HomeMy WebLinkAbout237666 09/30/14 �ur t�AA
�/ \� CITY OF CARMEL, INDIANA VENDOR: 264001
1 ® ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $*******200.00*
,a; CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 237666
y��TON E°. INDPLS IN 46250 CHECK DATE: 09/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 5100005656 200.00 SAFETY ACCESSORIES
Original Invoice
BILL TO- REMIT TO-
ATTN: AMY LUNN Red Wing Shoe Store
CITY OF CARMEL STREET DEPT 6653 East 82nd St.
3400 W 13 IST ST Castleton Village
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000005656 09/21/2014 Net 30
Ticket# Date Purchased By Other Information Item _____ Amount
00051049237 09/10/2014 DOCKERY,ANDY 0221113110 206.99
Customer Tax 0.49
Total $207.48
Customer Payment $7.48
Net Total $200.00
Total Merch $206.99
Customer Tax $0.49
Maj.Acct.Tax $0.00
Message: Total Charges $207.48
Customer Payment $7.48
Maj.Acct.Payment $0.00
Total Due $200.00
Date Due 10/21/2014
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store ,
IN SUM OF$
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITEFF AMOUNT Board Members
2201 1 510000005656 1 43-560.031 $200.00 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
Fr y, I* ber26, 2014
Str�8J Le8glTllssA per
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))
09/21/14 510000005656 $200.00
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
, 20
Clerk-Treasurer