HomeMy WebLinkAbout250825 10/21/15 a`! �� CITY OF CARMEL, INDIANA VENDOR: 264001
j ® it ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $*******150.00*
_� CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 250825
M«oN�. INDPLS IN 46250 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6376 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
510000006376 10/05/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051054940 09/16/2015 ZAPF,CHAD 02226E2100 170.99
Customer Tax 1.47
Total $172.46
Customer Payment $22.46
Net Total $150.00
Total Merch $170.99
Customer Tax $1.47
Maj.Acct.Tax $0.00
Message: Total Charges $172.46
Customer Payment $22.46
Maj.Acct.Payment $0.00
Total Due $150.00
Date Due 11/04/2015
1
VOUCHER # 153284 WARRANT# y ALLOWED
264001 IN SUM OF $
RED WING SHOE CO.
6653 E. 82nd St.
Indianapolis, IN 46250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV-# ACCT# AMOUNT I Audit Trail Code
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6376 01-6200-06 $150.00 'l
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Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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 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 10/13/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/13/201; 6376 $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
/o/4�//-'
Date Officer