194663 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
O CHECK AMOUNT: $24.29
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
o, Pa Box 644467 CHECK NUMBER: 194663
PITTSBURG PA 15264 -4467
CHECK DATE: 211612011
DEPARTMENT ACCOUNT PO NUM INV OICE NUMBER AMOUNT DESCRIPTION
1110 4343003 24.29 TRAVEL LODGING
A03849
P.O. Box 1648
�t @lit0llt[$�t 01/29/11
Hutchinson, KS 67504 -1648 Kf:
RETURN SERVICE REQUESTED Qi3QtJr 02/26/11
�f1lQtitl QitB. $25.17
G1 DWTR00301399- 029527178
II' �I�' �I�III�' II�����II��I�' Ir�� '��I 'III J ��I'�I J o o
CARMEL POLICE DEPT. o
TERESA ANDERSON
3 CIVIC SO
CARMEL, IN 46032 -2584
Currarsf i c$9 a gays s Lfs.. F 1 [2`, i 1�
$25.17 C op1T N
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327 -4911, (DAVE X65563 or LONI X61829) or
email us at kash.carheipdesk @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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges
IN SUM OF
P.O. Box 644467
Pittsburgh, PA 15264 -4467
$24.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# I Dept, INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43- 430.03 $24.29 I hereby certify that the attached invoice(s), or
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
Wednesday, February 09, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/29/11 payment for refreshments for IN PAC meeting $24.29
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
Clerk- Treasurer