215087 12/04/2012 `'^*F CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
0 ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $1,784.18
PO BOX 644467
a CHECK NUMBER: 215087
PITTSBURG PA 15264-4467
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 1, 751 . 07 GENERAL PROGRAM SUPPL
1096 4239039 A32257 33 . 11 GENERAL PROGRAM SUPPL
A32257
�s P.O.Box 1648
41' Hutchinson,KS 67504-1648 11/03/12
RETURN SERVICE REQUESTED 12/01/12 0
$1784.18
G2BBE700301237-171972960 m
CARMEL CLAY PARKS & RECREATION o=
C,
PAULA SCHLEMMER
1411 E 116TH ST
CARMEL, IN 46032-3455 0
Nov 119 2012 � o
BY:
$1,784.18 pp�� p�
ACCOUNT BILLING
0912152941 058313 283 959 10/10/2012 $114.36
0912153223 097370 283 959 10/11/2012 $41.17
0912153452 188017 283 959 10/12/2012 $238.71
1012154809 161508 283 959 10/18/2012 $98.52
1012154810 162687 283 959 10/18/2012 $119.48
1012154811 162961 283 959 10/18/2012 $287.62
1012155843 059877 283 959 10/23/2012 $147.59
1012155844 073859 283 959 10123/2012 $137.34
1012156717 224464 283 959 10/26/2012 $175.65
1012157501 065263 283 959 10/30/2012 $50.49
1012157565 062578 283 998 10/30/2012 $35.98
g 1012157807 102392 283 959 10/31/2012 $40.03
0 1012157810 120472 283 959 10/31/2012 $264.13
1012158307 221428 273 959 11/02/2012 $33.11
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° For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911,(DAVE X65563 or )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
N fee for each ticket copy requested.
Plaase mtain tha Inn nnrlinn tnr vnur-rrlc Page: 1 of 1
Kroger Fund 108 _1 Fund 109
General General General General General General General General
Prog Prog Prog Prog Prog Prog Prog Prog
Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies
V#178002 Invoice# 42390391 4239039 4239039 4239039 4239039 4239039 4239039 4239039
1081-1 F 1081-2 1081-4 1081-6 1081-8 1081-9 1081-11 1096-70
10/11/2012 97370 $ 41.17
10/10/2012 58313 $ 114.36
10/12/2012 188017 $ 238.71 1 _
10/18/2012 162961; $ 287.62
10/18/2012 162687 $ 119.48
10/18/2012 161508 $ 98.52
10/23/2012 59877 $ 147.59
10/23/2012 73859 $ 137.34
10/26/2012 224464 $ 175.65
10/30/2012 62578 S 35.98
10/31/2012 102392 $ 40.03
10/30/2012 65263 $ 50.49
10/31/20121 120472 $ 264.13
11/2/2012 221428 _ $ 33.11
274.17 $ 264.13 $ 198.08 $ 376.05 $ 407.10 $ 81.20 $ 150.34 $ 33.11 $1,784.18
Kroger Fund 108 Fund 109
General General General General General General General General
Prog Prog Prog Prog Prog Prog Prog Prog
Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies
V#178002 Invoice# 4239039 4239039 42390391 4239039 42390391 4239039 4239039 4239039
1081-1 1081-2 1081-4 1081-6 1081-8 1081-9 1081-11 11096-70
I
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
11/3/12 A32257 General Program supplies $ 274.17
11/3/12 A32257 General Program supplies $ 264.13
11/3/12 A32257 General Program supplies $ 198.08
11/3/12 A32257 General Program supplies $ 376.05
11/3/12 A32257 General Program supplies $ 407.10
11/3/12 A32257 General Program supplies $ 81.20
11/3/12 A32257 General Program supplies $ 150.34
11/3/12 A32257 General Program supplies _ $ 33.11
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 $ 1,784.18
, 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$
$ 1,784.18
ON ACCOUNT OF APPROPRIATION FOR
108 -ESE/ 109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-1 A32257 4239039 $ 274.17 i hereby certify that the attached invoice(s), or
1081-2 A32257 4239039 $ 264.13 bill(s) is(are)true and correct and that the
1081-4 A32257 4239039 $ 198.08 materials or services itemized thereon for
1081-6 A32257 4239039 $ 376.05 which charge is made were ordered and
1081-8 A32257 4239039 $ 407.10 received except
1081-9 A32257 4239039 $ 81.20 _
1081-11 A32257 4239039 $ 150.34 _
1096-70 A32257 4239039 $ 33.11
29-Nov 2012 {
4 1 A6�zew��
Signature
$ 1,784.18 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1