209596 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
0 ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $38.46
PO BOX 644467 CHECK NUMBER: 209596
PITTSBURG PA 15264 -4467
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 38.46 SPECIAL INVESTIGATION
CU$tOnlelNO fi A03849
Statement Dates 05/19/12
aox 1648 Date =Due
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VICE
CITED 871.33
L gtnount Due.. ..N
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CARMEL POLICE DEPT.
TERESA ANDERSON
3 CIVIC SO
CARMEL, IN 46032 -2584
57 84Days 85 112 Day's r113±
Current
$38.46 $32.87
ACCOUNT BILLING
DATE TICKET
r �s STORE AMOUNT
f TICKET P O1 /REFS# CARD w .PROCESSED
$32.87,.
03/26/2012
959
110
0212109812 010590 9 59 04/24/2012 $38.46
0312116455 066235 110
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888 327- 4911,(DAVE X65563 or CHARLENE
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 to Page: 1 of 1
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Prescribed by State 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/19/12 investigator meeting refreshments $38.46
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
Central Customer Charges
IN SUM OF
P.O. Box 644467
Pittsburgh, PA 15264 -4467
$38.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 582.00 $38.46
I hereby certify that the attached invoice(s), or
I I I
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 30, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund