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218531 03/25/2013 � .E CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1 0 ONE CIVIC SQUARE KROGER CO CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $1,051.91 PO BOX 644467 CHECK NUMBER: 218531 PITTSBURG PA 15264-4467 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 A32257 668 . 30 GENERAL PROGRAM SUPPL 1096 4239039 A32257 383 . 61 GENERAL PROGRAM SUPPL CGStOtileC Mb A32257 P.O.Box 1648 — 4 0 Hutchinson,KS 67504-1648 Statement,Qate 03/02/13 ':. RETURN SERVICE REQUESTED DSt@ Que 03/30/13 Artioun Due $1051.91 G2JT8000301142-202387050 I�II�In�IIIII��nI�IrIInIIIIIIIrIiII�II�iI�rlllillilt�Ir�II o® CARMEL CLAY PARKS & RECREATION CF QED o� PAULA SCHLEMMER MAR 1 2�� 1411 E 116TH ST —__ CARMEL, IN 46032-3455 Current 29=56 Days "57-84 Days _ 85 112.Day's - [13{Days $1,051.91 ACCOUNT BILLING l'tCKET P O/REF# CARD# STORE IGT AA70UNT D P€?C�CE�SE? 1312178309 114061 273 959 02/06/2013 $32.33 1312178558 139432 283 959 02/07/2013 $1.99 1312178559 140849 283 959 02/07/2013 $7.36 1312178769 184266 273 959 02/08/2013 $42.14 1312178770 184427 273 959 02/08/2013 $76.78 0113179603 069713 283 959 02/12/2013 $71.16 0113179897 120166 273 959 02/13/2013 $31.64 0113180201 154514 283 959 02/14/2013 $6.23 0113180202 160213 283 959 02/14/2013 $194.65 0113181331 067455 283 959 02/20/2013 $78.92 0113181332 072304 273 959 02/20/2013 $31.33 0 0113"81589 102139 283 959 02/21/2013 $24.62 0 b 0113181802 148901 283 959 02/22/2013 $142.36 0 0113181803 165694 283 959 02/22/2013 $123.29 0 0113182781 117640 273 959 02/27/2013 $122.22 0 N 0113183046 163519 283 959 02/28/2013 $17.72 a 0 w m For questions or copies, please contact Kroger Accounts Receivable toll free at 888-3274911,(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. Plaa.ce rrafain fha tnn nnrrinn fnrr m—rk Page: 1 of 2 ., A32257 P.O.Box 1648 A, - - Hutchinson,KS 67504-1648 a�'��@i1flBElf ID 03/02/13 ' Acct@ QIllB "��f< 03/30/13 A�11CU11t L��l@ $1051.91 ACCOUNT BILLING TICKET PC3 IREF CARD# STORE x a Il:�z� AIV ©UNT 0113183047 177037 273 959 02/28/2013 $22.37 0113183259 246329 273 959 03/01/2013 $24.80 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 _ Fund 109 Fund 109 General General General General General General General— General General Prog Prog Prog Prog Prog Prog Prog Prog Prog Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies V#178002 Invoice# 4239039 4239039_ 4239039 4239039 4239039 4239039 4239039 4239039 4239039 1081-2 1081-4 1081-6 1081-8 1081-9 1081-10 1 1081-11 _1096-70 1096-60 2/7/20131__ 139432 $ 1.99 _ 2/7/20131 140849 $ 7.36 2/6/2013 114061 $ 32.33 2/8/2013 184427 76.78 2/8/2013 184266 $ 42.14 2/12/2013 69713 $ 71.16 2/14/2013 154514 $ 6.23 2/14/2013 160213 $ 194.65 2/13/2013 120166 $ 31.64 2/20/2013 72304 $ 31.33 2/21/2013 102139 $ 24.62 _ _ 2/20/2013 67455 $ 78.92 - 2/22/2013 165694 $ 123.29 2/22/20131 148901 $ 142.36 2/28/20131 163519 $ 17.72 _ 2/28/20131 177037 $ -22.37 _2/27/2013 117640 $ 122.22 3/1/2013 246329 $ 24.80 $ 49.70 $ 194.65 $ 78.92 $ 123.29 $ 1.99 $ 148.59 $ 71.16 $ 184.61 $ 199.00 $1,051.91 Kroger Fund 108 Fund 109 Fund 109 General General General General General General General General General Prog Prog Prog Prog Prog Prog Prog Prog Prog Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies V#178002 Invoice# 4239039 4239039 4239039 4239039 4239039 4239039 4239039 4239039 4239039 1081-2 1081-4 1081-6 1081-8 1081-9 1081-10 1081-11 1096-70 1096-60 a ACCOUNTS PAYABLE VOUCHER 1 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 or note attached invoice(s) or bill(s)) PO# Amount Date Number ( $ 49.70 3/2/13 A32257 General Pro ram supplies $ 194.65 312113 A32257 General Program supplies $ 78.92 3/2/13 A32257 General Program supplies — $ 123.29 3/2/13 A32257 General Program supplies $ 1.99 3/2/13 A32257 General Program supplies $ 148.59 3/2/13 A32257 General Program supplies $ 71.16 3/2/13 A32257 General Pro ram supplies $ 184.61 3/2/13 A32257 General Pro ram supplies $ 199.00 —. 3/2/13 A32257 General Program supplies I hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance $ 1,051.91 with IC 5-11-10-1.6 20 Clerk-Treasurer i Voucher No. Warrant No. Allowed 20 178002 Kroger- Central Customer Charges P.O. Box 644467 Pittsburgh, PA 15264-4467 In Sum of$ $ 1,051.91 ON ACCOUNT OF APPROPRIATION FOR _ 108 - ESE/ 109 MCC PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-2 A32257 4239039 $ 49.70 1 hereby certify that the attached invoice(s), or 1081-4 A32257 4239039 $ 194.65 bill(s) is (are)true and correct and that the 1081-6 A32257 4239039 $ 78.92 materials or services itemized thereon for 1081-8 A32257 4239039 $ 123.29 which charge is made were ordered and 1081-9 A32257 4239039 $ 1.99 received except 1081-10 A32257 4239039 $ 148.59 1081-11 A32257 4239039 $ 71.16 _ 1096-70 A32257 4239039 $ 184.61 _ 1096-60 A32257 4239039 $ 199.00 21-Mar 2013 '4Ai/40�� Signature $ 1,051.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund