174399 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $162.63
PO BOX 644467
CHECK NUMBER: 174399
PITTSBURG PA 15264467
CHECK DATE: 718/2009
DEPARTMENT ACCOU P O NUMBER IN VOIC E NUMBER AMOUNT DESCRIPTION
1110 4343002 POLICE 90.81 EXTERNAL TRAINING TRA
1110 4343003 POLICE 23.82 TRAVEL LODGING
852 5023990 POLICE 48.00 OTHER EXPENSES
rt
Tear along perforation and return top portion.
ACC BILLING
Outstanding As Of Due Date Customer Number. AMOUNT DUE
06/20/2009 07/18/2009 A03849 $165.99
DATE TICKET
TICKET P.OJREF. STORE AMOUNT
PROCESSED
444602 033112 110 959 05/27/2009 16.55
444936 063688 110 959 05/28/2009 7.27
515989 063308 110 970 06/02/2009 25.18
516519 098901 110 959 06/04/2009 15.82
516788 127160 110 959 06/05/2009 14.42
516790 132311 110 959 06/05/2009 15.94
527536 028841 110 959 06/09/2009 13.15
527804 060016 110 959 06/10/2009 6.30
539539 107013 110 959 06/18/2009 51.36
I
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 @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 bottom portion for t -our records. Page: 1 of 1
Prescribed by Stale 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
K roger Purchase Order No.
Central Customer Charges
P.O. Box 644467 Terms
Pittsburgh, PA 15264-4467
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/20/09 payment for refreshments for promotional board, train g 162.63
and Teen Academy
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 IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
K roger
Central_:Customer Charges IN SUM OF
P.O. Box 644467
P ittsburgh, PA 15264 4467;:
162.63
ON ACCOUNT OF APPROPRIATION FOR
police gene: ice gift fund
Board Members
Po
DEPT. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 430 -02 90.81 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1110 430 -03 23.82 which charge is made were ordered and
received except
852 852 48.00
June 29 2009
&",we Jam.
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund