251231 11/04/15 y c,q+, CITY OF CARMEL, INDIANA VENDOR: 264001
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $**'**""500.00"
:� � CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 251231
+,y�*oN,�, INDPLS IN 46250 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 6406 200.00 SAFETY ACCESSORIES
601 5023990 6407 150.00 OTHER EXPENSES
651 5023990 6407 150.00 OTHER EXPENSES
Original Invoice
BILL TO- REMIT TO-
ATTN: AMY LUNN Red Wing Shoe Store
CITY OF CARMEL STREET DEPT 6653 East 82nd St.
3400 W 131ST ST Castleton Village
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000006406 10/15/2015 Net 30
Ticket# -- --- Date Purchased-By— Other Information- - - Item -- ----Amount
00051055116 09/29/2015 PRIVETT,SHAUN 02414D 110 287.99
Customer Tax 6.16
Total $294.15
Customer Payment $94.15
Net Total $200.00
Total Merch $287.99
Customer Tax $6.16
Maj.Acct.Tax $0.00
Message: Total Charges $294.15
Customer Payment $94.15
Maj.Acct.Payment $0.00
Total Due $200.00
Date Due 11/14/2015
1
VOUCHER NO. WARRANT NO.
Red Wing Shoe Store ALLOWED 20
IN SUM OF$
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$200.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#lrITLE I AMOUNT Board Members
2201 1510000006406 I 43-560.031 $200.00 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
Thr day tober q,9A2015
St ��Afflfi�A�der
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
10/15/15 510000006406 $200.00
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
' 20
Clerk-Treasurer
Original Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES/WATER 6653 Fast 82nd St.
3450 W. 131ST ST. Castleton Village
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000006407 10/15/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051035223 10/0612015 DIALLO,AMADOIT--'"__._.._.._ ._.._..._.___....._ ._ .. __.:____.._._,_____.__.. OS611W2100 — 151.99
Customer Tax 0.1.4
Total $152.13
Customer Payment $2.13
Net Total $150.00
00051055353 10/15/2015 GRANNAN,FRANK 04416D 090 202.49
Customer Tax 3.67
Total $206.16
Customer Payment $56.16
Net Total $150.00
Total Merch $354.48
Customer Tax $3.81
Maj.Acct.Tax $0.00
Message: Total Charges $358.29
Customer Payment $58.29
Maj.Acct.Payment $0.00
Total Due $300.00
Date Due 11/14/2015
1
VOUCHER # 156545 WARRANT # ALLOWED
264001 IN SUM OF $
I
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
51000000640 01-7202-05 $150.00
i
I
Voucher Total $150.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
I
I
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 shoVj, 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 STORES INC Purchase Order No.
I
6653 E. 82ND STREET Terms
j INDIANAPOLIS, IN 46250 Due Date 10/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/201; 5100000064( $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
/U/30//Yu
Date Officer
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
510000006407 10/15/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051055223 10/06%2015 DIALLO,AMADOU 0561IW2100 151.99
Customer Tax 0.14
Total $152.13
Customer Payment $2.13
Net Total $150.00
00051055353 10/15/2015 GRANNAN,FRANK 04416D 090 202.49
Customer Tax 3.67
Total $206.16
Customer Payment $56.16
6 Net Total $150.00
Total Merch $354.48
Customer Tax $3.81
Maj.Acct.Tax $0.00
Message: Total Charges $358.29
Customer Payment $58.29
Maj.Acct.Payment $0.00
Total Due $300.00
Date Due 11/14/2015 uuvv
1
VOUCHER # 153392 WARRANT # ;I ALLOWED
264001 IN SUM OF $
RED WING SHOE CO. I�
6653 E. 82nd St.
Indianapolis, IN 46250 f
i
°1
Carmel Water Utility
4
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
6407 01-6200-03 $150.00
f
l
t
f
I
I
y
Voucher Total $150.00
Cost distribution ledger classification if I
i
claim paid under vehicle highway fund
i
i
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 10/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/27/201; 6407 $150.00
i
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
12—
Date Officer