176315 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $696.32
PO BOX 644467 CHECK NUMBER: 176315
PITTSBURG PA 15264 -4467
CHECK DATE: 8/19/2009
DEPARTM ACCOUNT PO NUMBE INVOICE NUMBER AM OUNT DESCRIPTIO
1046 4239037 A32257 303.27 CLUB ACTIVITY SUPPLIE
1047 4239039 A32257 29.70 GENERAL PROGRAM SUPPL
1047 4239040 A32257 93.45 FOOD BEVERAGES
1047 4341993 A32257 269.90 CATERING SERVICE
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Tear along �cr nratiun and return to �ortinn.
ACCOUNT BILLING
C?utstaniiing /�Of Duer® tae Oustomer Number AfvIOUNTtOt1E�
07/18/2009 08/15/2009 A32257 $1,429.34
7 7 W
b4F ICKET
TICKET P /REF STORE y AIUI®UNT y
y y E
APR ,D,
444942 088108 233 959 05/28/2009 24.99
445218 116053 233 959 05/29/2009 81.23
516912 157358 233 959 06/06/2009 104.96
516913 157544 233 959 06/06/2009 24.99
527054 180890 233 959 06/07/2009 49.98
527055 184771 233 959, 06/07/2009 51.62
527537 040759 233 959 06/09/2009 10.00
528064 091576 223>- 959 -06/11 /2009 10.00
538555 172329 233 959: 06/14/2009 90.75
538556 179132 233 %959 06/14/2009 3.00
539072 043029 223`" 959 06116/2009 90.35
539291 080350 ''959'' 06/17/2009 58.56
539293 223 959 X06/17/2009 16.72-
539294 084312 223 959 06/17/2009 44.73
539540 115301 223 959 06/18/2009 24.81
539552 116730 223 970 X06/18%2009 11.90
539772 141700: 4233'` °944 X06/19/2009 21.26
539786 148921 .223 9.59 06k1'9/2009 21.62
539915 185651 233 959 06/20/2009 24.99
540315 003248 -233. 959 "06/22/2009 24.99
540586 034977 263 959: 06/23/2009 16.68
540588 046572 263 j 959 s 06/23/2009 11.95
540601 036898 263 970 06/23/2009 22.63
541142 092119 263 959 06/25/2009 57.98
541414 121263 263 959 06/26/2009 13.00
541535 147793 233 959 06/27/2009 84.97
541536 158220 233 959 06/27/2009 32.00
541537 161586 233 959 06/27/2009 7.96
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 @krooer.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 2
Tear along peroration and return top portion.
ACCOUNT BILLING
AsOf Qate 'Customer Ntairiber AMOUNT QUE
/Due Wl v.
07/18/2009 08/15/2009 A32257 $1,429.34
r y
2 TICKET�,'/ P C)1REF j 'STORE SATE 1 IGKET AMOUNT
ROCESSED y
611651 179912 233 959 06/28/2009 35.84
612634 105663 273 959 07/02/2009 29.70
612645 108686 263 970 07/02/2009 34.51
612815 148566 233 959 07/03/2009 29.99
623952 110767 263 970 07/09/2009 11.90
624171 142024 233: 959 07/10/2009 99.96
634409 191211 233 959 07/12/2009 29.99
634651 009380 ""''233 959 ',07/13/2009 17.65
634673 008101 263 970 07!13/2009 25.58
634674 008177 263 ..970 07/13/2009 49.92
635171 066732 263 x'959` 07/15/2009 31.26
635663 127674 263 x'959 07/17/2009 5.96
635665 128449 263 959 07/17%2009 21.90
M
ft
4 k
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.carhel6desk@1 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: 2 Of 2
Kroger Fund 1046 Fund 1047
enera
Club Prog Food Catering
Supplies Supplies Beverage service PO
V #178002 Invoice 4239037 4239039 4239040 4341993
06/23/09 46572 11.95 22071
06/23/09 34977 16.68 22071
06/23/09 36898 22.63 22071
06/26/09 121263 13.00 22071
06/22/09 3248 24.99 22123
06/27/09 147793 84.97 22123
06/28/09 179912 35.84 22123
06/27/09 161586 7.96 22123
06/27/09 158220 32.00 22123
07/02/09 108686 34.51 22071
06125109 92119 57.98 22076
07103109 148566 29.99 22172
07/09/09 110767 11.90 22071
07/13/09 8177 49.92 22071
07/13/09 8101 25.58 21996
7/2/09 105663 29.70 22104
7/12/09 191211 29.99 22278
7/10/09 142024 99.96 22278
7/13/09 9380 17.65 22278
7/17/09 127674 5.96
7/15/09 66732 31.26 22081
7/17/09 128449 21.90
303.27 29.70 $93.45 269.90 696.32
Kroger Fund 1046 Fund 1047 TOTAL
General
Club Prog Food Catering
Supplies Supplies Beverage service
V #178002 Invoice 1 4239037 4239039 4239040 4341993
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
7/18/09 A32257 Club supplies 303.27
7/18/09 A32257 General Program supplies 29.70
7/18/09 A32257 Food Beverage 93.45
7/18/09 A32257 Catering service 269.90
Total 696.32
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
1 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
696.32
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #iTITLE AMOUNT Board Members
Dept
1046 A32257 4239037 303.27 1 hereby certify that the attached invoice(s), or
1047 A32257 4239039 29.70 bill(s) is (are) true and correct and that the
1047- A32257 4239040 93.4 materials or services itemized thereon for
1047 A32257 4341993 269.90 which charge is made were ordered and
received except
13 -Aug 2009
Signature
696.32 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund