215696 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $794.68
y ('o CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
a o� PO BOX 644467 CHECK NUMBER: 215696
PITTSBURG PA 15264-4467
CHECK DATE: 12/18/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 794 . 68 GENERAL PROGRAM SUPPL
a
P.O.Box 1648 �' i�F t, 1�4'
A32257
} ` 12/01/12
Hutchinson,KS 67504-16482
RETURN SERVICE REQUESTED 12/29/12
$2578.86
G2CXQ300301246177740499
CARMEL CLAY PARKS & RECREATION
a®
PAULA SCHLEMMER t7—
1411 E 116TH ST
FOEC CARMEL, IN 46032-3455
10 2012 11
$794.68 $1,784.18
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 10/23/2012 $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
g 1012157810 120472 283 959 10/31/2012 $264.13
a 1012158307 221428 273 959 11/02/2012 $33.11
0 1012159114 104128 283 959 11/06/2012 $14.83
IL 1012159685 230082 283 959 11/08/2012 $17.76
W
1112161092 059240 283 959 11/14/2012 $11.47
W
0
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
fee for each ticket copy requested.
Please retain the top portion for your records Page: 1 of 2
P.O.Box 1648 A32257 12/01/12
Hutchinson,KS 67504-1648
1 " 12/29/12
$2578.86
ACCOUNT BILLING
1112161094 062782 283 959 11/14/2012 $19.65
1112161676 194999 283 959 11/16/2012 $80.51
1112162254 090676 283 959 11/19/2012 $35.35
1112162565 160692 283 959 11/20/2012 $34.56
1112162566 201015 283 959 11/20/2012 $210.53
1112162823 221317 283 959 11/21/2012 $13.67
1112164281 220864 283 959 11/29/2012 $304.60
1112164574 276120 283 959 11/30/2012 $51.75
s
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
fee for each ticket copy requested.
Please retain the top portion for your records Page: 2 of 2
Kroger Fund 108
General General General General General-
Prog Prog Prog Prog Prog
Supplies Supplies Supplies Supplies Supplies
V#178002 Invoice# 4239039 4239039 4239039 4239039 4239039
1081-4 1081-6 1081-7 1081-8 1081-11
11/6/2012 104128 $ 14.83
11/8/2012 230082 $ 17.76
11/14/2012 62782 $ 19.65
11/14/2012 59240 $ 11.47
11/19/2012 90676 $ 35.35
11/16/2012 194999 $ 80.51
11/20/2012 201015 $ 210.53
11/20/2012 160692 $ 34.56
11/21/2012 221317 $ 13.67
11/29/2012 220864 $ 304.60
11/30/2012 276120 $ 51.75
$ 97.78 $ 115.86 $ 17.76 $ 304.60 $ 258.68 $ 794.68
Fund 108
General General General General General
Prog Prog Prog Prog Prog
Supplies Supplies Supplies Supplies Supplies
Invoice# 1 42390391 4239039 4239039 4239039 4239039
1081-4 11 081-6 1081-7 1081-8 1081-11
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
12/1/12 A32257 General Program supplies $ 97.78
12/1/12 A32257 General Program supplies $ _ 115.86
12/1/12 A32257 General Program supplies $ 17.76
12/1/12 A32257 General Program supplies $ 304.60
12/1/12 A32257 General Program supplies $ 258.68
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 $ 794.68
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger-Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 794.68
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-4 A32257 4239039 $ 97.78 1 hereby certify that the attached invoice(s),or
1081-6 A32257 4239039 $ 115.86 bill(s) is (are)true and correct and that the
1081-7 A32257 4239039 $ 17.76 materials or services itemized thereon for
1081-8 A32257 4239039 $ 304.60 which charge is made were ordered and
1081-11 A32257 4239039 $ 258.68 received except
13-Dec 2012
Signature
$ 794.68 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund