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197277 05/11/2011
CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 ONE CIVIC SQUARE KROGER CO CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $347.59 PO BOX 644467 CHECK NUMBER: 197277 PITTSBURG PA 15264 -4467 CHECK DATE: 5111/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP 1081 4239039 A32257 347.59 GENERAL PROGRAM SUPPL P.O. Box 164$ GUSfOR1 i110��� w a A32257 Hutchinson, KS 67504 -1648 Sa�flfl! @Ilt y�c'�tG� 44123/11 RETURN SERVICE REQUESTED Dat @nYdl1 05/21111 Aim ©untDie� ak$ $347.59 GlHS1600301391- 045004223 ��Il�lll�llni��llllll�ll�l�l�lli�l�lllllllllill�llll�llil�l�llil o® CARMEL CLAY PARKS RECREATION o PAULA SCHLEMMER 0' 1411 E 116TH ST CARMEL, IN 46032 -3455 m 5�`.i,, �.s-a .a k OAS 1�, r .sF,"� i'e „ar;, °..:�Po% 1p a�C Da ysgr.ma b,.d: 57 84 Oay 1..... v off' 85 112D�ys ���1 Oays $347.59 ACCOUNT BILLING 00"�”' F D'AL'E ICK�T TICKET P v CA€2D,a# g �a� a AMOUNT e .II A a�A a PRQGESSED AN N 0211024733 005753 263 959 03/28/2011 $77.95 0211025299 107418 263 959 03/30/2011 $34.42 0211025621 170344 263 959 03/31/2011 $64.48 0211025622 170485 263 959 03/31/2011 $56.82 0311027938 015737 263 959 04/11/2011 $66.60 0311029182 235049 293 959 04/1512011 $25.36 0311031023 240804 293 998 04/22/2011 $21.96 p 7 0 AFR 2 9 2011 0 0 0 BY:....... N O Q M O 111 For questions or copies, please contact Kroger Accounts Receivable toil free at 888- 3274911,(DAVE X65563 or LONI X61829) 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 Kro 1 Fund 108 General General eneral General General General Prog Prog Prog Prog Prog Prog Supplies Supplies Supplies Supplies Supplies Supplies V 4239 039 4239039 4239039 4239039 4239039 4239039 1081 -3 11081 -4 X 1081 -8 1081 -10 1081 -11 1081 -99 I 3/28/11 5753 77.95 3131/11 170344 64.48 3/31/11 170485 1 1 56.82 3/30/11 107418 1 34.42 4/11/11 15737 66.60 1 4/15/111 235049 25.36 4/22/111 240804 1 1 21.96 +11 25.36 142.43 66.60jT 34.42 21.96 56.82 347.59 Kro Fund 108 1 TOTAL General (General General General General General Prog Prog Prog Prog Prog Prog Supplies Supp Supplies Supplies Supplies Supplies V #178002IInvoice 42390391 423 9 039 42390391 42390391 42390391 4239039 J1081-3 .110814 1081 -8 1081 -10 1081 -11 1081 -99 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 4123/11 A32257 General Program supplies 2.5.36 4123111 A32257 General Program supplies 142.43 4/23/11 A32257 General Program supplies 66.60 4123111 A32257 General Program supplies 34.42 4/23/11 A32257 General Program supplies 21.96 4123/11 A32257 General Program supplies 56.82 Total 347.59 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 178002 Kroger Central Customer Charges P.O. Box 644467 Pittsburgh, PA 15264 -4467 In Sum of 347.59 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 109 Monon Center PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members Dept 1081 -3 A32257 4239039 25.36 1 hereby certify that the attached invoice(s), or 1081 -4 A32257 4239039 142.43 bill(s) is (are) true and correct and that the 1081 -8 A32257 4239039 66.60 materials or services itemized thereon for 1081 -10 A32257 4239039 34.42 which charge is made were ordered and 1081 -11 A32257 4239039 21.96 received except 1081 -99 A32257 4239039 56.82 4 -May 2011 Signature 347.59 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund