HomeMy WebLinkAbout302247 08/22/16 +ut,C4NM
J�/ CITY OF CARMEL, INDIANA VENDOR: 264001
:+ CHECK AMOUNT: $`*""`159.97*
.�; d y• ONE CIVIC SQUARE RED WING SHOE STORES INC
s. ;?4; CARMEL, INDIANA 46032 6653 E 82ND ST CHECK NUMBER: 302247
9.y`�..,._.,. INDPLS IN 46250 CHECK DATE: 08/22/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 5779 159.97 SAFETY SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
RED WING SHOE STORES INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
6653 E 82ND ST IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
N D P LS, IN 46250 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$159.97 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
5779 42-390.12 $159.97 1 hereby certify that the attached invoice(s),or 8/10/16 5779 Jim Blanchard boots $159.97
1192 101 1192 101
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
Monday,August 15,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Inv Date:08/ 2/16 + . For questions call:
Invoice#:000001000-051 317-577-0760
401
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Original Invoice For CITY OF CARMEL/COMMU
BILL TO REMIT TO
LISA STEWART RED WING STORE-INDIANAPOLIS
CITY OF CARMEL/COMMU 6653 EAST 82ND ST
1 CIVIC SQUARE INDIANAPOLIS IN 46250-4577
CARMEL IN 46032
Payment Terms Total Invoice Amount Total Received Total Amount Due
Amount
Net 30 Days $ 159.97 $ 0.00 $ 159.97
Please Pay by 09/11/16
Totals
Qty Price Tax Total Subsidy Cust Paid
1 $ 159.97 $0.00 $ 159.97 $ 159.97 $0.00
Grand Totals
Qty Price Tax Total Subsidy Cust Paid
1 $ 159.97 $0.00 $ 159.97 $ 159.97 $ 0.00
Pair Summary By Brand
Brand Qty
Red Wing Brand-Other- 1 -
Grand Total 1