HomeMy WebLinkAbout163274 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $117.67
e CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES
PO BOX 415000
CHECK NUMBER: 163274
NASHVILLE TN 37241 -5000
CHECK DATE: 9/3/2008
DEPARTMENT AC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 POLICE 40.90 OTHER MISCELLANOUS
1110 4343003 POLICE 76.77 TRAVEL LODGING
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Tear along perforation and return top portion.
ACCOUNT BILLING
OutstandmgAs Of Due?Date Custorner Number :,AIIAOUNT'DUE,
08/09/2008 09/06/2008 A03849 $120.53
DATE TICKET
A TICKET PO /RER #F CARD# STORES OCE AMOUNT
om r PRSSED
638874 001207 110 959 07/14/2008 29.29
639158 024536 110 959 07/15/2008 29.03
639159 024547 110 959 07/15/2008 43.76
639467 049465 110 959 07/16/2008 18.45
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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@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 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
MSC 305099
Kroger Indianapolis Customer Charges Purchase Order No.
P.O. Box 415000
Nashville, TN 37241 -5000 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8121/08 a ent for refreshments for applicant board and lab 117.67
supplies
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.
MS: 305099 ALLOWED 20
K roger Indianapolis Customer Charges_ IN SUM OF
P-0. Bo x415000
Nashville, TN 37241 -5000
117.67
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 390 -99 40.90 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 430 -03 76.77 which charge is made were ordered and
received except
August 21 20 08
Signature
Chief of police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund