310067 04/10/17 @CITY OF CARMEL, INDIANA VENDOR: 368968
ONE CIVIC SQUARE KELLI PRADER CHECK AMOUNT: $ ...**105.98*
CARMEL, INDIANA 46032 3920 VERDURE LANE CHECK NUMBER: 310067
ZIONSVILLE IN 46077 CHECK DATE: 04/10/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 105.98 FESTIVAL COMMUNITY EV
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EMPLOYEE REIMBURSEMENT
Sales tax is not reimbursable
NAME: I rrAkr--
ADDRESS:
tV Vl
TOTAL$AMOUNT OF RECEIP (S)LON THIS P G :$ 2,1
PURPOSE OF EXPENSE: V IeT Y hjr
Use separate sheet for different purposes or events, as account coding may vary
AFFIX ORIGINAL RECEIPT(S) BELOW OR ATTACH, IF RECEIPT IS FULL PAGE
r MkZ
a
0 rooer
Official Grocery Stare of the Indiana Pa
1217 S. RANGELINE RD.
317-846-4810
Your cashier was MICHELE
MRBL. SHT CKE 52.99 F
MRBL SHT CKE 52.99 F
KROGER PLUS CUSTOMER *******4180
TAX 0.00
** BALANCE 105.98
CARMEL IN 46032
AMERICAN EXPRESS Purchase
*****«4$x*k1019 - C
REF#: 89351!i TOTAL.: 105.98
AID: A000000025010801
TC: DFFF131Bf)DB765D54
AMEN 105.98
CHANGE 0.00
TOTAL NUMBER OF ITEMS SOLD = 2
03/30/17 12:34pm 959 13 78 140
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Date: 03/30,x17
Time: 12:34ja
Entry ID: 041--334-78--959-13-91
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MARCH FUEL. POINTS
REDEEM 100P1S TO SAVE .10 PER GAL.
ON ONE PURCHASE OF UP TO 35 GAL.
SAVE UP TO $1 PER GAL. AT KROGER OR
.10 PER GAL AT SHELL ON 1 FILL-UP.
FUEL POINT::' THIS ORDER = 106- -
FUEL POINTS THIS MONTH = 170
THIS MONTHS POINTS EXPIRE 4/30/17.
VISIT WWW.KROGER,COM/FUEL FOR DETAILS
Annual Card Savings $23.91