HomeMy WebLinkAbout257300 04/05/16 0��'4F, CITY OF CARMEL, INDIANA VENDOR: 00351414
® ONE CIVIC SQUARE SHOE CARNIVAL, INC CHECK AMOUNT: $********80.00*
r. �� CARMEL, INDIANA 46032 PO BOX 2252 CHECK NUMBER: 257300
9y, „/` INDIANAPOLIS IN 46207 CHECK DATE: 04/05/16
ITUN p0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 259500 80.00 UNIFORMS
escribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
'hom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
259500 $80.00
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shoe Carnival
IN SUM OF$
P.O. Box 2252
Indianapolis, IN 46207
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 259500 43-560.01 $80.00 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
MAR 2 3 2016
'
,M1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
S H 0 E R N
*****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 259500
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 2/16/2016
(812) 867-6471 Ext. 4819
CARMEL FIRE DEPARTMENT CUSTOMER NO: CARMEL FIRE
QUARTERMASTER CUSTOMER P.O. :
2 CARMEL CIVIC SQUARE
CARMEL IN 46032
CONTACT: TERMS: NET 30
DESCRIPTION AMOUNT
SHOES 80. 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 80. 00
P.O. BOX 22552 TOTAL FREIGHT 0. 00
Indianapolis, IN 46206 TOTAL TAX 0. 00
INVOICE TOTAL 80. 00
SHOE CARNIVAL,INC. SHOE CARNIVAL, INC.
7500 EAST COLUMBIA STREET
EVANSVILLE,lft.4T7 INVOICE 259500
(812)867-6471
CUSTOMER'S ORDER NO. PHONE DATE
oL�a Lo 5,
NAME
a.
ADDRESS
T-
QUANTITY DESCRIPTION PRICE AMOUNT
INI
TAX
TOTAL
PAID
BALANCE
Sc 1029
FIECEIVED'BY MANAGER
REMIT PAYMENT TO: SHOE CARNIVAL,INC.
P.O.BOX 2252
"-40� I)NIS ODIN'
NET 30 DAYS THANK YOU
WHITE/Sales Rec. INK
,' ,%tpre
-,,PANARY Customer BLUE/Finance