248501 08/12/15 0�.°'""y� CITY OF CARMEL, INDIANA VENDOR: 264001
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® i, ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $""""'343.48`
CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 248501
9.y_tiN. INDPLS IN 46250 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356003 51054180 113.99 SAFETY ACCESSORIES
1192 4356003 51054369 229.49 SAFETY ACCESSORIES
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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 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))
07/13/15 Nick Mishler $113.99
07/30/15 Jim Blanchard boots $229.49
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
Castleton Village, 6653 East 82nd Street
Indianapolis, IN 46250-4577
$343.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
r
1192 43-560.03 $113.99 I hereby certify that the attached invoice(s), or
bill(s) is(are)true and correct and that the
1192 43-560.03 $229.49
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, August 10, 2015
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund