200931 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $157.73
PO BOX 644467 CHECK NUMBER: 200931
'O PITTSBURG PA 152644467
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 POLICE 83.10 TRAVEL LODGING
852 5023990 POLICE 74.63 OTHER EXPENSES
S C`uStomer No A03849
P.O. Box 1644
t Statement 08/13111
1 I l lutchinson, KS 67504-1648
L. Iz1_TU1zN SERVICE Et> Qursrr_� 09/10/11
Amount,Due�,,��p�, $211.25
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G1N01 G0030124"66983383
IIII��IInrl��l��l��llllllllll11111
CARMEL POLICE DEPT. o�
TERESA ANDERSON Z
3 CIVIC SQ
CARMEL, IN 46032 -2584
i 4
CurregC 4 29 5B Days 57 84 Days 85 t12 Days s v113Days�
$159.97 $51.28
___ACCO BILLIN.0
F nr.tije kip'�, �6,a ;DATET
T,ICKETP O IREF CARD `2 STORE 1 ETICK
AMOUNT
v k�a.� W PRQCESSED�..7
0611047696 249220 110 959 07/01/2011 $33.34
0611047939 259020 110 959 07/03/2011 $17.94
0611050926 004014 110 959 07/18/2011 $5.98
0611051738 154873 110 959 07121/2011 $57.12
0611051997 238628 110 959 07/22/2011 $13.77
0711053737 355974 110 959 07/31/2011 $39.80
0711053959 055650 110 959 08/01/2011 $26.01
0711054468 118819 110 970 08/03/2011 $1729
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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
z 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
VOUCHER NO: WARRA N
ALLOWED 20
Kroger
Central Customer Charges IN SUM OF
P.O. Box 644467
Pittsburgh, PA 15264 -4467
S 7 -5
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
r
a
PO# Dept. INVOICE NO ACCT #/TITLE AMOUNT Board Members
1110 43- 430.03 $83.10
I hereby certify that the attached invoice(s), or
I
bill(s) is (are) true and correct and that the
IR5A st 4 N U8) materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, August 26, 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))
08/13/11 payment for refreshments for applicant interview board $83.10
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
za
Clerk- Treasurer