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307002 1/12/17
i w 4��� �/ �E CITY OF CARMEL, INDIANA VENDOR: 178 CHECK AMOUNT: $*******627.15* ONE CIVIC SQUARE KROGER CO CHECK NUMBER: 307002 CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES '•.- - PITTSBURG X 644467 15264-4467 CHECK DATE: 01/12/17 FON DEPARTMENT ACCOUNT PO NUMB R INVOICE NUMBER AMOUNT DESCRIPTION A32257 495.75 GENERAL PROGRAM SUPPL 1081 4239039 1096 4239039 A32257 131.40 GENERAL PROGRAM SUPPL $ 0 0 0 0 0 o o -D w § CO 00 OD CO m 2 0 o 0 e 0 q CD � & Q - R 2 2 > g K 2 Go 0 � ] V-) z O a 9 A w w w w w w $ c ECD \ cr � K) K) IQ k 2 2 / 7 g q q q q q § 0 2 CD © $ > t k � » $ � t 0 2 X K c J A co co $ co co � § 0 2 0 \ k co (D co � co k j CD f 0 > o CL :33E --1 ~ w lw 49 4A 40 69 - p 9 2 2 2 $� $ \ Xm CO q k Q o w a a cn o@ o 0 0 Q ] n ? m_ = I ƒ¢ Z =r - ] E g � E aCL a - Q 3 0 k $ G ] ( & \ ® § C \ k » ƒ kk k m 0 CD m M 2 2 CL \ t -- F. CL k \ < § o / g =_ K E � f | 0 0 P.o.Box 1646 Customer No: A32257 Hutchinson,KS 67604-1648 1 RETURN SERVICE REQUESTED Statement Date: 12/31/2016 Due Date: DUE UPON RECEIPT Amount Due: $627.15 ACCOUNT BILLING 1216452903 097857 283 959 12/13/2016 $65.32 1216452905 283 959 12/13/2016 ($1.73) 1216453606 476936 283 959 12/16/2016 $70.19 1216454007 072300 273 959 12/19/2016 $26.04 1216455458 316928 273 959 12/30/2016 $63.79 I I For questions or copies,please contact Kroger Accounts Re able 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 pron ly and advise if payments have been made.There will be a$5.00 fee for each ticket copy requested. Please retai I the top portion for your records Page 2 of 2 P. .Box 0 bas Customer No: A32257 Hutchinson,KS 67504-1648 RETURN SERVICE REQUESTED Statement Date: 12/31/2016 Due Date: DUE UPON RECEIPT Amount Due: $627.15 PAULA SCHLEMMER �Rr—I'IT DD CARMEL CLAY PARKS & RECREA 10 JAN 0 3 2011 1411 EAST 116TH STREET CARMEL, IN 46032 BY: $602.84 1 $24.31 $0.00 $0.00 1 $0.00 ACCOUNT BILLING � 1116451147 044059 273 959 12/05/2016 $16.10 1116451148 017824 283 959 12/05/2016 $8.21 1116451669 186489 283 959 12/07/2016 $58.96 1116451902 287481 283 959 12/08/2016 $74.83 1116452039 352721 283 804 12/09/2016 $44.85 1116452151 359067 283 959 12/09/2016 $74.15 1116452152 367271 273 959 12/09/2016 $10.77 1116452153 367391 273 959 12/09/2016 $14.70 1116452155 374464 283 959 12/09/2016 $10.98 1216452607 018382 283 959 12/12/2016 $89.99 For questions or copies,please contact Kroger Accounts Reoei ble 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 prom ly 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 2 Tear Along Pert iration and Return Bottom Portion Page 1 Of 2 TICKETS AMT nCKE IS AMT Customer No: A32257 1116451147 $16.10 111645 51 $74.15 1116451148 $8.21 111646 {152 $10.77 Statement Date: 12/31/2016 1116451669 $58.96 111645 1153 $14.70 Amount Due: $627.15 1116451902 $74.83 111645'155 $10.98 1116452039 $44.85 121645 07 $89.99 Amount Enclosed: ease m ica e e s ng pai y placing a e Ox in tne correspon i x.it amou nt paid is differen,pease denote the amount. I I REMIT PAYMENT TO: Central Customer Charges PO Box 644467 Pittsburgh, PA 15264-4467