165308 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $8.67
CARMEL INDIANA 46032 CENTRAL CUSTOMER CHARGES
o PO BOX 644467 CHECK NUMBER: 165308
PITTSBURG PA 15264 -4467
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
852 5023990 POLICE 8.67 OTHER EXPENSES
I
I
P,
Tear alai s er oratiat and return lop portion.
ACCOUNT BILLING
Outstanding As Of Due Date Customer Number AMOUNT DUE
10/0412008 11/01/2008 A03849 $18.78
TICKET +P.O. /REF. CARD STORE DATE TICKET AMOUNT
PROCESSED
749090 029230 110 959 08/19/2008 9.68
846637 022228 110 959 09/16/2008 9.10
For questions or copies, please contact Kroger Accounts Receivable toil free at 888 327 -491 1(EXT. 65563 or 63250) or
email us at kash.carhelpdesk @kro r 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 boltaul portion for �1 olu records. Page: 1 Of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.0 Box 644467 Terms
Pittsburgh, PA 15264 -4467
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/4/08 payment for refreshments-for citizen's academn 8.67
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 -4467
8.67
ON ACCOUNT OF APPROPRIATION FOR
gift
police XXXX M ufnd
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 852 8.67 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
Oct6ber- 23 2 0 08
Signature
Iistant Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund