242824 03/03/15 CITY OF CARMEL, INDIANA VENDOR: 264001
® ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $*******300.00*
=q CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 242824
INDPLS IN 45250 CHECK DATE: 03/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5932 150.00 OTHER EXPENSES
651 5023990 5932 150.00 OTHER EXPENSES
Original Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES/WATER 6653 East 82nd St.
3450 W. 131ST ST. Castleton Village
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000005932 02/09/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051051493 01/16/2015 EIDSON,LARRY 02226E2150 170.99
Customer Tax 1.47
Total $172.46
Customer Payment $22.46
Net Total --$150.00
00051051'498 01/16/2015 SMITH,JERRY G Employee#:2038 04216D 105 197.99
Customer Tax 3.36
Total $201.35
Customer Payment $51.35
Net Total $150.00
Total Merch $368.98
Customer Tax $4.83
Maj.Acct.Tax $0.00
Message: Total Charges $373.81
Customer Payment $73.81
Maj.Acct.Payment $0.00
Total Due $300.00
Date Due 03/11/2015
1
VOUCHER # 155005 WARRANT # ALLOWED
.i
264001 IN SUM OF $
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
APPROPRIATION FOR
ON ACCOUNT OFA �
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Board members
1
PO# INV# ACCT# AMOUNT i Audit Trail Code
i
51000000593. 01-7200-01 $150.00
4 I
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Voucher Total $150.00
t fl�
Cost distribution ledger classification if )
claim paid under vehicle highway fund
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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 shov►`�, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
264001
r
RED WING SHOE STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due Date 2/25/2015
i
Invoice Invoice Description
Date Number (or note attached ilnvoice(s) or bill(s)) Amount
2/25/2015 5100000059; $150.00
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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.
Date Officer
Original Invoice
BML TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES/WATER 6653 East 82nd St.
3450 W. 131ST ST. Castleton Village
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000005932 02/09/2015 Net 30
Ticket# - -Date Purcliased-By— Other-Information --- Item Amount -
00051051493 01/16/2015 EIDSON,LARRY .__ / 02226E2150 170.99
Customer Tax 1.47
Total $172.46
Customer Payment $22.46
Net Total $150.00
00051051498 01/16/2015 SMITH,JERRY G Employee#:2038 04216D 105 197.99
Customer Tax 3.36
__) Total $201.35
Customer Payment $51.35
Net Total $150.00
Total Merch $368.98
Customer Tax $4.83
Maj.Acct.Tax $0.00
Message: Total Charges $373.81
Customer Payment $73.81
Maj.Acct.Payment $0.00
Total Due $300.00
Date Due 03/11/2015
I
VOUCHER # 151037 WARRANT # ALLOWED j
264001 IN SUM OF $ - - -
RED WING SHOE CO.
6653 E. 82nd St. ;
Indianapolis, IN 46250
i
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
5932 01-6200-06 $150.00
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
264001
RED WING SHOE CO. Purchase Order No.
6653 E. 82nd St. Terms
j Indianapolis, IN 46250 Due Date 2/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/23/2015 5932 $150.00
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
A/
Date V fficer