Date: DUE UPON RECEIPT
.,�
PAULAGCHLEM&1ER
CARMEL CLAY PARKS&REOREAT|O
1411EAST 118THSTREET
CARMEL, |N4GO32
'
1206 ys:
06,
$265.40 11 $0.00 $0.00 $0.00 $0.00"
ACCOUNT BILLING
RE 'MAT 71ICKE
EF AIVIQUNT'
77,
A716430032 235167
283 959 08/19/2016 $67.48
.0816430911 ii 123119 283 959 08/24/2016 $23.83
0816431751 006339 283 959 08/29/2016 $29.82
0816431997 086576 273 959 08/30/2016 $18.98
-0816432459 204751 273 969 09/01/2016 $4.78
0816432688 242191 283 959 09/02/2016 $90.54
0816433927 220050 273 959 09/09/2016 $29.97
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.co
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 ficket copy requested.
Please retain the top portion toryour records Page 1 of 1
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