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323227 03/21/18
y u!.44gy CITY OF CARMEL, INDIANA VENDOR: 264001 .j; Qb it ONE CIVIC SQUARE RED WING BUSINESS ADVANTAGE AcftWgig AMOUNT: $'*'"'1,434.46` CARMEL, INDIANA 46032 P.O.BOX 844329 CHECK NUMBER: 323227 v, •,_ ,o, DALLAS TX 75284-4329 CHECK DATE: 03/21/18 t ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 33368 1,234.46 OTHER EXPENSES 2201 4356003 775117374 200.00 SAFETY ACCESSORIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 264001 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER RED WING BUSINESS ADVANTAGE ACCOUNT IN SUM OF$ CITY OF CARMEL P.O. BOX 844329 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. DALLAS, TX 75284-4329 Payee $200.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Street Department 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 775-1-17374 43-560.03 $200.00 1 hereby certify that the attached invoice(s),or 2/24/18 775-1-17374 $200.00 2201 2201 2201 2201 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 Tuesday, March 13, 2018 Huffman, Dave Director 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer City of Carmel-Street Dept. Page : 5 of 5 Eric Russell Customer Number: 20530 3400 W 131st St Reference Number: 20180310020530 Carmel IN 46074 Statement Date : 03/10/2018 United States Payment Terms : 60 Days Pay By: 05/09/2018 Please retain a copy of this report for your records. R Invoice# 775-1-17374 �5. Sale Date 02/24/2018 OF Invoice Amount $200.00 SOLD BY _ SOLD l O RED WING STORE-NOBLESVILL City of Carmel-Street Dept. 17017 MERCANTILE BLVD 3400 W 131st St NOBLESVILLE, IN 46060-3941 Carmel, IN 46074 United States United States Store Location Number: 12027 Customer Number: 20530 Voucher Code Employee Name Fred Martz Issued By Employer Employee ID Quantity Item SKU Description Unit Price Total Amount 1 04200D 105 8"BROWN,ST WP $215.99 $215.99 Summary of Charges Unit Price Total $215.99 Total Tax $1.12 Purchase Total $217.11 Employee Paid $17.11 Employee Signature Subsidy $200.00 Payroll Deduction $0.00 Billed Total $200.00 END OF REPORT For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com ©Multi Service Technology Solutions, Inc. 2018 VOUCHER NO. 181039 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 264001 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER RED WING SHOE CO. CITY OF CARMEL PO BOX 844329 An invoice or bill to be properly itemized must show:kind of service,where performed, DALLAS,TX 75284-4329 dates service rendered, by whom, rates per day, number of hours, rate per hour, numbers of units, price per unit,etc. Payee $1,234.46 264001 Purchase Order No. ON ACCOUNT OF APPROPRATION FOR RED WING SHOE CO. Terms Carmel Water Utility PO BOX 844329 Due Date BOARD MEMBERS I hereby certify that that attached invoice(s), DALLAS,TX 75284-4329 PO# ACCT# or bill(s)is(are)true and correct and that the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 775-1-16115 01-6200-03 $179,99 and received except 3/15/2018 775-1-16115 $179.99 775-1-16274 01-6200-06 $161.99 3/15/2018 775-1-16274 - $161.99 775-1-16276 01-6200-06 $200.00 3/15/2018 775-1-16276 $200.00 775-1-16342 01-6200-06 $200.00 3/15/2018 775-1-16342 $200.00 775-1-16344 01-6200-06 $152.99 3/15/2018 775-1-16344 $152.99 775-1-17273 01-6200-06 $139,49 3/15/2018 775-1-17273 $139.49 775-1-17756 01-6200-06 $200.00 3/15/2018 775-1-17756 $200.00 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_ Clerk-Treasurer RE;D*WII�NG, f �iOES° City of Carmel Page: 3 of 5 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180310033368 Carmel IN 46032 Statement Date: 03/10/2018 United States Payment Terms : 60 Days Pay By: 05/09/2018 The following is a summary of invoices for which you were billed Please retain a copy of this report for your records. INVOICE STATEMENT Account Name City of Carmel Invoice Statement Number 20180310033368 Billed Total $339.49 Employer Transaction Employee Invoice Employee Unit Price Purchase Employee Payroll Billed Total Date Name Number ID Total Total Tax Total Paid Subsidy Deduction (USD) 03/08/2018 Cooksey,Shaw 775-1-1775 $238.49 $2.69 $241.18 $41.18 $200.00 $0.00 $200.00 n 6 0212/��U'iJ&,Schimmel Lar 7Z5 1 `t727 k -:'' Up, Total: $377.98 $2.69 $380.67 $41.18 $339.49 $0.00 $339.49 For Red Wing Business Advantage Account Program Support,call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc.2018 RED M;1NG l City of Carmel Utilities Page : 3 of 9 Lisa KempaCustomer Number: 33368 30 W Main St.Suite 210 I Reference Number: 20180210033368 Carmel IN 46032 tatement Date: 02/10/2018 United States Payment Terms : 60 Days Pay By: 04/11/2018 The following is a summary of invoices for which you were billed Please retain a copy of this report for your records. INVOICE STATE-T Account Name City of Carmel Utilities Invoice Statement Number 20180210033368 Billed Total $894.97 ; Employer Transaction Employee Invoice Employee Unit Pnce Purchase Employee Payroll Billed Total Date Name Number ID Total Tax Total Paid Subsidy Deduction (USD) 01/17/2018 Bassett,Kole 775-1-1611 � � x$179 99 $0.00 $179.99 $0.00 $179.99 $0.00 $179.99 01/2212018;Brown;�lex7751 1627 01/24/2018 Frolick,Jeff 775-1-1634 $152.99 k $0.00 $152.99 $0.00 $152.99 $0.00 $152.99 4 01!22/2018 Mcnut ;Matt x 7761 1627 ty. 8 $238 49 $2 9 $241 18 ; $41 12D0 fl0 $0 00 $2(30 O(3 01/24/2018 Zapf,Chad 7751 1634 $211.49 $0.80 $212.29 $12.29 $200.00 $0.00 $200.00 2 Total __ ,;,'.• _ $944.95 $3.49 $948.44 $53.47 $894.97 $0.00 $894.97 For Red Wing Business Advantage Account Program Support,call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 RE+DsWhNG, =10E5° City of Carmel Utilities Page: 4 of 9 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180210033368 Carmel IN 46032 tatement Date: 02/10/2018 United States ayment Terms: 60 Days ?e .; Pay By: 04/11/2018 n; � z 4 Please retain a copy of this report for your records. s Y PAYMENTS: Date Description Payment. (if.applicable) VVI otal(USD) 02/09/2018 Payment Received-Check-Thank You 23808" 321304 Xp� , ,;$152.99 • Total: 152.99 ADJUSTMtNTS Errtp(oye Check#(if Adjustment Total Date Description m Transaction•ID iJarne Payment ID applicable) Original Total (USD) 02/06/2018 Payment Transfer 22311 319865 -$152.99 Total: -$152.99 fE �pe, 4 <• �c IP <: nn j �"Y a .:. �� > s For Red Wing Business Advantage Account Program Support,call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Utilities Page : 5 of 9 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180210033368 Carmel IN 46032 Statement Date : 02/10/2018 United States Payment Terms: 60 Days Pay By : 04/11/2018 Please retain a copy of this report for your records. ,�•� z Invoice# 775-1-16274 1tE�D�,W/IINID j` NAM, §914 sale Date 01/22/2018 trivoice Amount $161.99 �r �..__...-», ...T 1'1""",r' 6_,._ ...._. ...rte.;..,...,„,....a RED WING STORE-NOBLESVILL �, City ofi Carmel Utilities 17017 MERCANTILE BLVD 30 VI(,Main St. Suite 210 NOBLESVILLE, IN 46060-3941 " CaiE;1,1N 46032 United States United Sta#s,, Store Location Number: 12027 'd' � CustomefA,uf 0,0r: 33368 A' W Voucher Code ` Employee Name Alex Brown Issued By Employer Employee ID Quantity Item SKU Description Unit Price Total Amount 1 83840E2105 8"BROWN/ORANGE,NT WP $161.99 $161.99 r 3z ' ` t Summary of Charges Unit Price Total $161.99 Total Tax $0.00 Purchase Total $161.99 Employee Paid $0.00 Employee SignatureSubsidy $161.99 C Payroll Deduction $0.00 ti Billed Total $161.99 oaf� ' 4 a For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Utilities Page : 6 of 9 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180210033368 Carmel IN 46032 Statement Date: 02/10/2018 United States Payment Terms : 60 Days Pay By: 04/11/2018 Please retain a copy of this report for your records. ,•rte'' ,' Invoice# 775-1-16342 RErD,.!V IIING I `+AWES• Sale Date 01/24/2018 Invoice Amount $200.00 z SUIb BY, SOLDTO RED WING STORE-NOBLESVILL Cityrof Carmel Utilities 17017 MERCANTILE BLVD „ , 30 UVi Main St. Suite 210 , �>,= � apo NOBLESVILLE, IN 46060-3941 CAfineLJN_46032 United States United States61 �£ Store Location Number: 12027 ry ik Customer um, er: 33368 Voucher Code "` Employee Name Chad Zapf Issued By Employer Employee ID Quantity Item SKU Description Unit Price Total Amount 1 02406D 100 6" BROWN,2406 $211.49 $211.49 Summary of Charges < ,, Unit Price Total $211.49 Total Tax $0.80 s Purchase Total $212.29 Employee Paid $12.29 Employee Signature a Subsidy $200.00 Payroll Deduction $0.00 Billed Total $200.00 F Ys For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Utilities Page : 7 of 9 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180210033368 Carmel IN 46032 Statement Date: 02/10/2018 United States Payment Terms : 60 Days Pay By: 04/11/2018 Please retain a copy of this report for your records. NOW" Invoice# 775-1-16115 RE�;]D,iW IiNG � 1Hi0ES' Sale Date 01/17/2018 Invoice Amount $179.99 4 ik R SOLA.BYE W "i SOLD TOS" r ry T RED WING STORE-NOBLESVILL Cltof Carmel Utilities z y 17017 MERCANTILE BLVD �, � 30 W Main St. Suite 210 NOBLESVILLE, IN 46060-3941 -Ca'rMbL ft46032 United States United StatesN Store Location Number: 12027 Customer Number: 33368 _v fi.,. 'Y Voucher Code „ h Employee Name Kole Bassett Issued By f ,' Employer Employee ID Quantity Item SKU Description <. _ -;_� _ i>� Unit Price Total Amount 1 83930D 115 11"PULL-ON,BROWN,ST WP ," �, $179.99 $179.99 a � Summary of Charges ; �' u a E - 'Unit Price Total $179.99 �q;r Total Tax $0.00 Purchase Total $179.99 .�. Employee Paid $0.00 Employee Signature-., Subsidy $179.99 Payroll Deduction $0.00 °_ Billed Total $179.99 'f F7i3 Y 10 E l j p i -S� For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Utilities Page : 8 of 9 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180210033368 Carmel IN 46032 Statement Date : 02/10/2018 United States Payment Terms : 60 Days Pay By: 04/11/2018 Please retain a copy of this report for your records. X, [tE.n�w� ' Invoice# 775-1-16276 Sae>:oElDate 01/22/2018 FIT S Iruoice Amount $200.00 t Y SOLD BY a SOLD TO RED WING STORE-NOBLESVILL Cltyof Carmel Utilities 17017 MERCANTILE BLVD 30 WiVain St. Suite 210 W NOBLESVILLE, IN 46060-3941 Caitb6l, N,46032 United States United States Store Location Number: 12027 „ �f mY Custome��Nbm 'er: 33368 Voucher Code 111z�`' " Employee Name Matt Mcnulty Issued By Employer Employee ID cZ 'Y Quantity Item SKU Description Unit Price Total Amount 1 04448D 100 11"PULL-ON,BLACK/BROWN AT,f �� ! ,� $238.49 $238.49 Summary of Charges Unit Price Total $238.49 f, Total Tax $2.69 Purchase Total $241.18 Employee Paid $41.18 Employee Signature Subsidy $200.00 / Payroll Deduction $0.00 Billed Total $200.00 3 � f . ff f � ` " For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Utilities Page : 9 of 9 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180210033368 Carmel IN 46032 Statement Date : 02/10/2018 United States Payment Terms : 60 Days Pay By: 04/11/2018 Please retain a copy of this report for your records. RE+�wRegrown 'invoice# 775-1-16344 �loEs• Sale Date 01/24/2018 ' Invoice Amount $152.99 � 3 SOLD BY SOLD TOS RED WING STORE-NOBLESVILL s Cit 6f Carmel Utilities 17017 MERCANTILE BLVD l 30 W Main St. Suite 210 r NOBLESVILLE, IN 46060-3941 Ca'Gi'eL:iNr46032 United States United States Store Location Number: 12027 Customer Number: 33368 Voucher Code Employee Name Jeff Frolick Issued By `;�„� � Employer Employee ID Quantity Item SKU Description Unit Price Total Amount 1 06670D 120 HIKER,GRAY,WTPF,6670 $152.99 $152.99 i Summary of Charges Y Unit Price Total $152.99 Total Tax $0.00 Purchase Total $152.99 Employee Paid $0.00 Employee Signatur`, Subsidy $152.99 z' Payroll Deduction $0.00 Billed Total $152.99 END wOF REPORT r f f 5!'6V. V4. a ,i✓ F U J 3 1 e L Yer For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Page : 4 of 5 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180310033368 Carmel IN 46032 Statement Date : 03/10/2018 United States Payment Terms : 60 Days Pay By : 05/09/2018 Please retain a copy of this report for your records. RE.D�WIiN�G Invoice# 775-1-17756 j`HOES Sale Date 03/08/2018 Invoice Amount $200.00 RED WING STORE-NOBLESVIILL City of Carmel 17017 MERCANTILE BLVD 30 W Main St. Suite 210 NOBLESVILLE, IN 46060-3941 Carmel, IN 46032 United States United States Store Location Number: 12027 Customer Number: 33368 Voucher Code Employee Name Shawn Cooksey Issued By Employer Employee ID Quantity Item SKU Description Unit Price Total Amount 1 04448D 090 11"PULL-ON,BLACKIBROWN,AT $238.49 $238.49 Summary of Charges Unit Price Total $238.49 Total Tax $2.69 Purchase Total $241.18 Employee Paid $41.18 Employee Signature Subsidy $200.00 Payroll Deduction $0.00 Billed Total $200.00 For Red Wing Business Advantage Account Program Support,call 888-767-7874 or email support@redwingbusinessadvantageaccount.com @ Multi Service Technology Solutions, Inc. 2018 City of Carmel Page : 5 of 5 Lisa Kempa Customer Number: 33368 30 W Main St.Suite 210 Reference Number: 20180310033368 Carmel IN 46032 Statement Date : 03/10/2018 United States Payment Terms : 60 Days Pay By : 05/09/2018 Please retain a copy of this report for your records. iR Invoice# 775-1-17273 REA)MUfff-I I f HOES' Sale Date 02/21/2018 Invoice Amount $139.49 SO�LDiY SC1C13 TQ d a,.,.�..,..,.a..�_„A.H.n..:a...». RED WING STORE-NOBLESVILL City of Carmel 17017 MERCANTILE BLVD 30 W Main St. Suite 210 NOBLESVILLE, IN 46060-3941 Carmel, IN 46032 United States United States Store Location Number: 12027 Customer Number: 33368 Voucher Code Employee Name Larry Schimmel Issued-By Employer Employee ID Quantity Item SKU Description Unit Price Total Amount 1 05290M 095 8" BLACK,5290 $139.49 $139.49 Summary of Charges Unit Price Total $139.49 / Total Tax $0.00 / 5. Purchase Total $139.49 Employee Paid $0.00 Employee Signature Subsidy $139.49 Payroll Deduction $0.00 Billed Total $139.49 END OF REPORT For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com ©Multi Service Technology Solutions, Inc. 2018