308183 02/13/17 CITY OF CARMEL, INDIANA VENDOR: 178002
® ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $**"***134.09`
CARMEL, INDIANA 46032
CENTRAL CUSTOMER CHARGES CHECK NUMBER: 308183
PO Box 644467 CHECK DATE: 02/13/17
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 A03849 134.09 TRAVEL & LODGING
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
Vendor# 178002 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
KROGER CO IN SUM OF$ CITY OF CARMEL
CENTRAL CUSTOMER CHARGES An invoice or bill to be properly itemized must show:kind ofservice,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
PITTSBURG, PA 15264-4467
Payee
$134.09
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
134.09 43-430.03 $134.09 1 hereby certify that the attached invoice(s),or 1/28/17 134.09 refreshments-Klein retirement $134.09
1110 101 1110 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, February 10,2017
Green,Tim
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
P.O.Box 1648 Customer No: A03849
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 1/28/2017
Due-Date: DUE UPON RECEIPT
Amount Due: $134.09
ACCOUNTS PAYABLE
CARMEL POLICE DEPT
3 CIVIC SQUARE
CARMEL,IN 46032
Current 29-56 Days 57-84 Days 85-112 Days 113+Days
$134.09 $0.00 $0.00 $0:00 $0.00
ACCOUNT BILLING
TICKET P.OJREF# CARD# STORE DATE TICKET . AMOUNT
PROCESSED
1216455894 006851 000 959 01/03/2017 $15.97
1216455895 006516 000 959 01/03/2017 $102.94
1216456265 164293 010 959 ' 01/05/2017 .$15.18
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Hyla 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.
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