244981 05/05/15 (;i s CITY OF CARMEL, INDIANA VENDOR: 264001
t, CHECK AMOUNT: $*******1 13.99*
,. ONE CIVIC SQUARE RED WING SHOE STORES INC
?� CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 244981
INDPLS IN 46250 CHECK DATE: 05/05/15
(TON GO•
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 6060 113.99 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 131ST ST Castleton Village
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000006060 04/22/2015 Net 30
'Ticket#- -- Date Purchased By - Otherinformation - Item" - "- -"" "Amount -
00051052644 03/25/2015 COFFEY,TIM Employee#:2285 05009W2130 113.99
Total $113.99
Net Total $113.99
Total Merch $113.99
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $113.99
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $113.99
Date Due 05/22/2015
1
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF$
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$113.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members.
2201 510000006060 43-560.03 $113.99 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
I
R 0 All
y
Th),r day ril 30, 0 5
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))
04/22/15 510000006060 $113.99
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