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158491 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 ONE CIVIC SQUARE KROGER CO I INDPLS CUSTOMER CHARGES CHECK AMOUNT: $1,057.21 CARMEL, INDIANA 46492 PO BOX 415000 o CHECK NUMBER: 158491 NASHVILLE TN 37241 -5000 CHECK DATE: 4/1512008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4239037 541.22 CLUB ACTIVITY SUPPLIE 1046 4239038 39.78 AWARDS PRIZES 1046 4239040 23.94 FOOD BEVERAGES 1047 4239039 333.50 GENERAL PROGRAM SUPPL 1047 4239099 118.77 OTHER MISCELLANOUS APR ACCOUNT BILLING Out s Ot Due Date Customer Number AMOUNT DUE 03/22/2008 04/19/2008 A32257 $1,062.16 TICKET P.O. /REF. CARD# STORE DATE TICKET AMOUNT PROCESSED 137764 140550 253 959 02/24/2008 27.66 138821 063306 223 959 02/27/2008 12.17 139160 090672 223 959 02/28/2008 30.83 139161 091429 223 959 02128/2008 45.77 139480 129960 203 959 02/29/2008 57.39 139478 116697 223 959 02/29/2008 1.34 139477 116646 223 959 02/29/2008 1.95 139476 111003 223 959 02/29/2008 56.24 140173 011194 253 959 03/03/2008 15.49 141149 085147 223 959 03/06/2008 56.55 141148 085113 223 959 03/06/2008 4.87 141150 086862 223 959 03/06/2008 15.57 141152 089234 223 959 03/06/2008 23.94 141147 085097 223 959 03/06/2008 6.00 141474 i 1 5344 223 959 03/0W260 3'� 35:45 141477 121714 223 959 03/07/2008 25.14 141473 112536 203 959 03/07/2008 74.97 �y 141475 115848 223 959 03/07/2008 211761 007139 203 959 03/09/2008 83.82 212127 034674 253 959 03/10/2008 11.50 212464 049446 203 959 03111/2008 7.29 212469 055665 223 959 03/11/2008 2.83 212468 055637 223 959 03/11/2008 32.44 213157 113706 223 959 03/13/2008 9.35 213156 113634 223 959 03/13/2008 17.16 213500 138472 203 959 03/14/2008 12.94 213668 162913 203 959 03/15/2008 39.98 223833 185526 203 959 03/16/2008 17.73 For questions or copies, please contact Kroner Accounts Receivable toll free at 889-327-4911 (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 2 AC BILLING Outstanding As Of Due Date Customer dumber AMOUNT DUE 03/22/2008 04/19/2008 A32257 $1,062.16 TICKET P.O. /REF. CARD# STORE DATE TICKET AMOUNT PROCESSED 224225 016835 253 959 03/1712008 21.06 224991 074650 223 959 03/19/2008 123.27 225341 108333 223 959 03/20/2008 9.43 225340 100241 223 959 03/20/2008 86.17 225339 100066 223 959 03/20/2008 8.47 225760 151739 203 959 03/22/2008 82.44 For questions or copies. please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 63250) or entail 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: 2 Of 2 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 MSC 305099 Purchase Order No. 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 Feb -Mar 08 multiple Club activity supplies 541.22 Feb -Mar 08 multiple Awards prizes 39.78 Feb -Mar 08 multiple Food beverage 23.94 Feb -Mar 08 multiple Program supplies 333.50 Feb -Mar 08 multiple Other misc 118.77 Total Is 1,05711 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 20_ Clerk- Treasurer Voucher No. Warrant No. MSC 305099 178002 Kroger Allowed 20 PO Box 415000 Nashville, TN 37241 -5000 In Sum of 1,057.21 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 multiple 4239037 541.22 1 hereby certify that the attached invoice(s), or 1046 'v multiple 4239038 39.78 bill(s) is (are) true and correct and that the 1046 multiple 4239040 23.94 materials or services itemized thereon for 1047 multiple 4239039 333.50 which charge is made were ordered and 1047 multiple 4239099 118,77 received except 14 -Apr 2008 >i atu e 1,057.21 Business Services Manager Cost distribution ledger classification if Title claim paid motor vehicle highway fund