166282 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
i z1' CHECK AMOUNT: $31.78
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
PO BOX 644467 CHECK NUMBER: 166282
PITTSBURG PA 15264 -4467
CHECK DATE: 11/24/2008
IZEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 31.78 OTHER EXPENSES
Tear along perforation and return top portion.
ACCOUNT BILLING
e a
Outstanding A'syOf Due Date Custortier:Nurtiber• AMOUNT RUE
11/01/2008 11/29/2008 A03849 $32.16
"DATETICKET
TICKET f'O /REF. CARD STORE AMOUNT
PROCESSED•
846637 022228 110 959 09/16/2008 9.10
944808 001255 110 959 10/14/2008 10.74
A28978 051889 110 959 10/28/2008 12.32
p ,r.
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- ,er.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 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. B6x :644467 Terms
Pittsburgh, PA 15264 -4467
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/1/08 payment for refreshments for Citizen's Adacemy 31.78
n
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
Kroger IN SUM OF
Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264 -44673
31.78
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 31.78 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
November 20 20 08
Signature
Chief of Police:'
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund