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181598 01/20/2010
CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 ONE CIVIC SQUARE KROGER CO •I* CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $1,011.46 6 0 0 PO BOX 644467 CHECK NUMBER: 181598 PITTSBURG PA 15264 -4467 CHECK DATE: 1/20/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 PARKS 696.37 GENERAL PROGRAM SUPPL 1095 4341993 PARKS 211.84 CATERING SERVICE 1096 4239039 PARKS 103.25 GENERAL PROGRAM SUPPL Tear along perforation and return top portion. ACCOUNT BILLING E Outstandin As Pt a Due Date Customer u b E A MOUN T DUE 01/03/2010 01/31/2010 A32257 $2,189.15 >a a y i pEJ i' r, a sp a 3 re, 3 r 3 d y m r E E TICKET P O lFtEp' #l: a STORE DATE TICKET Y A A MOUNT e PROCESSE© f a <ra� f i r�v�' r� r n rd� a% i tiw>,s^.�,�� �s m.: sic:.. n €o.-e h� A10392 139932 233 959 10/23/2009 54.98 A32657 006132 233 959 11/01/2009 24.99 A33271 064283 273 959 11/03/2009 50.61 A34190 235567 233 959 11/06/2009 49.98 A45087 046920 273 959 11/10/2009 50.92 A46040 156898 263 2 w ,959 11/13/2009 168.11 A46041 158504 X 273 4 959 11/13/2009 12.17 A46042 161927 263 i 959 11 /13/2009 9.74 B 16354 102871 263 ry g 086q 16/2009 158.75 B16355 263 x 086 11 5.14- B16659 001239 A 233 l x ,9 5 9,4 1 1/16/2009 14.54 B16999 123571 ol it R 3 273 4 4° X959 a.i' a 1x1/17/2009 15.01 �a� B18013 240919 233 959 r `-11/20/2009 124.95 B28989 10851.2 Kai L E- 4592____ 1.1 /24/2009 54.94 828990 138522 273 i 59 w11 24.91 B29422 200148 ,t;:: 11 /27/2009 99.96 a 233 B30933 182519 h.. 263 959 12/03/2009 100.51 B30934 185353 ,i 233 '2/0 3/2 009 24.99 B31212 224345 sg X263 r X12/04/2009 67.80 B31213 241539 2 233 959 X1'2/04/2009 74.97 B43092 227423 z. 959 a,' 12/11/2009 39.48 B43093 229388 263 -'19 4 X 959 12/11/2009 36.60 B43094 234562 263 959 12/11/2009 24.10 B43097 246799 233 959 12/11/2009 99.96 B43253 279619 273 959 12/12/2009 83.19 C13376 309798 233 959 12/13/2009 16.44 C13713 004715 263 959 12/14/2009 67.63 C13714 007366 263 959 12/14/2009 29.46 For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327 -491 l(EXT. 65563 or 63250) or email us at kash.carhelpdesk @kroger.com. Please review your account promptly and advise if payments have been made. There will be a $5 fee for each ticket copy requested. Please retain bottom portion for your records. Page: 1 of 2 Tear along perforation and return tap portion. ACCOUNT BILLING W W Outstanding A d Du Date N k Y C us tome r Numb e AMOUNT Dt1E y x 01 /03/2010 01/31/2010 A32257 $2,189.15 gT[CKET° ,P: O f R EF 3' P4R STO� D A TE S TI CKET AMOl1NT' i d x A PROCE g n- lmeQ s.�.,. I -F., 'fi,�, ?«a.FC h a r..t, ,.H.,, ,4 a C13715 263 959 12/14/2009 2.69- 014069 057850 263 959 12/15/2009 126.24 C14410 137341 263 959 12/16/2009 34.74 C14834 186550 263 959 12/17/2009 38.32 C 14835 190133 273 959 12/17/2009 20.06 C 15139 229480 263 1 2/18/2009 96.08 C15140 229614263 9 12/18/2009 100.20 C15141 229731 263 x' 959 12/18/2009 75.86 C15142 247378 �,233 959 1211$/2009 70.45 C25992 085660 233 9 59 �d X 12/ 2 2/2009 24.99 C37098 087440 263 9 59 12/30/2009 30.35 s a d 9 4 v d P E j 1 a,a fo I/I Lt6 pai 1 [g1D For questions or copies, please contact Kroger Accounts Receivable toll free al 888- 327- 4911(EXT 65563 or 63250) or email us at kash.carhelpdesk @kro r er.com. Please review your account promptly and advise il' payments have been made. There will be a $5 fee for each ticket copy requested. Please retain bottom portion for your records. Page: 2 of 2 Kroger 1 Fund 1046 1 1 Fund 1047 General General Ge neral General General General General General General General Program Program Program Program Program Program Program Program Prog Prog Catering Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplie Supplie service 1 1081 -1 1081 -2 1081 -4 1081 -5 1081 -7 1081 -8 1081 -10 1081 -99 1096 -60 1096 -70 1095 -2 V #178002 Invoice 4239039: 4239039: 4239039. L_4239039. 4239039- -4239039:,=.4239039. _4239039 .4239039 4239039 4341993 a 12/11/09 229388 36.60 12/11/09 234562 C 24.10 12/11/09 227423 39.48 1 12/11/09 246799 99.96 12/12/09 279619 -C 83.19 12/13/09 3097981 C 16.44 12/14/09 4715 1 1 67.63 1 12/14/09 7366 29.46 12/14/09 73661 -2.69 12/15/09 57850 1 1262 12/16/091 137341 34.74 12/17/09 190133 20.06 12/17/09 186550 38.32 1 1 12/18/09 229480 96.08 12/18/09 229614 12/18/09 229731 75.86 12/18/09 247378 1 1 70.45 12/22/09 85660 1 24.99 12/30/091 87440 1 30.35 1 J 26.77 62.42 MIEI 67.63 36.60 75.86 126.24 226.63 83.19 20.06 211.84 1 TOTAL 1011.46 1081 -1 11081 -2 1081 -4 1081 -5 11081 -7 1081 -8 1081 -10 1081 -99 1096 -60 1096 -70 1095 -2 239637 43 390371 42 4 !�x t 434_19a3,____ General General Prog Prog Club Club Club Club Club Club Club Other Supplie Supplie Catering Supplies Supplies Supplies Supplies ,Supplies Supplies Supplies Misc. s s service 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 1/3/10 A32257 Club supplies 26.77 1/3/10 A32257 Club supplies 62.42 1/3/10 A32257 Club supplies 39.48 1/3/10 Club supplies 67.63 1/3/10 A32257 Club supplies 36.60 1/3/10 A32257 Club supplies r 75.86 1/3/10 A32257 Club supplies 126,24 1/3/10 A32257 Awards Prizes 34.74 1/3/10 A32257 Other Misc 226.63 1/3/10 A32257 General Program supplies 83.19 1/3/10 A32257 General Program supplies 20.06 1/3/10 A32257 ,Catering 211.84 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 20` Total 1,011.46 Clerk- Treasurer Voucher No. Warrant No. Allowed 20 178002 Kroger Central Customer Charges P.O. Box 644467 Pittsburgh, PA 15264 -4467 In Sum of 1,011.46 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 109 Monon Center PO# or Board Members INVOICE NO. ACCT #ITITLE AMOUNT Dept 1081 -1 A32257 4239039 26.77 I hereby certify that the attached invoice(s), or 1081 -2 A32257 4239039 62.42 bill(s) is (are) true and correct and that the 1081 -4 A32257 4239039 39.48 materials or services itemized thereon for 1081 -5 A32257 4239039 67.63 which charge is made were ordered and 1081 -7 A32257 4239039 36.60 received except 1081 -8 A32257 4239039 75.86 1081 -10 A32257 4239039 126.24 1081 -4 A32257 4239039 34.74 1081 -99 A32257 4239039 226.63 1096 -60 A32257 4239039 83.19 14 -Jan 2010 1096 -70 A32257 4239039 20.06 1095 -2 A32257 4341993 211.84 Signature 1,011.46 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund