301434 07/28/16 I
a`% "p*f� CITY OF CARMEL, INDIANA VENDOR: 264001
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $********87.00*
;, =a; CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 301434
9.y toN INDPLIS IN 46250 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 6051 I 87.00 OTHER EXPENSES
I
I
I
i
i
i
I
I
i
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 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 7/23/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/23/2016 6-051 87.00
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and 1 have audited same in accordance with IC 5-11-10-1.6
Date Officer
9- 0 -0 E 0 Z7 N C
(31
w C o C
R 0 vM _
aCr z o n o 00 z m
CD 0 mn Q
`. �D z C/)
-n -' O rn
mn > /n -Uo O
iv
rn O
RED '
WI z
O Z
c �
o
REQ WING STORE - INDIANAPOLIS Co
6653 EAST 82ND ST
INDIANAPOLIS, IN 46250-4577
317-577-0760 i
stores,redwing.com/indianapolis-in-46250
I' D D
Ticket: 4576 Date; 7/15/16 10:42 AM rO
Store: 51 Register: 1 m
Salesperson: — Cn
Maranda o o
Cashier: Maranda m O
n
Industrial Account Sale
> Customer: Kerri Loveall
i W
317-511-0760 a
Account Name:
CITY OF CARMEL UTILITIES%WATER CD
Account Address: a-
3450 W. 131ST ST, m
Inv Date: 07/20/16 ON—NNFor questions call:
nvoice' :000000006=051 RED'V{IENG 317-577-0760
SHOES°
�.
Original Invoice For CITY OF CARMEL UTILITIES/WATER
BILL TO REMIT TO
KERRI LOVEALL RED WING STORE-INDIANAPOLIS
CITY OF CARMEL UTILITIES/WATER 6653 EAST 82ND ST
3450 W. 131ST ST. INDIANAPOLIS IN 46250-4577
CARMEL IN 46074
Payment Terms Total Invoice Amount Total_Received Total Amount Due
Amount
Net 30 Days $ 87.00 $0.00 $ 87.00
Please Pay by 08/19/16 j
I
Totals
Qty Price Taxi Total Subsidy Cust Paid
1 $94.97 $ 0.56 $ 95.53 $87.00 $8.53
Grand Totals
Qty Price Taxl Total Subsidy Cust Paid
1 $ 94.97 $0.561 $ 95.53 $87.00 $ 8.53
Pair Summary By Brand
Brand Qty
Red Wing Brand --Other, 1
Grand Total 1
i
I
i
I
Inv Date:'07/20/16 For questions call:
'Invoice 4:000000006-051 317-577-0760
RE�D�WIj 'G
s HOES'
Original Invoice For CITY OF CARMEL UTILITIES/WATER
Date TlcketQty SKU Price Tax Total Subsidy Cust Paid Employee Name Employee Number
Number
I
07/15/16 4576 1 02205D $94.97 $0.56 $95.53 $87.00 $8.53 bovveaff,-KE ti k107152016
095
G�GV
Totals
Qty Price Tax Total Subsidy Cust Paid
1 $94.97 $ 0.56 $95.53 $87.00 $8.53
i
i
i
i
i