202199 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $73.92
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
PO BOX 644467
CHECK NUMBER: 202199
PITTSBURG PA 15264 -4467
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 POLICE 6.77 OTHER MISCELLANOUS
1110 4343003 POLICE 14.59 TRAVEL LODGING
852 5023990 POLICE 52.56 OTHER EXPENSES
A03849
P.O. Box 1644 CUStOffleC�NO
ti
4 d Hutchinson, KS 67504 -1648 Sta tement�Date 09/10/11
t
RETURN SERVICE REQUES "CED �8te �Ue t 10/08/11
$235.06
Arsiaunt,Que�
G108PCO0301331- 072944101
I I "'1'1'1 III "I' 1 1 1 111' Il "'I "II "II'Il'IIIII'Ill'Illll�ll o
CARMEL POLICE DEPT.
TERESA ANDERSON
3 CIVIC SQ
CARMEL, IN 46032 -2584
k Current,.. a 8 2956 Days n ��57 84 Days v E 85'112 Days w 5�w 7
$75.09 $159.97
ACCOU BILLING
y i rk 'aDATETICKETeA',
TICKETm F P /REF CARD
#N1
f STORE fi AMOUNT
PROCESSED
,,rte' ��u u�� ��.Ik..+..� "nroc ��i E .%,,,,a•.
0611050926 004014 110 959 07/18/2011 $5.98
0611051738 154873 110 959 07/21/2011 $57.12
0611051997 238628 110 959 07/22/2011 $13.77
0711053737 355974 110 959 07/31/2011 $39.80
0711053959 055650 110 959 08/01/2011 $26.01
0711054468 118819 110 970 08/03/2011 $17.29
0711059516 117995 110 959 08/17/2011 $15.29
0811060832 101340 110 959 08/23/2011 $7.24
0811062486 049698 110 959 08/30/2011 $52.56
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327- 4911,(DAVE X65563 or LONI X61829) or
o 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 the too oortion for vour records Page: 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges
IN SUM OF
P.O. Box 644467
Pittsburgh, PA 15264 -4467
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Gift Fund
1 4 U 6m6 C;� j
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
852 852.00 $52.56
I hereby certify that the attached invoice(s), or
I I
�J bill(s) is (are) true and correct and that the
l I o I ��7 l materials or services itemized thereon for
which charge is made were ordered and
11 10 `1 received except
p
Friday, September 23, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
08/30/11 refreshments for Citizen's Academy
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