315123 08/22/17 CITY OF CARMEL, INDIANA VENDOR: 178002
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******699.98*
s ?� CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 315123
PO BOX 644467 CHECK DATE: 08/22/17
PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 265.37 GENERAL PROGRAM SUPPL
1082 4239039 A32257 409.70 GENERAL PROGRAM SUPPL
1096 4239039 A32257 24.91 GENERAL PROGRAM SUPPL
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
$ 77.01
8/12/17 A32257 General Program supplies $ 188.36
8/12/17 A32257 General Program supplies $ 35.91
8/12/17 A32257 General Pro ram supplies $ 26.45
8/12/17 A32257 General Program supplies $ 58.85
8/12/17 ;32257 General Program supplies $ 288.49
8/12/17 A32257 General Program supplies $ 24.91
8/12/17 A32257 General Program supplies
I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
$ 699.98
with IC 5-11-10-1.6
20_
Clerk-Treasurer
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 8/12/2017
Due Date: DUE UPON RECEIPT
Amount Due: $699.98
PAULA SCHLEMMER -
CARMEL CLAY PARKS& RECREATIO
1411 EAST 116TH STREET
CARMEL, IN 46032 AUG 1 J 201
BY: .......
o. _.. .. _.. .- ., ,
$699.98 $0.00 $0.00 $0.00 $0.00
ACCOUNT BILLING
"U JP�a77 .��,yf�" �yr�a�r Q �$ I P WIN,
0617492262 198925 273 959 07/20/2017 $6.62
0717493401 254330 283 959 07/27/2017 $23.58
0717493402 254595 283 959 07/27/2017 $12.33
0717493403 245720 273 959 07/27/2017 $11.72
0717493967 097337 283 959 08/01/2017 $77.01
0717494162 176282 283 959 08/02/2017 $141.80
0717494163 176542 283 959 08/02/2017 $50.94
0717494164 145507 283 959 08/02/2017 $26.45
0717494335 279367 283 959 08/03/2017 $58.85
0717494336 215095 283 959 08/03/2017 $188.36
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=ticket 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: 8/12/2017
Due Date: DUE UPON RECEIPT
Amount Due: $699.98
ACCOUNT BILLING
, "/ ,. � ..a:.,t�,
0717494665 297722 283 959 08/04/2017 $20.93
0717494666 298016 283 959 08/04/2017 $74.82
0717494667 324851 273 959 08/04/2017 $6.57
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 2 of 2
----------------------------------------------------------------------------------------------
TearAlong Perforation and Return Bottom Portion Page 2 of 2
TICKETS AMT TICKETS AMT Customer No: A32257
0717494665 $20.93 0717494667 $6.57
0717494666 $74.82 Statement Date: 8/12/2017
Amount Due: $699.98
Amount Enclosed:
REMIT PAYMENT TO:
Central Customer Charges
PO Box 644467
ease indicate tickets 6;-ing-pLaig By placing a c lerKbOX in the corresponding tox If amount paid is different,please Pittsburgh, PA 15264-4467
denote the amount.