216444 01/15/2013 CITY OF:tARMEL, INDIANA VENDOR: 178002 Page 1 of 1
` ONE CIVIC SQUARE KROGER CO
�f CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $14.47
PO BOX 644467 CHECK NUMBER: 216444
OM PITTSBURG PA 15264-0467
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 121269055 14 .47 TRAVEL & LODGING
I
Wro' er
"
t°torvo- Far- the--
uaat-& "c3u , I i ve .
1217 S. RRNGELTNE RD. p 317-846-4818 /
YOUR CASHIER WAS BRYf
DOLE CLSC ROMAINEP 2.00 F
SC PLUS CARD SAVINGS 0.49
KROGER PLUS CUSTOMER *******1603
DOLE CLSC ROMAINEPC 2.00 F
SC PLUS CARD SAVINGS 0.49
DOLE ROMAINE 2.99 F
WISHBONE 2.89 F
HOMECITY ICE 4.59:F_ _'
TAX 0.00
**** BALANCE 14.47
021 KROGER 4959
1217 S, RANGELINE RD.
CARMEL IN 46032
PRIVATE LABEL Purchase
************8490
TOTAL: 14.47
REF#: 173115
PRIVATE LABEL 14.47
CHANGE 0.00
TOTALINUMBER OF ITEMS SOLD = 5
*r'xxxA*** KROGER SAVINGS ***********
,. . -'ER PLUS SAVINGS $ 0.98
SAVINGS (6 pct, ) $ 0.98
**..KROGER SAVINGS ***********
959 8 79 139
w ..- 'dback!
A03849
P.O.Box 1648 .
12/29/12
fG ,9,, Hutchinson,KS 67504-1648
RETURN SERVICE REQUESTED 01/26113
$14.47
G2F64700301209183707673
o®
CARMEL POLICE DEPT. o�
TERESA ANDERSON Z®
3 CIVIC SQ =
CARMEL, IN 46032-2584
$14.47
ACCOUNT BILLING
-ONE= MIEMEM HE
1212169055 173115 110 959 12/19/2012 $14.47
a
0
0
0
N
O
O
N
O
W
c�
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 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kroger
Central Customer Charges
IN SUM OF $
P.Q. Box 644467
Pittsburgh, PA 15264-4467
$14.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1110 1212169055 43-430.03 $14.47_
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
I
Thursday, January 10, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/29/12 1212169055 refreshments/INPAC meeting $14.47
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