188409 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $324.82
PO BOX 644467
CHECK NUMBER: 188409
PITTSBURG PA 15264 -4467
CHECK DATE: 813/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 170.63 GENERAL PROGRAM SUPPL
1082 4239039 A32257 126.52 GENERAL PROGRAM SUPPL
1096 4239039 A32257 27.67 GENERAL PROGRAM SUPPL
%ear along perforalrat antCrehnn top portion.
ACCOUNT BILLING
Outstanding As Gf Due Date Customer Number' AMOUNT DUE
07/17/2010 08/14/2010 A32257 $1,622.47
DATE TICKET.
TICKET P.O./REF STORE, AMOUNT_
—:PROCESSED
443191 068729 263 959 05/25/2010 22.92
443192 068952 263 959 05/25/2010 59.45
443193 070414 263 959 05/25/2010 104.95
443194 070737 263 959 05/25/2010 169.66
443195 070827 263 959 05/25/2010 11.42
443541 117530 263 998 05/26/2010 141.90
443542 118591 263 998 05/26/2010 6.58
443543 0 263 998, 05/26/2010 15.88-
443797 171484 :'263 :959', 05/27/2010 33.13
443798 178337 c -263 959 05/27/2010 170.63
443832 181566 N :263 998 05/27/2010 44.97
444065 257016 233 _959 05/28/2010 14.99
r
514438 399426 0 233 959,
,05/31/ 0 9.72
514715 038290 263 959 06/01/2010 43.16
515532 182591 263 959 T 06/04/2010 86.64
515533 185056 .233 ...959 `06/04/2010 41.89
526023 001192 r 263 959 06/07/2010 65.14
526803 155787 233 959 06/1`0/2010 29.98
526805 164450 263 959 06/10/2010 44.31
526806 175405 263 959 06/10/2010 33.11
537532 007359 263 959, 06/14/2010 38.40
537533 012074 263 959 06/14/2010 245.52
537534 014229 273 959 06/14/2010 2.65
538329 165881 263 959 06/17/2010 38.05
538586 211982 233 959 06/18/2010 24.99
549036 011003 273 959 06/21/2010 27.67
549037 021083 263 959 06/21/2010 10.22
611038 134540 263 959 06/30/2010 30.46
For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 63250) or
email us at kash.carheI6desk@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 Jor your records. Page 1 Of 2
e
ar along perforation and return top portion.
ACCOUNT BILLING
Outstanding As Of Due Date:. Customer Number., AMOUNT DUE
07/17/2010 08/14/2010 A32257 $1,622.47
TICKET.' DATE-TICKET
P.O./REF, #ASTORE A'MOUNT1
PROCESSED
611296 161345 263 959 07/01/2010 22.77
633246 024134 263 959 07/12/2010 10.23
633748 099225 263 959 07/14/2010 34.77
633749 112927 263 959 07/14/2010 18.07
For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (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 hotlont portion for your records. Page; 2 Of 2
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BY
Kroger Fund 1 08 1 082 I I I I 1
General General General�General General I General
Prog Prog Prog Prog Prog Program
Supplies Supplies Supplies Supplies Supplies Supplies
V#178002 Invoice 4239039 4239039 42390391 4239039 4239039 1 4239039
1081 -4 1082 -2 1082 -3 1082 -4 1082 -7 I 1096 -70
6/21/10 11003 27.67
6/21/101 210831 10.22 J
6/30/101 1345401 1 30.46
7/1/101 161345 1 22.77
5127/10 170.63
7/12/101 240341 10.231
7/14/101 1129271 18.071
7/14/101 992251 1 34.77
1 170.63 50.91 22.77 34.77 18.07 27.67 324.82
K roger Fund 108 1082 1 1Fun 109 TOTAL
General General General General General General
Prog Prog Prog Prog Prog Program
Supplies Supplies Supplies Supplies Supplies Supplies
V #178002 Invoice 1 42390391 4239039 4239039 4239039 42390391 1 42390391
1081 -4 1 11082 -2 1082 -3 1082 -4 1082 -7 1 11096.70 1
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
7117110 A32257 General Program supplies 170.63
7117110 A32257 General Program supplies 50.91
7/17110 A32257 General Program supplies 22.77
7117110 A32257 General Program supplies 34.77
7117110 A32257 General Program supplies 18.07
7117110 A32257 General Program supplies 27.67
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
20_ Total 324.82
Clerk Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264 -4467 In Sum of
324.82
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -4 A32257 4239039 170.63 1 hereby certify that the attached invoice(s), or
1082 -2 A32257 4239039 50.91 bitl(s) is (are) true and correct and that the
1082 -3 A32257 4239039 22.77 materials or services itemized thereon for
1082 -4 A32257 4239039 34.77 which charge is made were ordered and
1082 -7 A32257 4239039 18.07 received except
1096 -70 A32257 4239039 27.67
29 -Jul 2010
Signature
324.82 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund