245598 05/20/15 � Coq .
' * CITY OF CARMEL, INDIANA VENDOR: 264001
® ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: S"''''"150.00'
?4 CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 245598
'M<'r�� INDPLS IN 46250 CHECK DATE: 05/20115
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6113 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
510000006113 05/12/2015 Net 30
.Ticket.#_ Date—___ Purchased_By Other.Information _ __ _ _Item _ Amount
00051053248 05/04/2015 JONES,FRAZIER Employee#:6065 02492D 150 224.99
Customer Tax 5.25
Total $230.24
Customer Payment $80.24
Net Total $150.00
Total Merch $224.99
Customer Tax $5.25
Maj.Acct.Tax $0.00
Message: Total Charges $230.24
Customer Payment $80.24
Maj.Acct.Payment $0.00
Total Due $150.00
Date Due 06/11/2015
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 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 5/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/18/2015 6113 $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
I jov
Date OffQe r
VOUCHER # 151929 WARRANT# ALLOWED
264001 I IN SUM OF $
RED WING SHOE CO.
6653 E. 82nd St.
Indianapolis, IN 46250
i
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6113 01-6200-06 $150.00
f
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund