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HomeMy WebLinkAbout332687 11/21/18 4% c,AyR. CITY OF CARMEL, INDIANA VENDOR: 178002 • ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $*******181.74* r a CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 332687 PO BOX 644467 CHECK DATE: 11/21/18 pro"°o PITTSBURG PA 15264-4467 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4355100 A33058 181.74 PROMOTIONAL FUNDS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 178002 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER KROGER CO IN SUM OF$ CITY OF CARMEL CENTRAL CUSTOMER CHARGES An invoice or bill to be properly itemized must show:kind of service,where performed,dates service PO BOX 644467 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. PITTSBURG, PA 15264-4467 Payee - $181.74 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel Fire 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 A33058 43-551.00 $181.74 1 hereby certify that the attached invoice(s),or 11/18/18 A33058 Misc.Supplies $181.74 1120 101 1120 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 Sunday, November 18,2018 David Haboush Fire Chief 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer -P.O.Box 1648 Customer No: A33058 Hutchinson,KS 67504-1648 RETURN SERVICE REQUESTED Statement Date: 11/10/2018 Due Date: DUE UPON RECEIPT Amount Due: $181.74 HelWe o DENISE SNYDER ements! CARMEL FIRE DEPARTMENT o scall 2 CIVIC SQ 888-327.4911 Today! CARMEL, IN 46032 Current 29-56 Days 57-84 Days 85-112 Days 113+.Days $14.95 $166.79 $0.00 $0.00 $0.00 ACCOUNT BILLING TICKET P.OdREF# CARD# STORE DATE TICKET AMOUNT PROCESSED 0918570451 035442 033 959 10/15/2018 $166.79 1018572556 259737 033 959 10/26/2018 $14.95 For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Bailey Huhs ext.61873)or by email(bailey.huhs@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 1