191270 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
0 ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $4.59
PO BOX 644467 CHECK NUMBER: 191270
PITTSBURG PA 15264 -4467
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT D ESCRIPTION
852 5023990 POLICE 4.59 OTHER EXPENSES
Q (1 A03849
P.O. Box 164$
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Hutchinson, KS 67504 -1648 Sty# @tried# DBfie 10/09/10
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cr RETURN SERVICE REQUESTED Ida #Q IiIQ 11106110
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CARMEL POLICE DEPT.
TERESA ANDERSON
3 CIVIC SQ
CARMEL, IN 46032 -2584
currant 29-56 Da s 5i" -84 85112 Da s�� t113 D s
$4.59
ACCOUNT MUM
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847430 005879 110 959 09/13/2010 $4.59
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327- 4911,(DAVE X65563 or BARBARA
X63250) 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 the top portion for your records Page: 1 of 1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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
Kroger Purchase Order No.
Central Customer Charges
P.O. Bo x644467 Terms
Pittsburgh, PA 15264 -4467
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1019/10 payment for ice for Citizen's Academy S
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger IN SUM OF
Central Customer Charges
P.O. Box 644467
Pittsburgh, pA 15264 4467
4.59
ON ACCOUNT OF APPROPRIATION FOR
polic g i f t fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 8S2 4.59 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
�ell 20 10
i gnature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund