HomeMy WebLinkAbout251706 11/18/15 i°���qM
r CITY OF CARMEL, INDIANA VENDOR: 264001
® tl ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $ ...""200.00'
x. �° CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 251706
<'"%suN.�� INDPLS IN 46250 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 510000006455 200.00 SAFETY ACCESSORIES
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
510000006455 11/05/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051055539 10/27/2015 TOWNS,ADAM 02414E3100 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 12/05/2015
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 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))
11/05/15 510000006455 $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
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. ACCT#/TITLE AMOUNT Board Members
2201 1 510000006455 1 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
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