156683 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES CHECK AMOUNT: $264.18
'tiy IoM PO BOX 415000
CHECK NUMBER: 156683
NASHVILLE TN 37241 -5000
CHECK DATE: 2121/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1046 4239037 PARKS 60.04 CLUB ACTIVITY SUPPLIE
1046 4239040 PARKS 129.40 FOOD BEVERAGES
1047 4239039 PARKS 68.76 GENERAL PROGRAM SUPPL
1047 4239099 PARKS 5.98 OTHER MISCELLANOUS
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Tear along pertoratton and return top portion.
ACCOUNT BILLING
Outstanding As Of Due Date Customer Number. AMOUNT:DUE,
01/26/2008 02/23/2008 A32257 $264.18
DATE TICKET
•TICKET P O /REF. CARD# STORE PROCESSED AMOUNT
C44771 053175 223 959 01/08/2008 13.32
C45693 152740 253 959 01/11/2008 7.79
D16281 010713 223 959 01/1412008 28.99
D17630 132212 223 959 01/18/2008 6.18
D28169 205872 203 959 01/21/2008 24.99
D28171 207099 223 959 01/21/2008 11.55
D28855 037269 203 :959 :01/23/2008 41.96
029180 075236 223 959 01/24/2008 112.38
029467 103431 223 .959 01/25/2008 17.02
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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 @kroaer.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
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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
118108 1 multiple General program suppiies 68.76
1/23/08 37269 Other miscellaneous 5.98
1/21108 multiple Food beverages 129.40
1/24108 multiple Club activity supplies 60.04
Total Is 264.18
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
264.18
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept
1047 multiple 4239039 68.76 I hereby certify that the attached invoice(s), or
1047 37269 4239099 5.98 bill(s) is (are) true and correct and that the
1046 multiple 4239040 129.40 materials or services itemized thereon for
1046 multiple 4239037 60.04 which charge is made were ordered and
received except
5 -Feb 2008
Sign
264.18 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund