155795 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $20.55
CARMEL, INDIANA 46032 INDPLS CUSTOMER CHARGES
PO BOX 415000 CHECK NUMBER: 155795
NASHVILLE TN 37241 -5000
CHECK DATE: 1123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 A03849 1.58 OTHER MISCELLANOUS
210 4357000 A03849 4.09 TRAINING SEMINARS
852 5023990 A03849 14.88 OTHER EXPENSES
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Tear along perforation and return top portion.
ACCOUNT BILLING
Outstanding As'Of Due :Date Customer Number AMOUNT DUE
12/29/2007 01/26/2008 A03849 $20.59
DATE TICKET
TICKET �POIREF #U' CARD# STURE AMOUNT
PROCESSED
B35917 122567 110 959 12/05/2007 4.09
B47345 004800 110 959 12/10/2007 1.62
C1 0515 145772 110 959 12/19/2007 14.88
For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911 (EXT. 65563 or 632.50) or
email us at kash.carhelpdesk @krogcr.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
MSC 305099
Kroger Indianapolis Customer Charges Purchase Order No.
'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))
paym ent o refreshments for train g and debriefing 20.55
and l ab supplie
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 1C 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
MSC 305099
K -•oBPr Indi_anapol i s Customer charge IN SUM OF
P.O. Box 415000
Nashville, TN 37241
?n-95
ON ACCOUNT OF APPROPRIATION FOR
police general fund, police gift fund,
cont. ed fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 -igo-99 1.58 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
210 970 4.09 which charge is made were ordered and
received except
January 1 4 20 08
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund