221122 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
4� ONE CIVIC SQUARE KROGER CO
CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $29.80
o��o PO BOX 644467 CHECK NUMBER: 221122
PITTSBURG PA 15264-4467
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4343003 A03849 29 . 80 TRAVEL & LODGING
Customer No. A03849
ro.ovv /wn
Statement Date 05/25/13
nutCxinsooxS675w'|w8
xcTunwycnv|csxc0ucsTso
b66 $35.78
oe07xmo301194-22113027*
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CARMEL POLICE DEPT. C,���
TERESAANOERSON
3 CIVIC SO
CARK8EL. |N46032'2584
cu'ri"ent 113+Da"
29-56 Day; 57-84 Days 85-112 Day's YS
DATE TICKET
TICKET P.O./REF# CARD# STORE' AMOUNT,
PROCESSED
0313192950 180653 110 959 04118/2013 $5.98
0313195595 052023 110 959 04/30/2013 $29.80
For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-491 1,(DAVID X65563 or KAREN X66674)
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.
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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))
05/25/13 investigator meeting $29.80
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.
ALLOWED 20
Kroger
Central Customer Charges
IN SUM OF $
P.O. Box 644467
Pittsburgh, PA 15264-4467
$29.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-430.03 $29.80
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
Friday, June 14, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund