205526 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $6.99
PO BOX 644467
CHECK NUMBER: 205526
PITTSBURG PA 15264 -4467
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 6.99 OTHER MISCELLANOUS
CustomerNo� A03849
P.O. Box 1648
Statement Date 12/31/11
L�L 1 Lf llutchinson, KS 67504 -1648 01/28/12
RETURN SERVICE REQUESTED Date
AnlOUntDUe $7.48
GlTRP200300892- 098320837
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CARMEL POLICE DEPT. o
TERESA ANDERSON Y
3 CIVIC SQ
CARMEL, IN 46032 -2584
Current ays "113 +Days
$7.48
DATETICKET a-
TICKET P O /REF Ci4RD STORE AMOUN T
1111085457 048531 110 959 12/05/2011 $7.48
0
0
0
0
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges IN SUM OF
P.O. Box 644467
Pittsburgh, PA 15264 -4467
$6.99 r
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year 42 390.99 $6.99 I hereby certify that the attached invoice(s), or
1
1110
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
Thursday, January 12, 2012
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))
12/31/11 cups plasticware $6.99
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
ro r
I
F9are value ar\ i�'F se
era "au I i v ee
1217 S. RANGELINE RD.
317 -896 -4818
YOUR CASHIER WAS JUL.IUS
KRO PLSTCUP 5.15 T
KRO PPR NPKN PC 1.84 T
SC PLUS CARD SAVINGS 0.24
KROGER PLUS CUSTOMER *1603
TAX 0.49
BALANCE 7.48
021 KROGER-11959
.1217 S. RANGELINE RD.
CARMEL IN 46032
PRIVATE LABEL. Purchas
*8490 n
TOTAL: 7.48
REF# 048531
i
PRIVATE LABEL 7 48
CHANGE
TOTAL_ NUMBER OF ITEMS SOLD
*x *xx KROGER SAVINGS xxxxx*
KROGER PLUS SAVINGS 0.24
TOTAL SAVINGS (3 pct.) 0.24
*x KROGER SAVINGS *xx* *xx *x
12/05/11 12:18pm 959 8 20 109
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$100 GIFT CARDS
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