209800 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $1,192.29
PO BOX 644467
CHECK NUMBER: 209800
PITTSBURG PA 15264 -4467
CHECK DATE: 6/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 1,107.16 GENERAL PROGRAM SUPPL
1082 4239039 A32257 49.71 GENERAL PROGRAM SUPPL
1096 4239039 A32257 35.42 GENERAL PROGRAM SUPPL
P.O. Box 1646 Customer No A32257
�L 1 Hutchinson, KS 67504 -1648 �t8tenl @nt �8t@
05/19/12
t C'
'F RETURN SERVICE REQUESTED Dat @�U@ x'' 06/16/12
AmountDue ry $1192.29
G 21 B8 W 00301304- 130981018
rillnllilllli�il�il�Irililnll�IIIIIIIiI�IIr�IIIII Jill Jill lli o
CARMEL CLAY PARKS &RECREATION
R' -T� o
PAULA SCHLEMMER 1
1411 E 116TH ST MAY 2 9 2012
CARMEL, IN 46032 -3455
Current,, W A, 112Days t a,. 13± Days
$1,192.29
ACCOUNT- BILLING
�TICKET k� �P D IREF STORE DATE�TICKET ta�JtaL'fUT.
PROCESSED g..
0312116114 045793 273 959 04/23/2012 $20.30
0312116457 077909 293 959 04/24/2012 $57.43
0312116768 162987 293 959 04/25/2012 $99.50
0312117089 208279 293 959 04/26/2012 $10.46
0312117090 217500 293 959 04/26/2012 $100.54
0312117368 293090 293 959 04/27/2012 $94.33
0312117369 319681 293 959 04/27/2012 $134.30
0412117885 029538 273 959 04/30/2012 $15.12
0412118491 196156 293 959 05/02/2012 $59.98
0412118806 255485 293 959 05/03/2012 $13.98
0412120591 204671 293 959 05/10/2012 $3.39
0 0412120592 204791 293 959 05/10/2012 $161.88
g 0412120593 224871 293 959 05/10/2012 $141.17
0412121028 351644 293 959 05/12/2012 $36.78
g 0412121029 351683 293 959 05/12/2012 $46.55
0412121437 033468 293 959 05/14/2012 $52.65
w 0412121438 293 959 05/14/2012 -$2.94
0
3 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 ton nortinn fnr vnur records Page: 1 of 2
Customer No A32257
P.O. Box I (4S
Statement' Date 05/19/12
Ilutchinson, KS E7504 -I648
Dat "e�,Due os/16/1z
Amount Due $1192.29
ACCOUNT BILLING
s x k& DATETICKET
a JICKET P O /REF STORE u� AMOUNT'
ED
*A
PROCESS
0412122344 215111 293 959 05/17/2012 $6.63
0412122622 287097 293 959 05/18/2012 $40.21
0412122623 323288 293 959 05/18/2012 $100.03
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 ton nnrtinn fnr vnur rarorrk of 7
Kroger 1 I F und 10 j 1 _j Fund 1082 1F 1 0 9
General iGeneral General General General IGenera l General General [General General
Prog iProg. Prog Prog Prog Prog Prog Prog jProg Program
Suppli Supplies Supplies Supplie S ISupplies Supplies Supplies Sup plies Su pplies
V #178002 (Invo 423 90391 4_239039_1 42 39039___ 4239 0391 4239039 42 42 4239039 4239 _039 1 4239039
1
1081 -2 10 4 j 1081 -5 108 -6 81 -7 _11081 -8 1081 -9 _j 1081 -11 1082 -99 j 109 -70
4/23/2012 45793 20.30
4/30/201 29538 -i- 1 5.12
4 /24/2012 1 779091 I 57.43- 1
4/25/2012I 1629871 1 99.50 1
4/26/2012 217500 100.54 4/26/2012 208279 10.
4/ 27/2012 293090 1 9 4.3 3_ 1
4/27/2012 319681 13 4_30
5/2/20121 196156 1 59. 98 _1
5/3 2554 851 13..98
5/1 204791 1
5/10/ 224871 _j 141.17 1
5/10/2012 204671 1 3 .3_9 _1 -1-
5/12/20121 35168 l 46.55 1
5/12/2012 351644 1 1 2/5/190 1
5/14/2012 33468 -_1. 1 1 1 1 52.65 1
5/14/201 334 I I (2.94)
5/18/2012 323288 I_ 1 100.03 I
5/18/2012 2 87097 I I 1 40.21 l 1 j
5/17/2012 21 6.63_1 _1 1 1
128.7 2 19.31 99.50 100.54 231.06 141.17 86.76 100.03 1 49.71 1 35.42
F TOTAL 1 1,192.29
Kroger 1 1 Fund 10 1 I Fund 1082 I -1 Fund 109
General General General General General General General General General General
Prog Prog Prog Prog Prog Prog Prog Prog Prog Program
Supplies Su pplies Supplies Supplies Supplies Supplies Supplies _S upplies Supplies Supplies
V #178002 Ilnvoice 1 4239039 4239039 4239039 4239039 4239039 423 90391 4239039 42390 4239039 1 4239039
1081 -2 11081 -4 11081 -5 11081 -6 11081 -7 11081 -8 11081 -9 1081 -11 11082 -99 F 1096 -70
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
5/19/12 A32257 General Program supplies 128.79
5/19/12 A32257 General Program supplies 219.31
5/1.9/12 A32257. General. Program supplies 99.50
5/19/12 A32257 General Program supplies 100.54
5/19/12 A32257 General Program supplies 231.06
5/19/12 A32257 General Program supplies 141.17
5/19/12 A32257 General Program supplies 86.76
5/19/12 A32257 General Program supplies 100.03
5/19/12 A32257 General Program supplies 49.71
5/19/12 A32257 General Program supplies 35.42
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 1,192.29
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
1,192.29
ON ACCOUNT OF APPROPRIATION FOR
108 ESE 109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1081 -2 A32257 4239039 128.79 I hereby certify that the attached invoice(s), or
1081 -4 A32257 4239039 219.31 bill(s) is (are) true and correct and that the
1081 -5 A32257 4239039 99.50 materials or services itemized thereon for
1081 -6 A32257 4239039 100.54 which charge is made were ordered and
1081 -7 A32257 4239039 231.06 received except
1081 -8 A32257 4239039 141.17
1081 -9 A32257 4239039 86.76
10 -11 A32257 4239039 100.03
1082 -99 A32257 4239039 49.71
1096 -70 A32257 4239039 35.42
14 -Jun 2012
Signature
1,192.29 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund