226731 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 178002 Page 1 of 1
4 � ONE CIVIC SQUARE KROGER CO
® CARMEL, INDIANA 46032 CENTRAL CUSTOMER CHARGES CHECK AMOUNT: $1,108.74
PO BOX 644467 CHECK NUMBER: 226731
PITTSBURG PA 15264-4467
CHECK DATE: 1213/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 A32257 1, 108 . 74 GENERAL PROGRAM SUPPL
P.O.Box 1648
t'rliStt?triBCFlf� A32257
a $ Hutchinson,KS 67504-1648 SdtE*triri QSt$ 11/09!13
RETURN SERVICE REQUESTED 12/07/13
$1108.74
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CARMEL CLAY PARKS & RECREATION o—
PAULA SCHLEMMER a-
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1411 E 116TH ST
CARMEL, IN 46032-3455 �� �4 �
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NOV 1 8 2013
Current 28 56 Days` � 57-84 Bays 851<'I2 Days; '#13}D�y� �'i
$1,108.74
ACCOUNT BILLING
�S�T�TNCKET
TICKET P d IREF# CARD# � y STORE ' A�flOUAtT
0913230592 004425 283 959 10/15/2013 $85.75
0913231153 100887 283 980 10/17/2013 $37.25
1013231888 007589 283 959 10/21/2013 $130.00
1013232189 048998 283 959 10/22/2013 $144.81
1013232712 179694 283 959 10/24/2013 $117.27
1013232965 22.7035 283 959 10/25/2013 $55.26
1013232966 252189 283 959 10/25/2013 $87.83
1013232967 254735 283 959 10/25/2013 $361.41
1013232968 283 959 10/25/2013 -$1.03
1013233797 049751 283 959 10/29/2013 $8.96
1013234394 146582 283 959 10/31/2013 $19.99
S 1013235'124 071487 283 959 11/04/2013 $41.98
8 1013235420 125384 283 959 11/05/2013 $19.26
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For questions or copies, please contact Kroger Accounts Receivable toll free at 888-327-4911,(DAVID X65563 or SARAH X61825)
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.
Please retain the top portion for your records Page: 1 of 1
Kroger i Fund 108
---Genera Goner-al cienerai luenerai—f
Prog Prog Prog Prog Prog Prog Prog
_ Supplies Supplies Supplies Supplies Supplies Supplies (Supplies
V#178002 Invoice# 42390391 4239039 39039r 4239039 42390391 4239039F 4239039
_ 1081-2 1081-4 1081-5 1081-8 1081-10 1081-11 1081-99 _
10/15/2013 4425 _ $ 85.75 _
10/17/2013 100887 $ 37.25
10/21/2013 7589j �_ $ 130.00
10/22/20131 48998j $ 144.81
10/24/2013 179694;' i $ ii 7.27 1-
10/25/2013 25473_5j $ 361.41 _
10/25/2013 Credit $ 1.03
10/25/2013 252189 i $ 87.83
10/25/2013 2270351 _ $ 55.26 _
1_0/29/2013 49751 8.96
_11/4/2013 714871 $ 41.98
_10/31/2013_ 1-4--6-5821_$_ 19.99
11/5/2013 1253841
-----l— —�— � $ 19.26 �
$ 99.22 $ 117.2.7 $ 87.83 $ 360.38 $ 285.82 $ 28.22 $ 130.00 $ 1,108.74
General General General General General General General
Prog iProg Prog Prog Prog IProg Prog
S_ upplies_Supplies_Supplies Supplies Supplies ISupplies Supplies _
4239091 4239039_ 10
4239039 4239039 4239039 42390391 4239039
�
11081-2 1 1081-4 ',1081-5 1081-8 � 81-10 �1^081-11 1 1081-99
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
11/9/13 A32257 General Program supplies $ 99.22
11/9/_13 A32257 General Program supplies $ 117.27
11/9/13 A32257 General Program supplies $ 87.83
11/9/13 A32257 General Program supplies $ 360.38
11/9/13 A32257 General Program supplies $ 285.82
11/9/13 A32257 General Program supplies $ 28.22
11/9/13 A32257 General Program supplies $ 130.00
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 $ 1,108.74
, 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$
$ 1,108.74
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO#or INVOICE NO. ACCT#/TlTLE AMOUNT Board Members
Dept#
1081-2 A32257 4239039 $ 99.22 1 hereby certify that the attached invoice(s), or
1081-4 A32257 4239039 $ 117.27 bill(s) is(are)true and correct and that the
1081-5 A32257 4239039 $ 87.83 materials or services itemized thereon for
1081-8 A32257 4239039 $ 360.38 which charge is made were ordered and
1081-10 A32257 4239039 $ 285.82 received except
1081-11 A32257 4239039 $ 28.22
1081-99 A32257 4239039 $ 130.00
27-Nov 2013
Signature
$ 1,108.74 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund