HomeMy WebLinkAbout232604 05/13/14 ,CAA .
`y... `� CITY OF CARMEL, INDIANA VENDOR: 264001
j; ® ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $"''""841.20'
i. �a CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 232604
�,,,�ioN�` INDPLS IN 46250 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 51000005415 841.20 SAFETY ACCESSORIES
Original Invoice
BILL TO- REMIT TO-
ATTN: AMY LUNN Red Wing Shoe Store
CITY OF CARMEL STREET DEPT Castleton Village
3400 W 131ST ST 6653 East 82nd St.
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000005415 05/02/2014 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051047306 04/14/2014 HIGGINBOTHAM,MATT 05009M 130 109.24
Total $109.24
Net Total $109.24
00051047327 04/15/2014 OTTINGER,MARK 05010M 100 109.24
Total $109.24
Net Total $109.24
00051047357 04/17/2014 HENDERSON,BRAD Voucher#:RWSS051 0501OW2105 109.24
Total $149.24
Net Total $109.24
00051047358 04/17/2014 BELL,DARRYL 83600D 130 180.49
Total $180.49
Net Total $180.49
00051047472 04/25/2014 VANWINKLE,JEFF 02414E3100 283.49
Customer Tax 5.84
Total $289.33
Customer Payment $89.33
Net Total $200.00
00051047474 04/25/2014 JONES,GARY 05266M 090 132.99
Total $132.99
Net Total $132.99
Total Merch $924.69
Customer Tax $5.84
Maj.Acct.Tax $0.00
Message: Total Charges $930.53
Customer Payment $89.33
Maj.Acct.Payment $0.00
Total Due $841.20
Date Due 06/01/2014
1
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))
05/02/14 510000005415 $841.20
1 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
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$841.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1510000005415 I 43-560.031 $841.20 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
F 2014
""Nt TffSner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund