218921 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
t ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $775.19
•,.o� PO BOX 644467 CHECK NUMBER: 218921
PITTSBURG PA 15264-4467
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 682 . 81 GENERAL PROGRAM SUPPL
1096 4239039 A32257 92 . 38 GENERAL PROGRAM SUPPL
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CARMEL CLAY PARKS & RECREATION
PAULASCHLEK8K4ER
1411 E 116TH ST
CARK8EL. |N4G032'3455 LAPR 0 5 2013
1 $775.19
-ACCOUNT BILLING
0113184231 116208 273 959 0 0�/2613 $15.96
0113184232 119002 283 959 03/06/2013 $31.86
0113184483 151567 283 959 0310712013 $22.56
0213185451 107812 283 998 03/12/2013 $27.20
0213185644 166044 273 959 03/13/2013 $55.24
0213186140 278576 273 959 03/15/2013 $15.19
0213186141 296341 283 959 03115/2013 $316.16
0213187134 105553 283 959 03/20/2013 $8.99
0213187135 117351 273 959 03/20/2013 $5.99
0213187395 155678 283 959 03/21/2013 $30.59
0213187619 198610 283 959 03/22/2013 $89.89
0213188520 123952 283 959 03/27/2013 $48.00
0213188760 161534 283 959 03/28/2013 $107.56
For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-491 1,(DAVE X65563 or or email us at
U) 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 thp top portion for your records Page: I of 1
-
Kroger Fund 108 Fund 109
General General General General General General
Prog Prog Prog Prog Prog Prog
Supplies Supplies Supplies Supplies Supplies Supplies _
V#178002 Invoice# 4239039 4239039 4239039 4239039 4239039 4239039_
1081-2 1081-6 1081-11 1081-99 1096-70 1096-50
3/6/2013 116208 $ 15.96
3/7/2013 151567 $ 22.56
3/6/2013 119002 $ 31.86 _
3/12/2013 107812 $ 27.20
3/13/2013 166044 $ 55.24 _
3/15/2013 278576 $ 15.19
3/13/2013 296341 $ 316.16
3/20/2013 105553
3/20/2013 105553 $ 8.99
3/20/2013 117351 $ 5.99
3/22/2013 198610 $ 89.89 _
3/21/2013 155678 $ 30.59
3/27/2013 123952 $ 48.00 J
3/28/2013 161534 $ 107.56
$ 170.24 $ 348.02 $ 56.99 $ 107.56 $ 77.19 $ 15.19 $ 775.19
Kroger Fund 108 Fund 109 _
General General General General General General
Prog Prog Prog Prog Prog Prog
Supplies Supplies Supplies Supplies Supplies Supplies
V#178002 Invoice# 4239039 4239039 4239039 4239039 4239039 4239039
1081-2 1081-6 1081-11 1081-99 1096-70 1096-50
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
3/30/13 A32257 General Program supplies $ 170.24
3/30/13 -A32257 General Program supplies $ 348.02
3/30/13 A32257 General Program supplies $ 56.99
3/30/13 A32257 General Program supplies $ 107.56
3/30/13 A32257 General Program supplies $ 77.19
3/30113 A32257 General Program supplies $ 15.19
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 $ 775.19
, 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$
$ 775.19
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE 1 109 MCC
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1081-2 A32257 4239039 $ 170.24 1 hereby certify that the attached invoice(s), or
1081-6 A32257 4239039 $ 348.02 bill(s)is (are)true and correct and that the
1081-11 A32257 4239039 $ 56.99 materials or services itemized thereon for
1081-99 A32257 4239039 $ 107.56 which charge is made were ordered and
1096-70 A32257 4239039 $ 77.19 received except
1096-50 A32257 4239039 $ 15.19
8-Apr 2013
Signature
$ 775.19 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund