206324 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $513.71
PO BOX 644467 CHECK NUMBER: 206324
PITTSBURG PA 15264 -4467
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 393.48 GENERAL PROGRAM SUPPL
1096 4239039 A32257 120.23 GENERAL PROGRAM SUPPL
CiUS {4111@C WO A32257
P.O. Box 1648
0; d Hutchinson, KS 67504 -1648
Stafett18nt Dafe 01/28/12
RETURN SERVICE REQUESTED 02/25/12
At1lpUnt DUB' $513.71
G1 V8R500301303- 107558969
CARMEL CLAY PARKS RECREATION o
PAULA SCHLEMMER r
1411 E 116TH ST
CARMEL, IN 46032 -3455
s
y 'Curren 29 56 Days 57-&t Days H 851 [2 D sys nr 113+
$513.71
ACCOUNT BILL ING
ft
TICKETa nF P O /REF CARD# STbRE x TE' CKET zAN10lJN1
PROCESSED k
1311093796 303508 273 959 01/13/2012 $98.00
1311094206 529974 293 959 01/16/2012 $216.50
1311095247 214969 293 959 01/20/2012 $100.00
1311095248 215301 293 959 01/20/2012 $55.98
1311095724 056221 273 959 01/23/2012 $22.23
1311096755 288187 293 959 01/27/2012 $21.00
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FEB 0 S 2011
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327- 4911,(DAVE X65563 or CHARLENE
X66680) or 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 portion for your records Page: 1 of 1
Kroger F und 1 08 L F und 1
General General General General
Prog Prog Prog Program
Supplies Supplies Supplies Supplies
V #178002 lInvoice 4239039 42390391 4239039 42390391
1081 -1 1081 -8 1081 -11 1096 -70
1 /13/2012 303 98.00
1/16/2012 529974 216.50
1/20/2012 214969 100.00
1/20/20121 215301 55.98
1/23/2012 56221 I 22.23
1/27/2012 288187 21.00 1
216.50 155.98 21.00 120.23 513.71
Kroger Fund 108 1 Fund 109 TOTAL
General General General General
Prog Prog Prog Program
Supplies Supplies Supplies Supplies
V #178002 Invoice 4239039 42390391 4239039 4239039
1 1 1081 -1 1081 -8 1081 -11 1096 -70
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
Purchase Order No.
178002 Kroger Central Customer Charges
P.O. Box 644467 Date Due
Pittsburgh, PA 15264 -4467
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/28/12 A32257 General Program supplies 216.50
1/28/12 A32257 General Program supplies 155.98
1/28/12 A32257 General Program supplies 21.00
1/28/12 A32257 General Program supplies 120.23
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 Total 513.71
20_
Clerk- Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264 -4467 In Sum of
513.71
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -1 A32257 4239039 216.50 1 hereby certify that the attached invoice(s), or
1081 -8 A32257 4239039 155.98 bill(s) is (are) true and correct and that the
1081 -11 A32257 4239039 21.00 materials or services itemized thereon for
1096 -70 A32257 4239039 120.23 which charge is made were ordered and
received except
9 -Feb 2012
Signature
513.71 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund