316749 9/29/2017 ,;a.u.GggMf
CITY OF CARMEL, INDIANA VENDOR: 371341
® ONE CIVIC SQUARE RED WING STORE CHECK AMOUNT: $**.....179.99*
41 rte, CARMEL, INDIANA 46032 17017 MERCANTILE BLVD CHECK NUMBER: 316749
+M. NOBLESVILLE IN 46060 CHECK DATE: 09/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 5-775 179.99 OTHER EXPENSES
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Inv Date:09/14/17 For questions call:
Invoice#:000000005-775
RFAW LIVING
Original Invoice For City of Carmel Utilities/'Water
BILL TO REMIT TO
Kern Loveall RED WING STORE-NOBLESVILLE
Accounts Payable 17017 MERCANTILE BLVD
3450 W 131st St NOBLESVILLE IN 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 10/14/17
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
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Inv Dale:09/14/17
Invoice#:000000005-775
REId,`+frVlt�lG
SHOES*
Original Invoice For City of Carmel Utilities/Water
Date Ticket0ty SKU Price TAX Total Subsidy Cust Paid Employee Name
Number Employee 10
09/14/17 11593 1 83912D $179.99 $0.00 $179.99 $179.99 $0.00 Ransford.Brett "2100
Totals
Qty Price Tax Total Subsidy Cust Paid
1 $179.99 $0.00 $ 179.99 $ 179.99 $0.00
2
rw
Customer Tax
Customer Total O.t70
I acknowledge th .00
at this sale complies wi.:h
the conditions of the agreement grade wltlr
the industrial account,
Arett Ransford
RED WING STORE - 140BLESVILLE
17017 MERCANTILE BLVD Accounts -Receivable
NOBLESVTLLE, IN 46060-3941 * ****0041 179.99
317-219-6777
Ticket: 11593 Oate: 9/14/17 3-66-PM - ,
Store: 775 Register: ]
Sa l espei•san: --
Lynn
Cashier: Lynn Change
0.00
Industrial Account Sale
Customer: Brett Ransford
Tax Exempt Information
i]7-460-3728 Account Name: Tax Exempt Reason Code: ALL-GOVT AGENCY
City of Carmel Utilities/Water Tax Exempt 10; 0031201550020
Account Address: Expiratian Date: 12/31/2025
3450 W 131st St Brett Ransford
Carmel, IN 46074
Item 4ty ...Prlce 317-4b0-3728
11" PULL-ON, BROWN, WP, ST
839121) 100 1 199.99 T
ASTM F2413-11, M/I/75/C/75, EH
Subsidy Amount 179,98
Discount IA tlajor/Nat'l Accou x
Customer Signature
t20.00) '-
Subtotal 179.99 Signer acknowledges receipt of goods
Tax: 0.00 and/ur services fin t
ShOWn hereon, he amount Tendered
Account Subtotal 179.99 SOLD ITEM COUNT = ]
Account Tax 0.00
Account Total 179.95
Customer Subtotal 0.00 a T l 13 3 6 R'll '�31�l!lllll�llll�lfl �l I11�111��
Customer Tax 0.00
i M 6 W 4 A Q 3 C E o
Customer Total 0.00 Account Copy
I acknowledge that this sale complies wi'.h
the conditions of the agreement made with
the industrial account.
X _
Accounts Receivable 179.99