220228 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $5.98
PO BOX 644467
CHECK NUMBER: 220228
PITTSBURG PA 15264-4467
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 A03849 5 . 98 OTHER MISCELLANOUS
P.O. Box 1648 A03849
a Hutchinson,KS 67504-1648 D' 04/27/13
_:" ` 04/27!13
RETURN SERVICE REQUESTED Date Dte' 05/25/13
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AttfgUil$.�}tl @; ::. $5.98
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CARMEL POLICE DEPT. o
TERESA ANDERSON
3 CIVIC SQ
CARMEL, IN 46032-2584
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Current 29-56:Days 57-84 Days :" 85=142 i}a�r ,. 113+ci
$5.98 -- --°----------- - -- ----
ACCOUNT BILLING
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IRIE0# CARD# STORE AMOUNT;
PRt
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0313192950 180653 110 959 04/18/2013 $5.98
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911,(DAVID.DAVE NPORT @KROG
Z X65563 or KAREN.HELLER @KROGER. X66674)or email us at kash.carhelpdesk @kroger.com. Please review your account
N 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
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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))
04/18/13 water/City Garage $5.98
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
VOUCHER NO. WARRANT NO.
Kroger ALLOWED 20
Central Customer Charges IN SUM OF $
P.O. Box 644467
Pittsburgh, PA 15264-4467
$5.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 42-390.99 $5.98
I hereby certify that the attached invoice(s), or
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, May 15,2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund