245249 05/13/15 CITY OF CARMEL, INDIANA VENDOR: 264001(9,
ONE CIVIC SQUARE RED WING SHOE STORES INC
CHECK AMOUNT: 5*******300.00*
CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 245249
INDPLSIN 46250 CHECK DATE:' 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 51000006056 150.00 OTHER EXPENSES
651 5023990 51000006056 150.00 OTHER EXPENSES
Red Win hoe Stere
6653 ast 52nd St.
Castleton Village
Indianapolis, IN 462504577
(317)577-0760
03/12/'15 10:43 00051052409
Sold By Employee #80200
BUCKSOT, BRUCE (317)517-2648
MA Vouch #RWSS051
SALES
83400E2130 HIKER, BROWN ALUMINUM T 174.99T
Safety Footwear
Major/Nat'l Account 5% -8.75
MA Exempt Govt Agency
0031201550020
SUB-TOTAL 166.24
7.00% SALES TAX 1 .14
TOTAL $167.38
Major Account Charge 150,00
x 17.38
Auth # 656608
Sold Items 1
CITY OF CARMEL UTILITIES/WATER
3450 W. 131ST ST.
CARMEL, IN 46074
(317)733-2855 lJ
000051052409a
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
510000006056 04/22/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051052409 03/12/2015 BUCKSOT,BRUCE' U Voucher#:RWSS051 83400E2130 166.24
Customer Tax 1.14
Total $167.38
Customer Payment $17.38
Net Total $150.00
00051052768 04/03/2015 CALLAHAN,TYLER PO#:514985 04216E2105 197.99
Sn ' ,Ciw tk- Customer Tax 3.36
Total $201.35
Customer Payment $51.35
Net Total $150.00
Total Merch $364.23
Customer Tax $4.50
Maj.Acct.Tax $0.00
Message: Total Charges $368.73
Customer Payment $68.73
Maj.Acct.Payment $0.00
Total Due $300.00
Date Due 05/22/2015
1
VOUCHER# 151730 WARRANT # ALLOWED
264001
IN SUM OF $
RED WING SHOE CO.
6653 E. 82nd St. i
Indianapolis, IN 46250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
0656 01-6200-06 $150.00
i
1
'1
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
I
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
Indianapolis, IN 46250 Due Date 5/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/4/2015 0656 $150.00
i
i
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
Date Officer
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
510000006056 04/22/2015 Net 30
Ticket# Date Purchased By formation ____. .___
)item Amount
00051052409 03/12/2015 BUCKSOT,BRUCE Voucher#:RWSS051 83400E2130 166.24
Customer Tax _.-- t:14
Total $167.38
Customer Payment $17.38
Net Total $150.00
00051052768 04/03/2015 CALLAHAN,TYLER PO#:514985 04216132105 197.99
Customer Tax 3.36
Total $201.35
Customer Payment $51.35
Net Total $150.00
Total Merch $364.23
Customer Tax $4.50
Maj.Acct.Tax $0.00
Message: Total Charges $368.73
Customer Payment $68.73
Maj.Acct.Payment $0.00
Total Due $300.00
Date Due 05/22/2015
1
I
VOUCHER # 155442 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV* ACCT# AMOUNT Audit Trail Code
i
51000000605 01-7200-01 $150.00
j
I
I
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 STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due Date 5/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/5/2015 5100000060; $150.00
i
1
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
-rle 4 C e �.f�vLL`.✓Yt�_ ��
Date Officer