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157549 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 s ONE CIVIC SQUARE KROGER CO CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES CHECK AMOUNT: $447.37 PO BOX 415000 CHECK NUMBER: 157549 NASHVILLE TN 37241 -5000 CHECK DATE:' 3/19/2008 DEPARTMENT r ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4239037 A32257 195.88 CLUB ACTIVITY SUPPLIE 1046 4239038 A32257 5.00 114139 1047 4239039 A32257 246.49 GENERAL PROGRAM SUPPL ACCOUNT BILLING Outstanding As Of Due Date Customer Number AMOUNT DUE 02/23/2008 03/22/2008 A32257 $447.37 TICKET P.O ./REF. #i CARD STORE DATE TICKET AMOUNT PROCESSED D30842 068286 223 959 01/30/2008 ✓(5.90 030844 072784 203 959 01/30/2008 X74.97 D42808 063684 253 959 02/06/2008 ,2.66 D42807 057993 203 959 02/06/2008 +'`74.97 D43482 123051 253 959 02/08/2008 ►28.90 D43481 122137 223 959 02/08/2008 .72 114139 008490 223 959 .:02/11/2008 4.23 114454 040815 223 959 02/12/2008 ✓i4.90 115564 136929 223 959 02/15/2008 1 115563 131672 203 959 02/15/2008 ✓24.99 115562 131438 223 ,.959 02/15/2008 +x.64 115561 131408 223 959 02/1572008 tl�5.76 126126 197401 223 959 02/18/2008 14.28 127185 069752 223 959. 6r/21/20 4.10 1271.83_ _0655662'_ V 223. _.9.54 0212112000 ✓_z.nr -I REC MAR 0 7 2008 BY: 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 n 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 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 1130108 multiple Club activity supplies 195.88 2111/08 114139 Awards prizes 5.00 2115108 multiple General program supplies 246.49 Total 447.37 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 i Voucher No. Warrant No. MSC 305099 178002 Kroger Allowed 20 PO Box 415000 Nashville, TN 37241 -5000 In Sum of 447.37 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members Dept 1046 multiple 4239037 195.88 1 hereby certify that the attached invoice(s), or 1046 114139 4239038 5.00 bill(s) is (are) true and correct and that the 1047 multiple 4239039 246.49 materials or services itemized thereon for which charge is made were ordered and received except 14 -Mar 2008 4 Signature 447.37 Business Service anager Cost distribution ledger classification if Title claim paid motor vehicle highway fund