220229 05/21/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $253.94
` CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
PO BOX 644467
a„ CHECK NUMBER: 220229
PITTSBURG PA 15264-4467
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 211 . 18 GENERAL PROGRAM SUPPL
1096 4239039 A32257 11 . 29 GENERAL PROGRAM SUPPL
1125 4359000 A32257 31 .47 SPECIAL PROJECTS
Cl}StgiTt @YSMO '" _ - A32257
P.O. Box 1648
Hutchinson,KS 67504-1648 $t8t @f11 @I1 DtB' ;'x 04/27/13
05/25/13
RETURN SERVICE REQUESTED Date;Due;f: .;,.:;: ..,.`:;, ,
ArnoUnt Due''- `'''' _ $253.94
G2NTT100301209-214712102
o-
CARMEL CLAY PARKS & RECREATION o�
PAULA SCHLEMMER z
1411 E 116TH ST
CARMEL, IN 46032-3455 a
MAY 0 3 2013
BY:
Current-• 29-SS:Days ,.. ;57-84 Days 85=1#12:Days
$253.94
ACCOUNT BILLING
r
UNTI
TiCKET.;.w. ..yf: :,P O.IREF;#•-: ....._. . v :•..CARD w.
:: •: : ROCESSED
0213189558 095305 273 959 04/02/2013 $11.29
0313191210 140315 283 959 04/10/2013 $5.07
0313191211 140353 283 959 04/10/2013 $2.34
0313192216 008656 283 959 04/15/2013 $114.11
0313192711 139999 283 959 04/17/2013 $7.50
0313192712 140029 283 959 04/17/2013 $3.38
0313192949 170352 273 959 04/18/2013 $31.47
0313193180 242731 283 959 04/19/2013 $76.79
0313194273 126893 283 959 04/24/2013 $1.99
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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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Kroger— I Fund 101 Fund d1 08 Fund 10910
91 —i � —
ueerai— e n era i ueneai taeneral 1 1
Prog Prog (Prog Prog
Supplies Suipt)lies Supp lies Supplies
-V#178002 I�v�ic e # j 43590001---4-2-39039' 4239039 1 42390391
11125-2_11 81-4 1081-11 1096-70
4/2/20131 953051 11.29
4/15/2013! 8656
114.11
4/10/2013 5.07'i 1403151
4/10/2013 1403531 2.34
4/18/2011 1703521 $ 31.47
4/17/2013 1399991 7.50--
4/17/2013! $ 3.38
1400291
4/19/2013!i 2427311 76.79
4/24/2013 1268931 $ 1.99
$ 31.47 $ 190.90 $ 20.28 $ 11.29 $ 253.94
Kroger Fund 101 Fund 108 Fund 109
IGeneral i6eane al
General (General
Prog Prog Prog Prog
Supplies ;Supplies Supplies Supplies
V#178002 Invoice# 4359_00.0._4_239039 4239039 4239039
11125-2 1081-4 1081-11 1 11096-70
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
4/27/13 A32257 Special projects $ 31.47
4/27/13 A32257 General Program supplies $ 190.90
4/27/13 A32257 General Program supplies $ 20.28
4/27/13 A32257 General Program supplies $ 11.29
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 $ 253.94
120
Clerk-Treasurer
Voucher No. Warrant No.
Allowed 20
178002 Kroger- Central Customer Charges
P.O. Box 644467
Pittsburgh, PA 15264-4467 In Sum of$
$ 253.94
ON ACCOUNT OF APPROPRIATION FOR
101 General / 108 ESE/ 109 MCC
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1125 A32257 4359000 $ 31.47 1 hereby certify that the attached invoice(s), or
1081-4 A32257 4239039 $ 190.90 bill(s) is (are)true and correct and that the
1081-11 A32257 4239039 $ 20.28 materials or services itemized thereon for
1096-70 A32257 4239039 $ 11.29 which charge is made were ordered and
received except
16-May 2013
Signature
$ 253.94 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund