304288 10/20/16 CITY OF CARMEL, INDIANA VENDOR: 178002
® ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******520.92*
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 304288
PO BOX 644467 CHECK DATE: 10/20/16
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 500.98 GENERAL PROGRAM SUPPL
1096 4239039 A32257 19.94 GENERAL PROGRAM SUPPL
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 520.92
ON ACCOUNT OF APPROPRIATION FOR
108 ESE/109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-2 A32257 4239039 $ 92.40 1 hereby certify that the attached invoice(s), or
1081-4 A32257 4239039 $ 38.07 bill(s) is(are)true and correct and that the
1081-9 A32257 4239039 $ 227.11 materials or services itemized thereon for
1081-11 A32257 4239039 $ 143.40 which charge is made were ordered and
1096-60 A32257 4239039 $ 19.94 received except
October 12, 2016
Signature
$ 520.92 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
10/8/16 A32257 General Program supplies $ 92.40
10/8/16 A32257 General Program supplies $ 38.07
10/8/16 A32257 General Program supplies $ 227.11
10/8/16 A32257 General Program supplies $ 143.40
10/8/16 A32257 General Program supplies $ 19.94
1 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 $ 520.92
, 20
Clerk-Treasurer
P.O.Box 1648 CUStOfil�eC NO t , � 'Y f S?iti �f" { u
Hutchinson,Ks 67504-1648 -. _ �; r i A32257
+:4 RETUR SERVICE REQUESTED CEI V .�.=+dam / j'rT '' J 5 1
_.,N y y12016
��018
0 C T 1 /201.6
20 16 Due Date: DUE UPON RECEIPT
BY:
Am-duh, r--,;- $52Q 92;-
PAULA SCHLEMMER
CARMEL CLAY PARKS & RECREATIO
1411 EAST 116TH STREET
CARMEL, IN 46032
29;;56 ..,
$482.85 $38.07 $0.00 $0.00 $0.00
ACCOUNT BILLING
TICKET P O/REF# CARD# STQRE MATE TICKET, AMOUNT
PR,�CESSED
0816434383 010436 283 959 09/12/2016 $38.07
0816434957 116474 273 959 09/14/2016 $19.94
0916436097 068078 283 959 09/20/2016 $99.83
0916436358 136880 283 959 09/21/2016 $43.57
0916436909 345336 283 959 09/24/2016 $227.11
0916437924 175565 283 959 09/29/2016 $92.40
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
----_—_-- Pagel oft