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176828 09/02/2009
CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 k ONE CIVIC SQUARE KROGER CO CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $1,230.26 PO BOX 644467 CHECK NUMBER: 176828 PITTSBURG PA 15264 -4467 CHECK DATE: 9/2/2009 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1046 4239037 PARKS 682.95 CLUB ACTIVITY SUPPLIE 1046 4239038 PARKS 98.24 AWARDS PRIZES 1046 4239040 PARKS 92.36 FOOD BEVERAGES 1047 4239039 PARKS 16.00 GENERAL PROGRAM SUPPL 1047 4341993 PARKS 340.71 CATERING.SERVICE Tear along perforation and return top portion. ACCOUNT BILLING Outstandm As Of Due Date' Customer Number g AMOUNTDUE 08/15/2009 09/1212009 A32257 $1,981.56 DAT 3 ET TICKET P.O /REFS# STORE E TICK AMOUNT NAM' PROCESSED 646976 117654 263 959 07/23/2009 27.21 647223 138162 233 959 07/24/2009 79.97 647224 140027 233 959 07/24/2009 20.83 717436 182176 233 959 07/26/2009 24.99 717704 009646 263 959 07/27/2009 98.24 717968 051460 263 959_ 07/28/2009 20.57 717985 054043 263 970 07/28/2009 33.02 717986 054078 970 07/28/2009 34.51 718511 096349 263. 959 i 07/30/2009 65.15 718512 096369 263 :4 07/30/2009 86.13 718513 102033 263 E959 07/30/2009 22.14 718686 125768 263' 906 s 071,31 /2009 57.45 718687 125826 a 263 906 ;07/31 /2009 51.63 718745 120645 233 :959 07/31 /2p09 24.99 718876 153267 233: 959 08/01/2009 54.98 729750 081384 263 959 08/05/2009 24.44 720365 152522233° 959 08/08/2009 54.98 730975 039235263 959 _•08/1172009 38.33 731245 078009 233 959 X 08 %1'2/2009 24.99 731719 144566 233 --,-959 08/14/2009 29.99 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 your records. Page 2 Of 2 Tear along perforation and return top portion. ACCOUNT BILLING Outstanding AsOf Due Date 0 Customer Number 4 AMOUNT DUE ...M. 08/15/2009 09/12/2009 A32257 $1,981.56 ,DATE TICKET TICKETS PO /REFS# STORE AMOUNT ES ED PROC S 540315 003248 233 959 06/22/2009 24.99 540586 034977 263 959 06/23/2009 16.68 540588 046572 263 959 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 158220a 233 959 06/27/2009 32.00 541537 161586 233 959 :06/27/2009 7.96 611651 179912 233 959 06/28/2009 35.84 612634 105663 273 959 07102/2009 29.70 612645 108686 263 970 07102/2009 34.51 612815 148566 233 959 07/03/2009 29.99 w 623952. 110767 163 970 07/09/009 11.90 624171 142024 233 959 07/10/2009 99.96 634409 191211 2339,59 2009 29.99 634651 009380 233: 959 07/13/2009 17.65 634673 008101 '263 X970 07/13/2009 25.58 634674 008177 263 970 07/13/2009 49.92 x... 635171 066732 263 e "&=959 -.r, 07/15/2009 31.26 635663 127674 263, 959 3 07/17/2009 5.96 635665 128449 263 959 07/17/2009 21.90 645879 181560 233 959 07/19/2009 29.99 646444 031416 263 959 07/21/2009 130.11 646447 038343 233 959 07/21/2009 16.00 646463 038100 263 970 07/21/2009 49.23 646464 038244 263 970 07/21/2009 135.39 646975 103507 233 959 07/23/2009 49.98 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 your records. Page 1 of 2 Kroger Fund 1046 Fund 1047 General Club Food Awards Prog Catering Supplies Beverage Prizes Supplies service PO V #178002 Invoice 4239037 4239040 4239038 4239039 4341993 07/21/09 38100 49.23 07/21/09 31416 130.11 22243 07/28/09 54078 34.51 22071 07/21/09 38244 135.39 22328 07/28/09 51460 20.57 22312 07/27/09 9646 98.24 22254 07/23/09 117654 27.21 22240 07/19/09 1 81560 29.99 07/21/09 38343 16.00 07/30/09 96369 86.13 22319 07/30/09 96349 65.15 22314 07/31/09 125826 51.63 22320 07/31/09 125768 57.45 22330 07/30/09 102033 22.14 22328 08/05/09 81384 24.44 22375 8/11/09 39235 38.33 22390 7/26/09 182176 24.99 7/31/09 120645 24.99 8/1/09 153267 54.98 8/12/09 78009 24.99 22422 7/23/09 138162 79.97 22422 7/24/09 140027 20.83 22422 8/14/09 144566 29.99 22422 7/23/09 103507 49.98 22422 7/28/09 54043 33.02 682.95 92.36 98.24 16 340.71 1,230.26 Kroger Fund 1046 Fund 1047 TOTAL General Club Food Awards Prog Catering Supplies Beverage Prizes Supplies service PO V #178002 Invoice 4239037 4239040 4239038 4239039 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 8/15/09 A32257 Club supplies 682.95 8/15/09 A32257 Food Beverage 92.36 8/15/09 A32257 Awards Prizes 9824 8/15/09 A32257 General Prog supplies 16.00 8/15/09 A32257 Catering service 340.71 Total 1,230.26 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 1,230.26 ON ACCOUNT OF APPROPRIATION FOR 104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1046 A32257 4239037 682.95 1 hereby certify that the attached invoice(s), or 1046 A32257 4239040 92.36 bill(s) is (are) true and correct and that the 1046 A32257 4239038 98.24 materials or services itemized thereon for 1047 A32257 4239039 16.00 which charge is made were ordered and 1047 A32257 4341993 340.71 received except 27 -Aug 2009 Signature 1,230.26 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund