318618 11/15/2017 CITY OF CARMEL, INDIANA VENDOR: 178002 ,,
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $ ,,,,,,,,777.77
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 318618
PITTSBURG X 644467
444 77 5264-4467 CHECK DATE: 11/15/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 758.10 GENERAL PROGRAM SUPPL
1096 4239039 A32257 19.67 GENERAL PROGRAM SUPPL
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P.O.Boz 1648 ' s'
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED '
Due Date: DUE UPON RECEIPT
Amount Due: $777.77
PAULA SCHLEMMER
CARMEL CLAY PARKS&RECREATIO
1411 EAST 116TH STREET
CARMEL, IN 46032
777-77 $0.00 $0.00 $0.00 $0.00
::9
ACCOUNT BILLING
0917507481 166029 283 959 10/12/2017 $12.38
0917507482 174812 283 959 10/12/2017 $62.93
0917507708 251989 273 959 10/13/2017 $9.99
1017508342 077086 273 959 10/17/2017 $65.49
1017509616 068579 283 959 10/24/2017 $13.29
1017509883 135125 283 959 10/25/2017 $71.28
1017509885 126126 283 959 10/25/2017 $21.63
1017509886 126236 283 959 10/25/2017 $48.30
1017510127 202936 283 959 10/26/2017 $214.47
1017510130 196395 283 959 10/26/2017 $88.77
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-3274911(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 patron for your records Page 1 of 2
P.O.Box 1648 Customer No: A32257
Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED Statement Date: 11/4/2017
Due Date: DUE UPON RECEIPT
Amount Due: $777.77
ACCOUNT BILLING
z
OA
1017510132 201657 283 959 10/26/2017 $48.86
1017510133 198005 283 959 10/2612017 $68.96
1017510347 308871 273 959 10/27/2017 $9.89
1017511088 126956 283 959 10/31/2017 $38.56
1017511322 194892 283 959 11/01/2017 $3.18
1017511538 273 959 11/02/2017 ($0.21)
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 I
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. — I
Please retain the top portion for your records Page 2 of 2
----------------------------------------------------------------------------------------------
Tear Along Perforation and Return Bottom Portion Page 2 of 2
TICKETS AMT vp TICKETS AMT 40 Customer No: A32257
1017510132 $48.86 1017511088 $38.56 Statement Date: 11/4/2017
1017510133 $68.96 1017511322 $3.18
1017510347 $9.89 1017511538 ($0.21) Amount Due: $777.77
Amount Enclosed:
REMIT PAYMENT TO:
Central Customer Charges
PO Box 644467
�ease indicate tickets Ering paid by placing a cneckoox in the corresponding box.it Aunt paid is different,please Pittsburgh, PA 152644467
denote the amount.