217716 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $15.45
PO BOX 644467
o„ CHECK NUMBER: 217716
PITTSBURG PA 15264-4467
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 A03849 10 . 87 TRAVEL & LODGING
852 5023990 A03849 4 . 58 OTHER EXPENSES
A03849
P.O. Box 1648FiSt3tY&E`�Els:;
Hutchinson,KS 67504-1648 ` t3t1ientPAW :``: 02/02/13
RETURN SERVICE REQUESTED @g_. ;•.., _y.,,:.,,_ 03/02/13
ot11�LEB` _:`: €<:. $15.45
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CARMEL POLICE DEPT. o®
TERESA ANDERSON a-
3 CIVIC SO
CARMEL, IN 46032-2584
$15.45
ACCOUNT BILLING
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1312174031 096427 110 959 01/16/2013 $10.87
1312176620 054859 110 959 01/29/2013 $4.58
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m 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.
Please retain the top portion for your records Page: 1 of 1
VOUCHER NO. WARRANT NO.
Kroger ALLOWED 20
Central Customer Charges IN SUM OF $
P.O. Box 644467
Pittsburgh, PA 15264-4467
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE r AMOUNT Board Members
1110 43-430.03 $10.87
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, February 20, 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))
01/16/13 refreshments/training $10.87
1 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