201298 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $608.63
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
PO BOX 644467 CHECK NUMBER: 201298
PITTSBURG PA 15264 -4467
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1082 4239039 A32257 574.57 GENERAL PROGRAM SUPPL
1096 4239039 A32257 34.06 GENERAL PROGRAM SUPPL
Kroge 1 082 Fund 109
General Genera eneral Genera General eneral General eneral
Prog Prog Prog Prog Prog Prog Prog Program
Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies
V #178002 invoi 4239039 4239039 4239039 4239039 4239039 4239039 4239039 4239039
1082 -1 1082 -2 1082 -3 1082 -4 1082 -5 1082 -6 1082 -7 1096 -70
7/21 /2011 155968 1$ 11.33
7/22/2011 234229 73.61
7/22/2011 220295 104.09
7/25/2011 2697 158.21
7/22/2011 217675 10.00 11.52
7/27/2011 111264 37.35
7/27/2011 126279 46.65
7/27/2011 111152 101.89
7/29/2011 222041 19.92
8/13/2011 308521 34.06
84.00 104.09 19.92 10.00 169.73 73.61 113.22 34.06 608.63
Kroger 11082 Fund 109 TOTAL
General General General General General General General General
Prog Prog Prog Prog Prog Prog Prog Program
Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies
V #178002 Invoice 4239039 4239039 4239039 4239039 4239039 4239039 4239039 4239039
1082 -1 1082 -2 1082 -3 1082 -4 1082 -5 11082-6 1082 -7 1096 -70
P.O. Box 1648 CIiSt011ler�NO 4 A32257
Hutchinson, KS 67504 -1648 Statement Date 08/13/11
RETURN SERVICE REQUESTED Date'DUe;;;-
09/10/11
A t Due $1328.81
G1 N01 GO0301235- 066983378
II�IIIIn�IIII�IIIIIII�n�Inll��lI�IIIIIInIII���III�IIII�In�ll o=
CARMEL CLAY PARKS RECREATION o
PAULA SCHLEMMER D
1411 E 116TH ST I
CARMEL, IN 46032 -3455 AUG 9 tail
L
Current 29 56 Days' "`5784 Days `ay 85 112 Days1 3± Days
c l
$606.62 $722.19
ACCOUNT BILLING
U
A
s{ A .z STORES: "3DATE TICKETS MOhT
AIM
TICKETP Oa /REFS
A 6
0511045256 008573 293 959 06/20/2011 $43.07
0511045747 115486 293 959 06/22/2011 $55.86
0511045748 137005 293 959 06/22/2011 $20.66
0511046000 167755 293 959 06/23/2011 $61.92
0511046002 180624 273 959 06/23/2011 $87.41
0611046973 089556 293 959 06/28/2011 $60.07
0611047216 129326 293 959 06/29/2011 $29.53
0611047217 137933 293 959 06/29/2011 $15.87
0611048242 012387 293 959 07/05/2011 $62.13
0611048465 095363 273 959 07/06/2011 $28.48
0611048466 273 959 07/06/2011 -$6.01
0 0611048689 124940 293 959 07/07/2011 $39.42
0 0611048691 154520 293 959 07/07/2011 $18.96
Q
0611048935 192549 293 959 07/08/2011 $29.32
0 0611049183 306524 293 959 07/09/2011 $99.15
0611049924 110913 293 959 07/13/2011 $53.51
N
s 0611050179 200424 293 959 07/14/2011 $17.50
W
0
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 2
CUStOmeCNO A32257
P.O. Box 1648
U 1 Statement Date'' 08/13/11
t L 1- Iutchinson, KS 67504 -1643
B Due 09/10/11
Amount Due $1328.81
ACCOUNT BILLING
CARD ST R DATE TICKET¢ MO N
TICKET P O /REF O E
PROCESSED
A U
�E� ..o. N,.
0611050180 200703 293 959 07/14/2011 $5.34
0611050925 293 959 07/18/2011 -$2.01
0611051739 155968 293 959 07/21/2011 $11.33
0611051994 217675 293 959 07/22/2011 $21.52
0611051995 220295 293 959 07/22/2011 $104.09
0611051996 234229 293 959 07/22/2011 $73.61
0711052486 002697 293 959 07/25/2011 $158.21
0711052988 110797 293 959 07/27/2011 $33.52
0711052989 111152 293 959 07/27/2011 $101.89
0711052990 293 959 07/27/2011 $33.52
0711052991 111264 293 959 07/27/2011 $37.35
0711052994 126279 293 959 07/27/2011 $46.65
0711053495 222041 293 959 07/29/2011 $19.92
0711058679 308521 273 959 08/13/2011 $34.06
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.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 Pane' 2 of 2
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
8/13/11 A32257 General Program supplies 84.00
8/13/11 A32257 General Program supplies 104.09
8/13/11 A32257 General Program supplies 19.92
8/13/11 A32257 General Program supplies 10.00
8/13/11 A32257 General Program supplies 169.73
8/13/11 A32257 General Program supplies 73.61
8/13/11 A32257 General Program supplies 113.22
8/13/11 A32257 General Program supplies 34.06
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 Total 608.63
1 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
608.63
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1082 -1 A32257 4239039 84.00 1 hereby certify that the attached invoice(s), or
1082 -2 A32257 4239039 104.09 bill(s) is (are) true and correct and that the
1082 -3 A32257 4239039 19.92 materials or services itemized thereon for
1082 -4 A32257 4239039 10.00 which charge is made were ordered and
1082 -5 A32257 4239039 169.73 received except
1082 -6 A32257 4239039 73.61
1082 -7 A32257 4239039 113.22
1096 -70 A32257 4239039 34.06
8 -Sep 2011
Signature
608.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund