334414 01/18/19 CITY OF CARMEL, INDIANA VENDOR: 178002
CHECK AMOUNT: $*******363.82*
ONE CIVIC SQUARE KROGER CO
sa; CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK NUMBER: 334414
9M, PO BOX 644467 CHECK DATE: 01/18/19
iron PITTSBURG PA 15264-4467
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 206.02 GENERAL PROGRAM SUPPL
1096 4239039 A32257 157.80 GENE PROGRAM SUPPL
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 178002 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Kroger-Central Customer Charges Payee
P.O.Box 644467
Itts urg , PA fi5264--446 7 1 n —um--off 17 Purcnase order
178002 Kroger-Central Customer Charges Terms
$ 363.82 P.O. Box 644467 Date Due
Pittsburgh, PA 15264-4467
ON ACCOUNT OF APPROPRIATION FOR
108-ESE/109 Monon Center
PO#or nvolce Description
Dept# INVOICE NO. ACCT#(rITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1081-2 A32257 4239039 $ 72.11 Board Members 1/5/19 A32257 General Program Supplies $ 72.11
1081-7 A32257 4239039 $ 89.90 1/5/19 A32257 General Program Supplies $ 89.90
1081-11 A32257 4239039 1 $ 44.01 1 hereby certify that the attached invoice(s),or 1/5/19 A32257 General Program Supplies $ 44.01
1096-22 A32257 4239039 $ 50.30 bill(s)is(are)true and correct and that the 1/5119 A32257 General Program Supplies $ 50.30
1096-70 A32257 4239039 $ 107.50 materials or services itemized thereon for 1/5/19 A32257 General Program Supplies $ 107.50
which charge is made were ordered and
received except
$ 363.82 Total $ 363.82
January 8,2019
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
Cost distribution ledger classification if
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
P.O.Box 1648 ustomer NO: A32257�
Hutchinson,KS 67504-1648 If Iyi
;* RETURN SERVICE REQUESTED J'$ta @fit Date
DUe Date: DUE UPON RECEIPT
ECE/VE® Amount Due -
$363 82 iJ
By pschlemmer at 10:07 am, An 08, 2019
Help Us
C C�
PAULA SCHLEMMER /with- Statements!
CARMEL CLAY PARKS&RECREATIO To sign`=r3ptease call
1411 EAST 116TH STREET 888-327-4911 Today!
CARMEL, IN 46032
57-84 Days 85=112 Days:. `i, 11,3+-Days
$262.96 $110.86 1 $0.00 $0.00 11 $0.00
I
w
ACCOUNT BILLING
ttCKET `P.O./REF# CARb# ST ME DATE TICKED AMQUNT
.s ... PROCESSED
1118580412 052191 273 959 12/10/2018 $20.96
1118580413 012106 283 959 12/10/2018 $89.90
1118580661 093400 273 959 12/11/2018 $50.30
1118581320 354266 283 970 12/14/2018 $44.01
1218581721 042481 273 959 12/17/2018 $60.83
1218581963 156771 283 980 12/18/2018 $72.11
1218582344 311242 273 959 12/20/2018 $25.71
For questions or copies,please contact Kroger Accounts Receivable toll free at 888-327-4911(Art Pine ext.66673)or by email(art.pina@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