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208775 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $862.89 CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES o �o? PO BOX 644467 CHECK NUMBER: 208775 PITTSBURG PA 15264 -0467 CHECK DATE: 5/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 A32257 768.87 GENERAL PROGRAM SUPPL 1095 4239040 A32257 60.15 FOOD BEVERAGES 1096 4239039 A32257 33.87 GENERAL PROGRAM SUPPL CUStORIel�10 A32257 P.O. Box 1648 Hutchinson, KS 67504 -1648 Stat Date 04/21/12 RETURN SERVICE REQUESTED Date Due 05/19/12 0 ptR10Ul1t ©Uer� $862.89 G1ZMIH0030127 8-124834962 m o 0 CARMEL CLAY PARKS RECREATION o PAULA SCHLEMMER 1411E116THST CARMEL, IN 46032 -3455 APR 3 0 2012 r, Current,. Y57 Days x 8511 Days v 113 ±Dajs z b 29 56 Da s $862.89 ACCOUNT B ILLIN G b P O tREF CAl2D3# j5' �'''D�TI= ,TICKETS r` 0212110570 198510 293 959 03/29/2012 $29.92 0212110571 205916 293 959 03/29/2012 $111.09 0212110572 207010 293 959 03/29/2012 $76.52 0312112742 051014 273 959 04/09/2012 $19.04 0312113589 215825 293 959 04/12/2012 $11.25 0312113590 226483 293 959 04/12/2012 $127.38 0312113871 275321 293 959 04/13/2012 $60.00 0312113874 354547 293 959 04/13/2012 $49.77 0312114438 026623 273 959 04/16/2012 $14.83 0312115332 203978 293 959 04/19/2012 $17.39 0312115333 204577 233 959 04/19/2012 $60.15 G 0312115335 217887 293 959 04/19/2012 $237.41 0 0 0312115336 217967 293 959 04/19/2012 $8.74 0 0312115337 218111 293 959 04/19/2012 $39.40 N O _O c6 n N O W m For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327- 4911,(DAVE X65563 or CHARLENE N 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 top portion for your records Page: 1 of 1 g Fund 109 Kr oger F und 108 Genefal General General General General General General General 1 General Prog Prog Prog Prog Prog Prog Prog Prog Food Program Supplies Suppl Supplies Supplies S upplies �Supplies Sup plies Supplies Beverage Supplies V #178002 Invoice 42390391_ 42390391 42390391 4239039 423903 4239039 423903 4239039 423 9040 4239039 I 1081 -2 1 1081 -4 1 1081 -6 1 1081 -7 1081 -8 j 1081 -10 1081 -11 1 1081 -99 1095 -1 1096 -70 3/29/2012 205916 _1_ 111.09 3/29/2012 198510 1 29.92 3 /29/2012 1 207010 _i 76.52 1 4/9/2012 51014 1_ 1 —I 19.04 4/12/2012 226483 127. i 4/13/20121 275321 60.0 4/12/2012 215825 11.25 4/16/2012 26623 _I 14.83 4/13/2012 354547 4 9.77 4/19/2012 218111 39.40 4/19/2012 203978 17.39 4/19/2012 2179671 8 4/19/20121 217887 l 237.4 1 4/19/20121 2045 _1_ j 60.1 28.64 1 127.38 111.09 60.00 246.15 _2_ 9.92 89.17 76.52 60 .15 33.87 Kroger Fund 108 1 Fund 109 General General General General General 'General 1General General IGeneral Prog Prog Prog Prog Prog (Prog Prog Prog Food Program Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Beverage Supplies V #178002 Invoice 4239039 4239039 4239039 4239039 4239039 4239039 4239039 4239040 4239039 1081 -2 1081-4 1081 -6 1081 -7 1081 -8 1 1081 -10 1 081 -11 1081 -99 1095 -1 1 1096 -70 I 862.89 total 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 4121112 A32257 General Program supplies 28.64 4/21/12 A32257 General Program supplies 127.38 4121112 A32257 'General Program supplies 111.09 4/21/12 A32257 General Program supplies 60.00 4/21/12 A32257 General Program supplies 246.15 4/21/12 A32257 General Program supplies 29.92 4/21/12 A32257 General Program supplies 89.17 4/21/12 A32257 General Program supplies 76.52 4/21/12 A32257 Food Beverage 60.15 4/21/12 A32257 General Program supplies 33.87 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 862.89 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 862.89 ON ACCOUNT OF APPROPRIATION FOR 108 ESE 1 109 Monon Center PO# J, INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -2 A32257 4239039 28.64 1 hereby certify that the attached invoice(s), or 1081 -4 A32257 4239039 127.38 bill(s) is (are) true and correct and that the 1081 -6 A32257 4239039 111.09 materials or services itemized thereon for 1081 -7 A32257 4239039 60.00 which charge is made were ordered and 1081 -8 A32257 4239039 246.15 received except 1081 -10 A32257 4239039 29.92 1081 -11 A32257 4239039 89.17 1081 -99 A32257 4239039 76.52 1095 -1 A32257 4239040 60.15 1096 -70 A32257 4239039 33.87 3 -May 2012 Signature 862.89 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund