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167113 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 ONE CIVIC SQUARE KROGER CO o CHECK AMOUNT: $1,089.37 CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES PO BOX 644467 CHECK NUMBER: 167113 PITTSBURG PA 15264 -4467 CHECK BATE: 12117!2008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT' DESCRIPTION 1046 4230200 PARKS 9.56 OFFICE SUPPLIES 1046 4239037 PARKS 946.38 CLUB ACTIVITY SUPPLIE 1046 4239038 PARKS 35.00 AWARDS PRIZES "1047 4239039 PARKS.. 98.43 GENERAL PROGRAM SUPPL i Tear along perforation and return top portion. ACCOUNT BILLING Outstanding.A§ Of Due Date Customer Number AMOUNT DUE 11129/2008 12/27/2008 A32257 $2,075.28 TICKET P.O. /REF. CARD STORE DATE TICKET AMOUNT PROCESSED 740179 084811 253 959 08/23/2008 23.75 921931 040527 203 959 10/04/2008 31.97 933191 067461 203 959 10/08/2008 39.92 933192 068140 223 959 10/08/2008 19.43 933445 107439 223 906 10/09/2008 66.39 933446 223 906 10/09/2008 1.29- 933522 098937 223. 959 10/09/2008 29.03 933864 126831 223 959 10/10/2008 25.56 944163 178985 203 959 10/12/2008 24.99 944809 002174 223 959 10/14/2008 33.38 944835 011290 223 980 10114/2008 40.70 944836 011358 .223 980 .10/14/2008 19.41 945559 069700 223 959. 10/16/2008 33.72 945560 073472 223 9,9 1.0'16;x'0 ^8 2 1.78 945901 107086 203 959 10/17/2008 49.98 945902 109517 223 959 10/17/2008 5.98 A16555 009827 223 959 7.012012008 80.91 A16556 010268 223 959 10/20/2008 129.39 A16557 010309 223 959 10/20/2008 29.96 A16939 032556 223 959 10/21/2008 92.94 A17936 153209 203 959 10/24/2008 49.98 A29331 075965 223 959 10/29/2008 47.39 A29332 076423 223 959 10/29/2008 59.27 A20222 173204 203 959 11/01/2008 24.99 A30675 037398 273 959 11/03/2008 9.47 A31325 106733 223 959 11/05/2008 63.34 A31665 139639 223 959 11/0612008 97.90 A31668 152084 233 959 11/06/2008 24.99 For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 63250) or email us at kash.carhelpdesk. @kro.ger.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 bottom portion for your records. Page: 1 of 2 r Tear along perforation and return top portion. ACCOUNT BILLING Outstanding'As Of Due Date Customer Number AMOUNT OUE 11/29/2008 12/27/2008 A32257 $2,075.28 DATE TICKET TICKET P.O. /REF. CARD STORE AMOUNT PROCESSED A42541 007052 223 959 11/10/2008 47.39 8928 959 11/12/2008 5.00 A43210 126319 223 959 11/12/2008 9.78 A43890 203486 223 959 11/14/2008 18.14 A43891 205003 233 959 11/14/2008 24.99 B15362 089800 223 959 11/19/2008 31.64 B15748 119855 223 959 11/2012008 64.21 815750 124034 223 959 11/20/2008 84.00 B15751 132879 223 959 11/20/2008 86.20 B16095 164364 223 959 11/21/2008 63.29 B16096 174647 233 959 11/21/2008 8.99 B27127 051131 223 959 11/25/2008 123.29 827128 051447 223 959 11/25/2008 19.98 B2 1y n c, c�,l �n� [icn i i 1 �5�2 00 1 82.¢' IG7 G J 1 VVY LLV JJJ i Iii 1 V v• B27130 051985 223 959 11/25/2008 100.29 B27431 108207 233 959 11/2 29.99 For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 63250) or email us at kash.carhelndesk @krooer.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 bottom portion forY records Page: 2 of 2 kKroger Fund 1046 F und 1 047 General General Club Program Food Awards Office Prog Supplies Supplies Beverage Prizes Supplies Supplies Invoice 4239037 4239039 4239040 4239038 4230200 4239039 106733 63.34 106733 -1.38 Sales tax 37398 9.47 152084 24.99 11/06/08 139639 82.67 5.67 9.56 97.9 11 /05/08 7052 47.39 11/12/08 126319 9.78 11/14/08 203486 18.14 11/14/08 205003 2499 11/20/08 132879 86.20 11/20/08 124034 84.00 11/19/08 89800 31.64 11/20/08 119855 64.21 11/25/08 51985 100.29 11/25/08 51131 123.29 11/21/08 164364 63.29 11/25 51447 19.98 11/25/08 51664 147.87 35.00 182.87 11/21/08 174647 8.99 11/26/08 108207 2999 940.71 5.67 35.00 9.56 98.431 1,089.37 Kroger Fund 1046 Fund 1047 TOTAL General General Club Program Food Awards Office Prog Supplies Supplies Beverage Prizes Supplies Supplies V #178002 Invoice 1 4239037 4239039 4239040 4239038 4230200 4239039 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 Indianapolis Customer Charges Date Due P.O. Box 415000 Nashville, TN 37241 -5000 Inv:R4;;;; ed invoice 940.71 Description D ches) or bill(s)) Amount 11 5.67 11/29/08 eneral Program Su lies 35.00 11/29/08 A32257 Awards Prizes 9.56 11/29/08 A32257 Office Supplies 98.43 11/29/08 A32257 General Program Supplies Total 1,089.37 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 Indianapolis Customer Charges P.O. Box 415000 Nashville, TN 37241 -5000 In Sum of 1,089.37 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 A32257 4239037 940.71 1 hereby certify that the attached invoice(s), or 1046 A32257 4239039 5.67 bill(s) is (are) true and correct and that the 1046 A32257 4239038 35.00 materials or services itemized thereon for 1046 A32257 4230200 9.56 which charge is made were ordered and 1047 A32257 4239039 98.43 received except 15 -Dec 2008 Atie/l .PD/YV>L Signature 1,089.37 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund