157548 03/19/2008 CITY OF CARMEL, INDIANA V ENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
Q INDPLS CUSTOMER CHARGES CHECK AMOUNT: $53.78
CARMEL, INDIANA 46032
�'ti•, PO BOX 415000 CHECK NUMBER: 157548
NASHVILLE TN 37241 -5000
CHECK DATE: 3/19/2008
DEPARTMENT A CCOUNT PO N UMBE R INVOICE NUMBER AMOUNT DES
852 5023990 A03849 53.78 OTHER EXPENSES
i cu. urvufi yc.f.,. u.. w. unu .cu..0 n,p y..........
1 ACCOUNT BILLING
Outstanding As. O# Due Date Custorner'Nurriber AMOUNT '66t
02/231,2008 r 03/22/2008 A03849 $53.78
DATE TICKET
TICKET, P.O. /REF.. CARD STORE AMOUNT
PROCESSED
D28498 005025 110 959 01/22/2008 1.79
126482 001122 110 959 02/1912008 34.90
126834 028072 110 959 02/20/2008 17.09
1
For questions or copies, please contact Kro 'ger Accounts Receivable toll free at 888-327-4911 (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 1
PrescNed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
MSC 305099
Kroger Indianapolis Customer Charges Purchase Order No.
P.O. Box 415000
Nashville, TN 37241 -5000 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/12/08 a ent for refreshments for various meetings 53.78
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.
35C 305099 ALLOWED 20
K roger Indianapolis Customer Charges IN SUM OF
P.O. Box 415000
Nashville, TN 37241 -5000
53.7A
ON ACCOUNT OF APPROPRIATION FOR
p olice gift fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
852 852 53.78 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
March 12 2008
e-b Z
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund