224965 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
ONE CIVIC SQUARE KROGER CO CHECK AMOUNT: $11.52
zo CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES
PO BOX 644467 CHECK NUMBER: 224965
PITTSBURG PA 15264-4467
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 813219413 11 . 52 OTHER MISCELLANOUS
- P.O.Box 1648 Customer�No
A03849
Stat6ment ate
09/14/13
}; Q Hutchinson,KS 67504-1648
L >�
s ±
_ RETURN SERVICE REQUESTED Date,Due 10/12/13
Amount Due $12.15
GMV100301122-251757478
CARMEL POLICE DEPT. F®
TERESA ANDERSON =
3 CIVIC SQ
CARMEL, IN 46032-2584
¢� Current ' 2956 Days X5784 Days 85112 Days -113+Oays
$11.52 $0.63
-- --ACCOUNT-BILLING -- -- - - ----
TICKET P O/REF# �$� � CARD# aSTORE , DATE TICKET AMOUNT,
1 . ... PROCESSED „_. .
0713215336 056122 110 959 08/06/2013 $0.21
0713215341 094639 110 959 08/06/2013 $0.42
0813219413 001357 110 959 08/26/2013 $11.52
s
0
b
0
a
N
O
O
N
N
O
W
For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327=491'1;(DAViD-X65563,--or-S?RAH.X6?825)
N or email us at kash.carhelpdesk @kroger.com. Please review your account promptly and advise if payments have been made.There
N will be a$5 fee for each ticket copy requested.
�,-- - -- ---- -- _.. --- Pape: 1 of 1
VOUCHER NO. WARRANT NO.
Kroger ALLOWED 20
Central Customer Charges IN SUM OF $
P.O. Box 644467
Pittsburgh, PA 15264-4467
$11.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 813219413 I 42-390.99 $11.52.
I 1 hereby certify that the attached invoice(s), or
_
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
Thursday, October 03, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/14/13 813219413 water/City garage $11.52
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