HomeMy WebLinkAbout252765 12/15/15 CITY OF CARMEL, INDIANA VENDOR: 264001
® °1 ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: S"""""1,194.48"
+, r° CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 252765
INDPLS IN 46250 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 51000000650 1,194.48 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
510000006502 11/30/2015 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051055856 11/16/2015 MERRILL,GARY 83624D 095 147.24
Total $147.24
Net Total $147.24
00051055857 11/16/2015 ESPARAZA,LUPE PO#:515610 06680D 090 169.97
Customer Tax 1.40
Total $171.37
Customer Payment $21.37
Net Total $150.00
00051055859 11/16/2015 BRENNAN, PETER PO#:515610 03506D 085 215.99
Customer Tax 4.62
Total $220.61
Customer Payment $70.61
Net Total $150.00
00051055883 11/18/2015 SMITH, KYLE 00971D 105 175.49
Customer Tax 1.78
Total $177.27
Customer Payment $27.27
Net Total $150.00
00051055884 11/18/2015 HARVEY,ANTHONY 83102D 120 147.24
Total $147.24
Net Total $147.24
00051055885 11/18/2015 JARVIS,DUANE 06510M 105 66.49
05009M 105 113.99
Customer Tax 2.13
Total $182.61
Customer Payment $32.61
Net Total $150.00
00051055960 11/23/2015 MANIFOLD,CURT PO4:S15622 02406D 120 206.99
Customer Tax 3.99
Total $210.98
Customer Payment $60.98
Net Total $150.00
00051055961 11/23/2015 SOUEIDAN, RANI Employee#:6073 Voucher#:515622 02436D 115 179.99
Customer Tat 2.10
Total $182.09
Customer Payment $32.09
Net Total $150.00
Total Merch $1,423.39
Customer Tax $16.02
Maj.Acct.Tax $0.00
1
Message: Total Charges $1,439.41
Customer Payment $244.93
Maj.Acct.Payment $0.00
Total Due $1,194.48
Date Due 12/30/2015
2
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 STORES INC Purchase Order No.
6653 E. 82ND.STREET Terms
INDIANAPOLIS, IN 46250 Due Date 12/8/2015
Invoice Invoice . Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/8/2015 5100000065( $1,194.48
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
,�����s Com..,.-.�✓�,- nt,�--�-�
Date Officer
VOUCHER # 156827 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
51000000650 01-7200-01 $300.00
51000000650 01-7202-05 $297.24
51000000650 01-7202-06 $597.24
Voucher Total $1,194.48
Cost distribution ledger classification if
claim paid under vehicle highway fund