159445 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
t' ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES CHECK AMOUNT: $738.34
o; PO BOX 415000 CHECK NUMBER: 159445
NASHVILLE TN 37241 -5000
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 PARKS 170.53 CLUB ACTIVITY SUPPLIE
1046 .4239038 PARKS 40.32 AWARDS PRIZES
1046 4239040 PARKS 16.43 FOOD BEVERAGES
1047 4239039 PARKS 443.94 GENERAL PROGRAM SUPPL
1047 4239099 PARKS 67.12 OTHER MISCELLANOUS
I
1�
I
s TICKET AMT TICKET AMT
141475 4.95 319644 26.21 v
236154 20.24 V 311445 86.69
237194 14.04 322723 18.84
P.O. Box 415000 237195 14.75 323097 14.14
Nashville. TN 37241 -5000 237192 15.28 v 323096 37.03
1 237191 104.50 y 323402 20.47
237465 16.43 323400 55.05
248068 3.29 V 323399 20.81
RETURN SERVICE REQUESTED 248393 34.59
248701 32.53
248705 66.47
249033 21.59
If your address has changed, please check box and note changes. 249034 14.27
249335 115.16
Please indicate tickets being paid by placing a in the above corresponding
column. If amount paid is different, please denote the amount.
CARMEL CLAY PARKS RECREATION Return this portion with your payment to:
1411 E 116TH ST 3800 MSC 305099
DIANA RAY Kroger Indianapolis Customer Charges
CARMEL IN 46032 P.O. Box 415000
Nashville, TN 37241 -5000
IIIILIIIIIIIIIIIIIIIIIIIll
outstanding A "Of Due Date. Customer: Number
Amount Due.. ANIOUtfTENCL05ED
04/19/2008 05/17/2008 A32257' 757.33
Tear along perforation and return top portion.
ACCOUNT BILLING
Outstanding s Of Due Date Customer :Number AMOUN T DUE`
04/19/2008 05/17/2008 A32257 $757.33
DATE TICKET
'TICKET P.O.IREF CARD,# STORE PROCESSED AMOUNT
Ia'.
141475 115848 223 959 03/07/2008 4.95
236154 014548 253 959 03/24/2008 20.24
237194 106645 223 959 03/27/2008 14.04
237195 106737 223 959 03/27/2008 14.75
237192 100002 253 959 03/27/2008 15.28
237191 099953 203 959 03/27/2008 104.50
237465 128688 223. 959 03/28/2008 16.43
248068 004171 223 959 03/31 /2008 3.29
248393 026160 203 959 04/01/2008 34.59
248701 059232 203 X959 04102/2008 32.53
248705 063879 223 959 04/02/2008 66.47
249033 087368 223 959 04/03/2008 21.59
249034 092524 223: °959 04/0312,008' 14.27
249335 121699. 203 959 04104/2008. 115.16
319644 171576 253 959 04/06/2008 26.21
311445 139859 203 959 04/12/2008 86.69
322723 065584 223 959 04/16/2008 18.84
323097 100006 223 959 04/17/2008 14.14
323096 099942 223 959 04/17/2008 37.03
323402 138446 223 959 04/1812008 20.47
323400 137328 203 959 04/18/2008 55.05
323399 133156 253 959 04/18/2008 20.81
FI RFCEIVED
Y 01 2008
For questions or copies, please contact Kroner Accounts Receivable toll fr 63 or 63250) or
email us at kash.carhelpdesk @kroQer.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 Page: 1 of 1
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
attached invoice(s) or bill(s))
Amount
Date Number (or note attac
Mar -Apr 08 multiple General Program Supplies
443.94
67.12
Mar -Apr 09 multiple Other misc
170.53
Mar -Apr 10 multiple Club Activity Supplies
Mar -Apr 11 multiple Food Beverages 16.43
Mar -Apr 12 multiple Awards Prizes 40.32
Total 738.34
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
r 738.34
ON ACCOUNT OF APPROPRIATION FOR
104- Program Fund
PO# or INVOICE N0. ACCT #!TITLE AMOUNT Board Members
Dept
1047 multiple 4239039 443.94 I hereby certify that the attached invoice(s), or
1047 multiple 4239099 67.12 bill(s) is (are) true and correct and that the
1046 multiple 4239037 170.53 materials or services itemized thereon for
1046 multiple 4239040 16.43 which charge is made were ordered and
1046 multiple 4239038 40.32 received except
13 -May 2008
S iefn a ure
738.34 Business Se Ices Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I