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314115 7/26/2017 CITY OF CARMEL, INDIANA VENDOR: 178002 ONE CIVIC SQUARE KROGER CO x CHECK AMOUNT: S 667.18' 4 CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 314115 PO BOX 644467 CHECK DATE: 07/26/17 �D'roN 4° PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4239039 A32257 608.61 GENERAL PROGRAM SUPPL 1096 4239039 A32257 54.38 GENERAL PROGRAM SUPPL 1125 4238900 A32257 4.19 OTHER MAINT SUPPLIES 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 7/15/17 A32257 Other Maintenance Supplies $ 4.19 7/15/17 A32257 General Program supplies $ 24.90 7/15/17 A32257 General Program supplies $ 162.10 7/15/17 A32257 General Program supplies $ 185.25 7/15/17 A32257 General Program supplies $ 157.70 7/15/17 A32257 General Program supplies $ 14.02 7/15/17 A32257 General Program supplies $ 64.64 7/15/17 A32257 General Program supplies $ 15.55 7/15/17 A32257 General Program supplies $ 38.83 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 $ 667.18 , 20 Clerk-Treasurer P.o.Box 1648 Customer No: A32257 Hutchinson,KS 67504-1648 4D RETURN SERVICE REQUESTED Statement Date: 7/15/2017 Due Date: DUE UPON RECEIPT F'4r° .� ,D Amount Due: $667.18 UL 1 8 2011 - - PAULA SCHLEMMER CARMEL CLAY PARKS&RECREATIO 1411 EAST 116TH STREET CARMEL, IN 46032 $667.18 1 $0.00 1 $0.00 $0.00 $0.00 ACCOUNT BILLING 0617489045 197796 283 959 06/29/2017 $11.90 0617489047 209657 283 959 06/29/2017 $162.10 0617489960 202889 283 959 07/06/2017 $14.02 0617489961 219697 273 959 07/06/2017 $15.41 0617490157 297825 273 959 07/07/2017 $15.55 0617490158 295445 283 959 07/07/2017 $64.64 0617490529 005986 283 959 07/10/2017 $333.57 0617490712 087585 233 959 07/11/2017 $4.19 0617491107 226347 273 959 07/13/2017 $23.42 0617491298 278141 283 959 07/14/2017 $9.38 For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Art ext.66673 or Sarah ext.61825)or by email(arthur.pina@kroger.com or sarah.mora@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.At this time Kroger Private Label Charge Cards are not accepted for CLICKLIST purchases. Please retain the top portion for your records Page 1 of 2 ------------------------ P.O.Box 1648 Customer No: A32257 Hutchinson,KS 67504-1648 RETURN SERVICE REQUESTED Statement Date: 7/15/2017 Due Date: DUE UPON RECEIPT Amount Due: $667.18 ACCOUNT BILLING 0617491299 266476 283 959 07/14/2017 $13.00 For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Art ext.66673 or Sarah ext.61825)or by email(arthur.pina@kroger.com or sarah.mora@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.At this time Kroger Private Label Charge Cards are not accepted for CLICKLIST purchases. Fiease retain the top portion for your records Page 2 of 2 ------------------------------------------ - -------------------------------------