HomeMy WebLinkAbout249027 08/26/15 i Gip .
`�' f CITY OF CARMEL, INDIANA VENDOR: 00351414
® `2j ONE CIVIC SQUARE SHOE CARNIVAL, INC CHECK AMOUNT: $*"'"'"680.00'
s �� CARMEL, INDIANA 46032 PO BOX 2252 CHECK NUMBER: 249027
''r aN INDIANAPOLIS IN 46207 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 202571 680.00 UNIFORMS
SHOE CARNIVAL,INC. SHOE CARNIVAL, INC.
7500 EASTrOLUMBYA STREET
EVANSVILL�IN 47715 INVOICE 202571
(812)-867-6471
CUSTOMER'S ORDER NO. PHONE DATE
NAM
ADDRESS
QUANTITY DESCRIPTION PRICE AMOUNT
E
TAX
ri
TOTAL r�-
�- o
PAID
BALANCE
SC 1029
RECEIVED Y-- AG �C:1
a
REMIT PAYMENT TO: SHO CARNIVAL, INC. w
P.O. BOX-225
INDIANAPOLIS, IN 46207
NET 30 DAYS THANK YOU
WHITE/Sales Rec. PINK/Store CANARY/Customer BLUE/Finance
SHOE K N IV
Ae
*****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 202571
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 7/16/2015
(812) 867-6471 Ext . 4039
CARMEL FIRE DEPARTMENT CUSTOMER NO: CARMEL FIRE
QUARTERMASTER CUSTOMER P.O. :
2 CARMEL CIVIC SQUARE
CARMEL IN 46032
CUSTOMER DOC RETENTION: CATEGORY 2
CONTACT: TERMS: NET 30
DESCRIPTION AMOUNT
SHOES 680 . 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 680. 00
P.O. BOX 22552 TOTAL FREIGHT 0 . 00
Indianapolis, IN 46207 TOTAL TAX 0 . 00
INVOICE TOTAL 680 . 00
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))
202571 $680.00
1 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
Shoe Carnival
IN SUM OF $
P.O. Box 2252
Indianapolis, IN 46207
$680.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 202571 43-560.01 $680.00 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
AUG 2 4 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund