249873 09/23/15 i°�'G 19*
CITY OF CARMEL, INDIANA VENDOR: 264001
j; ® ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $**.....150.00*
�. ,4 CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 249873
+Mi roN,c°, INDPLS IN 46250 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6344 150.00 OTHER EXPENSES
Red .WinShoe Store
66539ast 82nd St.
Castleton Village
Indianapolis, IN 462504577
(317)577-0760
09/04/15 13:11 . 00051054840
Sold By Employee #80200
MERCER, JOE (317)447-8703
)MAJOR ACCOUNT
SAI—ES
024360 090 6", BROWN, 2436
Safety Footwear _
Major/Nat'l Account IO zu a— J
MA Exempt Govt Agency
0031201550020
SUB-TOTAL 179.99
7.00% SALES TAX 2.10
TOTAL $182.09
Major Account. Charge 150.00
xxxxxxxx3945 Debit Card 32.09
Auth # H34422
Sold Items 1
CITY OF CARMEL UTILITIES/WATER f°
3450 W. 131ST ST.
CARMEL, IN 46074
1(317)733-2855
I ACKNOWLEDGE THAT THIS SALE COMPLIES11
WITH THE CONDITIONS OF THE AGREEMENT MADE 4w
WITH THE MAJOR;CCOU
X
R,Y JOE
13 00051 054840 ',p $ �; t� '+
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
510000006344 09/09/2015 Net 30
cket# Date Purchased By Other Information Item Amount
Ti
00051054840 09/04/2015 MERCER,JOE 02436D 090 179.99
Customer Tax 2.10
Total $182.09
Customer Payment $32.09
Net Total $150.00
Total Merch $179.99
Customer Tax $2.10
Maj.Acct.Tax $0.00
Message: Total Charges $182.09
Customer Payment $32.09
Maj.Acct.Payment $0.00
Total Due $150.00
Date Due 10/09/2015
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 9/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/15/2015 6344 $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
Date Officer
VOUCHER # 153009 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE CO.
6653 E. 82nd St.
Indianapolis, IN 46250
Carmel Water Utility
i
ON ACCOUNT OF APPROPRIATION FOR '
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6344 01-6200-06 $150.00
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund