161443 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CHECK AMOUNT: $1,459.39
is� ,ra CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES
PO BOX 415000 CHECK NUMBER: 161443
NASHVILLE TN 37241 -5000
CHECK DATE: 7/11/2008
DEPARTMENT ACCO PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 A32257 983.91 CLUB ACTIVITY SUPPLIE
1046 4239038 A32257 103.16 AWARDS PRIZES
1047 4239039 A32257 372.32 GENERAL PROGRAM SUPPL
Tear along perforation and return top portion.
ACCOUNT BILLING
Outstandr►g As Ofi Due Date Customer =Number AMOUNT {SUE
06/14/2008 07/12/2008 A32257 $1,829.49
DATE TICKET
P.OJREF. CARD# STORE... AMOUNT
.:TICKET
PROCESSED
347203 065201 223 959 04/23/2008 45.51
424484 134104 203 959 05/16/2008 87.11
435583 033264 223 959 05120/2008 40.17
436628 115236 223 959 05/23/2008 140.65
447083 183113 223 959 05/26/2008 86.67
447422 004089 223 959 05/27/2008 62.99
448094 054205 203 959 05/29/2008 98.24
448096 058058 223 959 05/29/2008 78.98
448097 058121 223 959 05/29/2008 98.12
448403 Q88266 223
959: 05/30/2008 134.96
448404 088350 223. 959 05/30/2008 46.15
510022 113502 223 959 0610612908 83.75
510023 129725 253 959 x06/06/2008. 143.67
510025 135060. 203 959 06/06/2008 71.97
5 1 91 G3ti7ou 223. 959 €is;v3'20v�; 1 A
519138 047747 253 959 06/03/2008. 51.45
519424 059635 223 959
06/04/2008 78.85
519449 061192 223 "980 .:06/0412008 147.44
521511 096271 223 :906 06/12/2908 47.84
521570 086577 203 959 06/12/2008 6.99
521572 099175 223 959 06/12/2008 176.84
JUN 3 0 2008
BY:
For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327 -491 I (E- XT. 65563 or 63250) or
email us at kash.carhelpdesk@kro w er.com Please review your account promptly and advise if payments have been
made.
There will be a S5 fee for each ticket copy requested.
Please retain bottom portion for your records. Page: 1 of 1
Kroger Fund 1046 Fund 1047
V #178002 Invoice 4239037 4239038 4239040 4239039
05/20/08 33264
05/23/08 115236 .140 65
05/26/08 18311386 67!
05/27/08 4089 62, 99
05/29/08 58121 9812?
05/29/08 58058
05/29/08 54205 98 24
05/30/08 88350 '_46.15;
05/30/08 88266
06/03/08 30760 .10114'
06/03/08 47747
06/06/08 11350283.E75.
06/06/08 135060
06/06/08 129725 .143 67.
06/12/08 99175 10-f5 66± 176.84 less $11.19 sales tax
06/12/08 96271 4,7.84';'
06/12/08 86577 6.99
806.81 103.16 177.1 372.32 1,459.39
Kroger Fund 1046 Fund 1047
V #178002 Invoice 4239037 4239038 4239040 4239039
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
6114!08 A32257 Club Activity Supplies 806'81
6114108 A32257 Awards Prizes 103.16
6/14/08 A32257 Food Beverages 177.10
6/14108 A32257 General program supplies 372.32
Total 1,459.39
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
i
Voucher No. Warrant No.
MSC 305099
178002 Kroger Allowed 20
PO Box 415000
Nashville, TN 37241 -5000
In Sum of
1,459.39
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #!TITLE AMOUNT Board Members
Dept
1046 A32257 4239037 806.81 1 hereby certify that the attached invoice(s), or
1046 A32257 4239038 103.16 bill(s) is (are) true and correct and that the
1046 A32257 4239037 177.10 materials or services itemized thereon for
1047 A32257 4239039 372.32 which charge is made were ordered and
received except
30 -Jun 2008
Signature
1,459.39 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund