314439 7/31/2017 �a'u ��'*'� CITY OF CARMEL, INDIANA VENDOR: 264001
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $**.....179.99*
?�; CARMEL, INDIANA 46032 935 E HANNA AVE CHECK NUMBER: 314439
+,y. INDPLS IN 46227-1396 CHECK DATE: 07/31/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4-775 179.99 OTHER EXPENSES
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Inv Date:07/(0/17 For questions call:
Invoice#:000000004-775 •'-=!
R1E�D..'WI NG LvovN 01-1)Ilq-0,17
Original Invoice For City of Carmel Utilities/Water
BILI,TO REMIT TO
Kerri Loveall RED WING STORE-NOBLESVILLE
Accounts Payable 17017 MERCANTILE BLVD
3450 W 131st St NOBLESVILLE IAT 46060-3941
Carmel IN 46074
Payment Terms Total Invoice Amount Total Received Total Amount Due
Amount
Net 30 Days $179.99 $0.00 $179.99
Please Pay by 08/09/17
Totals
Qty Price Tax Total Subsidy Cust Paid
1 $179.99 $0.00 $ 179.99 $ 179.99 $0.00
Grand Totals
Qty Price Tax Total Subsidy Cust Paid
1 $ 179.99 $0.00 $179.99 '$179.99 $0.00
Pair Summary By Brand
Brand Qty
Red Wing Shoes 1
Grand Total 1
Message
TN s�ni K Yo v Lr rT� Ya v� Bus;tlis35
Inv Date:07/10/17 ---
Invoice#:000000004775
R€a:- ANG
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Original Invoice For City of Carmel Utilities/Water
Date TicketQty SKU Price Tax Total Subsidy Cust Pairs Employee Name Employee ID
Number
06/22117 9371 1 839120 $179.99 $0-00 $179.99 $179.99 $0.00 .Imes,Frazier 6065
150
Totals
Qty Price Tax Total Subsidy Cust Paid
1 $ 179.99 $0.00 $179.99 $ 179.99 $0.00
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RED WING STOR - NOBLESVILLE Customer Subtotal 0.00
17017 MERCAN11LE BLVD Customer Tax 0.00
NQ8LESVILt.E, IN 46060-3941 Customer Total 0.00
317-219-6777 I acknowledge that this sale cordpl ies wi-:h
the conditions of the agreement made with
the industrial account.
Ticket: 937] bate; 6/22/17 6:4x1 PM x- --- ._.._
Store: 775 Register: 1 Frazier Jones _-_.__.__._...___..._ .--.--
Salesperson;
Lynn Accounts Receivable 179.99
Cushier: Lynn ***4000041
Industrial Aecourtt Sale
Customer: Frazier Jones
317-727-6212 Change
Account Nacre: 0.00
City of Carmel Utilities/Water
Account Address:
3450 w 131st St Tax Exempt Information
Carmel, IN 46074
ItemTax Exempt Reason Code: ALL-GOUT AGENCY
t1
0- Uty Price Tax Exempt ID: 0031201550020" PULL-ON, BR(WN, WO, ST Expiration Date: 12/31/2025
63912D 150 1 199.99 T
ASTM F2413-1i, 141T 75/C/75, Eli Frazier Jones
Subsidy Amount 179.99
Discount IA Major/flat'1 Accou
(20.00) 317-727-6712
Subtotal 179.99
Tax: 0,00
Accaunt Subtotalx"— "
179:99 Customer Signature
AcCOUiit Tax J.99
Account Total 179.91 Signer acknowledges receipt of goods
and/or services in the amount tendered
Customer Tax
Customer Subtotal U. t} shown hereon.
Cu0.00
a01
Customer iatai G.OU SOLD ITEM CU11iJT = ]
I acknowledge that this sale cop rulies ori .Coticl1�
t e industrial
t ial ac the agreement made r��ith �����►fl�I�flfil�l�liifllllif�flll� ++jj � ) �� (jj
Thr: i rtdra5 t r i a l account. � .
FraLier Jones
a T11336R11311ITG4APX37a
AccountsAccount Copy
Receivable 179 99 -
*********0041