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163273 09/03/2008
CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 k ONE CIVIC SQUARE KROGER CO CARMEL, INDIANA 46032 INOPLS CUSTOMER CHARGES CHECK AMOUNT: $1,212.44 PO BOX 415000 CHECK NUMBER: 163273 °N s° NASHV €LLE TN 37241 -5000 CHECK DATE: 9/3/2008 DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMB AMOUNT DESCRIPTION 1046 4239037 PARKS 734.64 CLUB ACTIVITY SUPPLIE 1046 4239038 PARKS 23.00 AWARDS PRIZES 1046 4239040 PARKS 13.93 FOOD BEVERAGES 1047 4239039 PARKS 357.83 GENERAL PROGRAM SUPPL 1047 4239040 PARKS 58.05 FOOD BEVERAGES ^10.47 4239099 PARKS. 24.99 OTHER MISCELLANOUS r l TICKET AMT TICKET AMT 519424 78.85 712164 48.37 519449 147.44 712668 59.46 533633 24.99 712669 27.06 P.O. Box 415000 543774 13.97 712670 22.58 Nashville, TN 37?41 -5000 544045 75.92 712967 15.29 8904 5.00 724758 49.98 8905 5.00 724874 24.88 638876 26.01 713248 8.37 RETURN SERVICE RE 639685 59.86 713554 16.80 7 y' 639743 33.28 713555 15.34 V 639744 55.48 713879 11.50 630019 9.10 713881 44.91 If your address has chan%e tense check box allt+ flanges_ 711806 28.84 714171 16.93 W �Y 712122 24.32 714173 5.07 RFF!! H Please indicate tickets being paid by placing a in the above corresponding column. If amount paid is different, please denote the amount. Return this portion with your payment to: CARMEL CLAY PARK REATION DIANA RAY 13269 MSC 305099 1411 E 116TH ST Kroger Indianapolis Customer Charges CARMEL IN 46032 P.O. Box 415000 Nashville, TN 37241 -5000 1 111111 [till ll till 11111111111111111111111 0111(11111111ll1fl1l Outstanding As Of Due.Date Cu N stomer um m ber Aount`'Due`; AMOUNT ENCLOSED 09/06 /2008 A32257 $1,312.33 Tear along perforation and return top portion. ACCOUN BILLING Outstanding As V Due Date Customer Number AMOUNT DUS 08/09/2008 09/06/2008 A32257 $1,312.33 TICKET P.O. /REF. CARD:# STORE DATE TICKET AMOUNT PROCESSED 519424 059635 223 959 06/04/2008 78.85 519449 061192 223 980 06/04/2008 147.44 533633 140182 203 959 06/21/2008 24.99 543774 151233 203 959 06/22/2008 13.97 544045 011011 203 ..959 06/23/2008 75.92 8904 959 07/11 /2008 5.00 8905 959 07/11/2008 5.00 638876 001984 253 959 07/14/2008 26.01 639685 092929 223 906 07/17/2008 59.86 639743 085286 253 959 07/17/2008 33.28 639744 086681 203 959 07/17/2008 55.48 630019 107799 253 959 07/18/2008, 9.10 711806 009280 223 959 ''07/21/2008' 28.84 712122 028208. 213 959 67/22/2008 24.32 71 2164 054976 §F 086: 07/2312008 48.37 712668 089655`, 223' 959 07/2412008' 59.46 712669 092836 253 959 07/24/2008 27.06 712670 099735 223 959 07124/2008 22.58 712967 113420 253.`.. 959 07/25/2408 15.29 724758 132050 203 959 07/26/2008 49.98 724874 159246 253 959 07/27/2008 24.88 713248 001850 253 959 07/28/2008 8.37 713554 023692 213 959 07/29/2008 16.80 713555 024624 223 959 07/29/2008 15.34 713879 058235 223 959 07/30/2008 11,50 713881 060081 223 959 07/30/2008 44.91 714171 080538 213 959 07/31/2008 16.93 714173 086533 223 959 07/31/2008 5.07 For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 63250) or email us at kash.carhelpdesk0a 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 o f 2 TICKET AMT TICKET AMT 714174 31.11 714458 13.93 714459 24.72 All P.O. Boa 415000 714460 49.98 Nashville, TN 37241 5000 725516 23.00 1 f 725828 10 1.96- 725830 75.48 RETURN SERVICE RE� D 726412 3.96 726413 33.68 If lour address has Own ck b w im� y{Qchanges. P 11�7AV1 Please indicate tickets being paid by placing a J in the above corresponding column. If amount paid is different, please denote the amount. CARMEL CLAY PARK TION Return this portion with your payrnent to. DIANA RAY MSC 305099 1411 EAST 116TH STREET Kroger Indianapolis Customer Charges CARMEL IN 46032 P.O. Box 415000 Nashville, TN 37241 5000 Outstanding,As of Due, Date Customer Number Ainount Due AMOUNTENCLOSED 08/0912008 09/06/2008 A32257 1312.33 Tear along perforation and return top portion. ACCOUNT BILLING 'Outstanding As Of Due 'Date Customer Number AMOUNT DUE 08/09/2008 09/06/2008 A32257 $1,312.33 DATE TICKET TICKET P.O. /REF. CARD STORE AMOUNT PROCESSED 714174 089454 223 959 07/31/2008 31.11 714458 103306 223 959 08/01/2008 13.93 714459 103480 253 959 08/01/2008 24.72 714460 103605 203 959 08/01/2008 49.98 725516 037891 223 944 08/05/2008 23.00 725827 055992 223 959 08/06/2008 103.83 725828 223. 959 08/06/2008 1.96- 725830 063630 223 .959 08/06/2008 75.48 726412 107082 253. 959 08/08/2008 3.96 726413 112376 203 959 08/08/2008 33.68 For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 63250) or email us at kash.carhelpdeskOn kroQer.com Please review your account promptly and advise if payments have been made. "There will be a S5 tee for each ticket copy requested. Please retain bottom portion for your records. Page: 2 of 2 Kroger Fund 1046 Fu 1 047 General Club Food Awards Prog Other Food Supplies Beverage Prizes Supplies Misc. Beverage V #178002 Invoice 4239037 4239040 4239038 4239039 4239099 4239040 06/04/08 59635 78.85 06/04/08 61192 147.44 06/21 /08 140182 24.99 07/14/08 1984 26.01 07/17/08 92929 59.86 07117!08 85286 33.28 07/17/08 86681 55.48 07118!08 107799 9.10 07/21/08 9280 28.84 07122/08 28200 24.32 07/23/08 54978 48.37 07 89655 59.46 07/24/08 92836 27.06 07/24/08 99735 22.58 07/25/08 11 3420 15.29 07/26/08 132050 49.98 f 67 7/08 159246 24.88 8/08 1850 8.37 07/29108 246241 15.34 07/29/08 23692 16.80 07/30/08 60081 44.91 07/30/08 58235 11.50 07/31 /08 89454 31.11 07/31/08 86533 5.07 07/31/08 80538 16.93 08/01/08 103480 24.72 08/01/08 103605 49.98 _08/01 /08 103306 13.93 08/05/08 37891 23.00 75 08106108 63630 .48 0 8106/08 9943 103.83 08/06/08 9943 -1.96 08/08/08 107082 3.96 08/08/08 112376 33.68 734.64 13.93 23.00 357.83 24.99 58.05 1,212.44 Kroger Fund 1046 Fund 1047 TOTAL General Club Food Awards Prog Other Food Supplies Beverage Prizes Supplies Misc. Beverage V #178002 I Invoice 4239037 423964 4239038 4239039 4239099 4239040 08/06/2008 WED 14:29 FAX 317 843 4434 KROGER #959 1jD001 /001 File Hey p Electronic Journal File For Terminal 012 Date 06/21/08 Search 24.99 TOTAL: 44.48 REF#: 030902 06/21/08 03:14pm 959 12 108 110 WHT S14T CKE 24.99 F TAX 0.00 BALANCE 24.99 'T'AX 0.00 BALANCE 24.99 B175 KEYED ACCOUNT REQUIRES OVERRIDE MANAGER'S OVERRIDE (INDEX 5) MO CREDIT CARD 24.99 CHANGE 0.00 06121108 03:16pm 959 12 109 110 *2570 Print Cancel F1 Help F3 Quit Time =14:27 SYSTEM MESSAGE AVAILABLE r 62 42��� 2 Q AI�G 0 7 ?.QD8' l O S /9q it Fig- Oft N "'of 2` Cam._ e Traris Trans 5 Tr`aris� SKU.� KC!' 4ric�inalb �n�le%__ EicteSieCL:Y eco�d :Acc6unt Nlttni�_a� Store D T ate ::,:ime= Coin 959 10 06104/20 093300 29 26753419 BANZAI SOAKISPLASH $9.99 $0.00 $0.00 $9.99 Regular 08 00 PP 26753419 BANZAI SOAKISPLASH $9.99 $0.00 $0.00 $9.99 Regular 00 PP i 26753419 BANZAI SOAK/SPLASH $9.99 $0.00 $0.00 $9.99 Regular 00 PP a 26753318 HYDRO BLSTR $4.99 $0.00 $0.00 $4.99 Regular 15 Purchase 26753318 HYDRO BLSTR $4.99 $0.00 $0.00 $4.99 Regular Description 26753318 HYDRO BLSTR $4.99 $0.00 S0.00 $4.99 Regular P.O. PorF 15 t3 L. 26753318 HYDRO BLSTR $4.99 $0.00 so.ao $4.99 Regular o g 15 a Bud LineD�es i 26753318 HYDRO BLSTR $4.99 $0.00 50.00 $4.99 Regular 19 �-I ID Purchaser Date 26753318 HYDRO BLSTR $4.99 $0.00 SO.00 $4.99 Regular Approval Date jj to o U 15 AUG 1 2 2008 26753318 HYDRO BLSTR $4.99 $0.00 $0.00 S4.99 Regular 15 fir. $0.00 $0.00 $0.00 $0.00 Loyalty Card Swipes C VED 26753318 HYDRO BLSTR $4.99 $0.00 $0.00 $4.99 Regular 19 AUG 1 4 2008 10000014 $0.00 -0.50 $0.00 S0.00 Loyalty Card 671 BY 26753318 HYDRO BLSTR $4.99 $0.00 $0.00 $4.99 Regular 15 10000014 $0.00 S -0.50 $0.00 S0. Loyalty Card 671 26753318 HYDRO BLSTR $4.99 $0.00 SO.00 $4.99 Regular 19 10000014 $0.00 -0.50 SO.00 $0.00 Loyalty Card 671 76666212 SS WATERBOMBS PP $1.99 $0.00 $0.00 $1.99 Regular 76 f9 76666212 SS WATERBOMBS PP $1.99 $0.00 SO.00 $1.99 Regular N 00 6 1 'y J Jy fA Q u co LIP '8712 0 Rig =Trans V#hs Tian' SKG r_- -0m Cl ;Or Trial' r�_ins lisc=- .Teh�ler. ='E f+rnd"e Arnt Am0)u_0t Af f1j 980 10 06/04/20 103000 60 35355702 BOND IVIED DUTY $9.99 $0.00 $0.00 S9.99 Regular I 08 01 HOSE PP i 35355702 BOND MED DUTY $9,99 SOAO $0.00 $9.99 Regular 01 HOSE PP 35355702 BOND MED DUTY $9,99 $0,00 $0.00 $9.99 Regular 01 HOSE PP 35355702 BOND IVIED DUTY $9.99 $0.00 $0.00 $9.99 Regular RE CEIVITT 01 HOSE PP Pumhml 11110575 KRO 12 +4 SSST POPS $1.97 $0.00 $0.00 $1.97 Regular AUG I n 2008 Description OCR 81 P f\ 11110575 KRO SWIRL POPS- $2.00 $0.00 $0.00 $2.00 Regular parF a L s: n 73 MANGOICHRY a u9 $0.00 $0.00 $0.00 $0.00 Loyalty Card Bud D cC/ J Swipes o 11110575 KRO SWIRL POPS- $2.00 $0.00 SO.00 $2.00 Regular Purchaser Date 73 MANGOICHRY Approvat Date 4t v l a �,CNI 118 KRO 12 }4 SSST POPS $1.97 $0.00 $0.00 $1.97 Regular AEG 1 20 8 10000013 $0.00 S -0.30 $0.00 SO.00 Loyalty Card 956 11110575 FRZR PLZR 12 +4 $2.89 50.00 $0.00 $2.89 Regular 83 MELON POPS 10000013 $0.00 -0.89 $0.00 SO.00 Loyalty Card 937 11110573 KRO ASSTD POPS $2.98 SO.00 $0.00 $2.98 Regular 43 10000013 $0.00 -0.48 $0.00 $0.00 Loyalty Card 955 11110573 KRO ASSTD POPS $2.98 SO.00 $O.OD $2.98 Regular 43 10000013 $0.00 -0.48 $0.00 $0.00 Loyalty Card 955 11110573 KRO ASSTD POPS $2.98 $0.00 $0.00 S2.98 Regular 43 10000013 $0.00 -0.48 $0.00 SO.00 Loyalty Card 955 6 11110575 KRO TWO FRUITY S2.98 50 -00 $0.00 $2.98 Regular p m 6 frJ �r cf �taif (16101% 12 S icrn�D D ;3112l20O8.9 phi Jug =_Trarss 7�raris Trans SKU�or SKU �L3r1 inert 7r�n's=0 sc' Ten�leT E monde 12�t�Yd ��4cca' t tu 4 Xt un Nut ii r o� T= z DQSe >Amt =i�imt AmQUnt4rfuri- -od Store= Date Time UP_ 77 POPS 10000013 $0.00 -0.48 $0.00 $0,00 Loyalty Card 955 11110578 KRO POP -N -FUDGE $2.98 SO.00 $0.00 $2,98 Regular 08 VARIETY a. 10000013 $0.00 -0.48 $0. DO $0.00 Loyalty Card o 955 111/0573 KRO 12 &4 TROPICAL $2,89 $4.00 $0.00 $2.89 Regular 42 POPS 10000013 $0.04 -0.89 $0.00 $0.00 Loyalty Card 937 11110575 FRZR PLZR 12 }4 $2.89 $0.00 50.00 $2.89 Regular 83 MELON POPS o 10000013 $0.00 S -0.89 $0.00 $0.00 Loyalty Card C IV D 937 11110575 KRO Hit FUDGE $2.89 $0.00 $0.00 $2.89 Regular AUG 2008 84 TRTSINUTRSW 10000013 $0.00 0.89 $0.00 SD.00 Loyalty Card BY: 937 11110575 KRO Hfl FUDGE $2.89 S O.00 $0.00 $2.89 Regular RECE IVED 84 TRTSfNUTRSW 10000013 $D.00 -0.89 $0.00 $0.00 Loyalty Card AUG 1 4 2008 937 11110578 KRO POP -N -FUDGE $2.98 SO $O.OD Su2.98 Regular $Y. 08 VARIETY 10000013 $Q.00 -0.48 $O.OD SO.40 Loyalty Card 955 11110573 KRO ASSTD POPS S2.98 S0.00 $0.00 $2.98 Regular 43 10000013 $0.00 -0.48 $0.00 $0.00 Loyalty Card 955 11110573 KRO 12 &4 TROPICAL $2_$9 50.00 $0,00 S2.89 Regular 42 POPS 10000013 $0.00 S -0.89 $0.00 S0.00 Loyalty Card 937 42206142 MEL METAL 2 WAY Y 53.99 SO.00 $0.00 $3.99 Regular ig 20 CONN tA d 6 a m Retail s VGl� �Z Vr� 08 a20 S yr Reg- Trans aris 'S y -Tr- and -_SKIT or =s_ Qri�inar Tram?iscTn'dr- E�€irtde.dz FZeeor`�i AccountNurnbe� or UPG Beep. a�rnt ;4rri CotK+r 980 10 06104120 103000 60 39800039 ENGZR ALK CSZ BATT $6.25 $0.00 50.40 $6.25 Regular 08 76 4CT 10000011 $0.00 S 1.26 S0.00 $0.00 Loyalty Card 635 39800039 ENGZR ALK CSZ BATT $6.25 $0.00 $0.00 $6.25 Regular 76 4 GT 10000011 $0.00 5 -1.26 $0,00 $0.00 Loyalty Card 635 42246142 MEL METAL 2 WAY Y $3.99 $0.00 $0.00 $3.99 Regular r 20 CONN w 42206142 MEL METAL 2 WAY Y $3.99 50.00 $0.00 53.99 Regular 20 CONN 26753419 BANZA€ SOAWSPLASH $9.99 $0.00 $0.00 59.99 Regular o 00 Pp a 0 11110575 KRO 12 +4 BANANA $1 -97 50.00 $0.00 $1.97 Regular ��T 82 POPS 10000013 $a -00 -0.30 $0.00 50.00 Loyalty Card I 956 A '1 2008 11110575 KRO SWIRL POPS $2.00 50.00 $0.00 $2.00 Regular 73 MANGOICHRY 11110575 KRO SWIRL POPS- $2.00 SO -00 $0.00 $2.00 Regular 73 MANGOICHRY 11110575 KRO HII FUDGE $2.89 SO.00 $0.00 52.89 Regular AUG 1 4 2008 B4 TRTSINUTRSW 10000013 $0.00 S- 0.89 $0.00 50.00 Loyally Card 937 BY: 11110575 KRO H1i FUDGE $2.89 $0.00 S0.00 52.89 Regular 84 TRTSINUTRSW 10000013 $0.00 S -0.89 SO.00 $0 -00 Loyalty Card 937 11110573 KRO 1284 TROPICAL $2.89 $0.00 $0.00 $2.89 Regular 42 POPS 10000013 $0.00 -0.89 $0 -00 $0.00 Loyalty Card 937 19110575 FRZR PLZR 12 +4 $2,89 $0.00 $0.00 $2.89 Regular 83 MELON POPS 10000013 $0.00 -0.89 $0,00 $0.00 Loyalty Card 6 M Y s 1012 2�20D 811 S 9,39: co Reg Trans 7Saris 7�aris SfCI�T a_ =SKt? :)i final" Y r Dose= Tende MO M wn _m ^g ;i66 =Exferrd l =R Orti,= Acca]atSf unghe Arrsf Amtiurit�__ Amount od LLCouotJa, 937 11110573 KRO ASSTD POPS $2.98 $0.00 S0.04 $2.98 Regular 43 JOODOO13 $0.00 S -0.48 $0.00 $0.00 Loyalty Card 955 73309200 HOME CITY ICE $4.09 $0.00 SO.00 $4.09 Regular 22 NUGGETS 73309200 HOME CITY ICE $4.09 $0.00 50.00 $4.09 Regular p 22 NUGGETS 73309200 HOME CITY ICE $4A8 '$0.00 $0.00 $4.09 Regular 22 NUGGETS 73309200 HOME CITY ICE $4.09 $0.00 $0,00 S4.09 Regular F m 22 NUGGETS 0 rt- 73309200 HOME CITY ICE $4.09 $0.00 $0.00 54.09 Regular o 22 NUGGETS RECEIVED) n 73309200 HOME CITY ICE $1.79 50.00 $0.00 $1.79 Regular 07 NUGGETS AUG 1 2008 73309200 HOME CITY ICE -1.79 SO.00 $0.00 -1.79 Regular 07 NUGGETS 73309200 HOMI= CITY ICE $4,09 SO.00 $O.OD $4.09 Regular J 22 NUGGETS 10000013 $0.00 -0.31 $0.00 $0.00 Loyalty Card 11110575 KRO SWIRL POPS- -2.00 SO.00 $0.00 -2.00 Regular 73 MANGOJCHRY A G Z0Q8 11110575 KRO SWIRL POPS- S -2,00 SO.00 $0.00 -2.00 Regular 73 MANGOfCHRY 11110575 KRO SWIRL POPS- $2,00 50.00 $0.00 $1.00 Regular [BY: 73 MANGOICHRY 11110575 KRO SWIRL POPS- $2.00 50.00 $0.00 $1.00 Regular 73 MANGO /CHRY $0.00 $0.00 $147.44 S0.00 Credit Card 5858840000002578 $0.00 $0.00 $0.00 SO.00 Loyalty Card Final $0.00 $0.00 50:0.0 $0.00 Used Targeted C J O 6 co N =Rs 'art 7atal�_- =i-r 6 00 H RF, C E IV ED Vj w AUG 1 2 2008 BY: N 6 T b P r �o A F A O 0 H R�CETV D AUG 1 4 2008 BY: ig 6 4 OD co 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. MSC 305099 178002 Kroger Terms PO Box 415000 Date Due Nashville, TN 37241 -5000 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/9/08 A32257 Club supplies 734.64 8/9/08 A32257 Food Beverage 13.93 8/9/08 A32257 Awards Prizes 23.00 8/9/08 A32257 General Program supplies E357.83 8/9/08 A32257 Other Misc. 4.99 8/9/08 A32257 Food Beverage 58.05 Total 1,212.44 1 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 1 20 Clerk- Treasurer f Voucher No. Warrant No. MSC 305099 178002 Kroger Allowed 20 PO Box 415000 Nashville, TN 37241 -5000 In Sum of 1,212.44 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 A32257 4239037 734.64 1 hereby certify that the attached invoice(s), or 1046 A32257 4239040 13.93 bill(s) is (are) true and correct and that the 1046 A32257 4239038 23.00 materials or services itemized thereon for 1047 A32257 4239039 357.83 which charge is made were ordered and 1047 A32257 4239099 24.99 received except 1047 A32257 4239040 58.05 22 -Aug 2008 Signature 1,212.44 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I