167114 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $137.24
PO BOX 644467 CHECK NUMBER: 167114
°N tP PITTSBURG PA 15264 -4467
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 POLICE 137.24 OTHER EXPENSES
I
Tech along perforation and return top portion.
ACCOUNT BILLING
Outstanding As O Due Date Customer Number. AMOUNT DUE
11/29/2008 12/27/2008 A03849 $160.30
TICKET P.O. /REF• CARD STORE DATE TICKET AMOUNT
PROCESSED
944808 001255 110 959 10/14/2008 10.74
A28978 051889 110 959 10/28/2008 12.32
A31666 142747 110 959 11/0612008 8.48
B15749 120917 110 959 11120/2008 128.76
For questions or copies. please contact Kroger Accounts Receivable toll free at 888- 327 -491 1(EXT. 65563 or 63250) or
email us at kash.carhelptlesk@kroger.com Please review your account promptly and advise if payments have been
made.
There will be a $5 fee Tor each ticker copy requested.
Please retain bottom portion jrn Your records. Page: 1 of 1
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
Kroger Purchase Order No.
Central Customer Charges
P.O. Box 644467 Terms
Pittsburgh, PA 15264-4467
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/11/08 payment for refreshments Citizen's Academy and 137.24
Chief's luncheon
Total
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
Kr,2ger
Central Customer Charges IN SUM OF
P.O. Box 644467
Pittsburgh, PA 15264 -4467
137.24
ON ACCOUNT OF APPROPRIATION FOR
police gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 852 137.24 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
December 11 20 08
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund