HomeMy WebLinkAbout176829 09/02/2009 f
CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $32.82
PO BOX 644467 CHECK NUMBER: 176829
PITTSBURG PA 15264 -4467
CHECK DATE: 9/212009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 POLICE 5.37 OTHER MISCELLANOUS
1110 4343003 POLICE 27.45 TRAVEL LODGING
7ear along perforation and return top portion.
ACCOUNT BILLING
_.�Outst ing As %Of Due Date 4 .'Customer Number h, AMOUNT "DUE
d�
08/15/2009 09/12/2009 A03849 $33.20
TICKET P O /REF
STORE °DATE TICKET AMOU
NT
PROCESSED
717967 034104 110 959 07/28/2009 27.45
729749 066505 110 959 08/05/2009 5.75
u
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 @kroer.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 y our records. Page: 1 of 1
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
A 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
Kroger 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))
8/25/09 payment for water and lab supplies 32.82
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
Kroger IN SUM OF
Central'Customer Charges
P.O. Box 644467
Pittsburgh:, PA 15264 -4467
32.82
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 390 -99 5.37 bill(s) is (are) true and correct and that the
1110 430 -03 27.45 materials or services itemized thereon for
which charge is made were ordered and
received except
August 25 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund