159446 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $25.56
o CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES
PO BOX 415000 CHECK NUMBER: 159446
NASHVILLE TN 37241 -5000
CHECK DATE: 511412008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 POLICE 25.56 TRAVEL LODGING
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Tear along perforation and return top portion.
ACCOUNT BILLIN
Outstandm:g Aszof Up Customer Number AMOUNT DUE;',
04/19/2008 05/17/2008 A03849 $25.56
DATE TICKET
TICKET PO /REF CARD# STORE AMOUNT
PROCESSED 3 '3
236521 033961 110 959 03/25/2008 21.47
310973 084646 110 959 04/10/2008 4.09
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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 @kro,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 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
Kroger Indianapolis Customer Charges Purchase Order No.
MSC 305099
P.O. Box 415000 Terms
Nashville, TN 37241 -5000
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/19/08 pavment for refreshments for investigator meeting 25.56
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 Indianapolis Customer Charges IN SUM OF
MSC 305099
P.O. Box 415000
Nashville, TN ,37241 -5000
25.56
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 430 -03 25.56 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
May 9 20 08
-J) Z tit
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund