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326393 06/15/18
J! CITY OF CARMEL, INDIANA VENDOR: 264001 1 ONE CIVIC SQUARE RED WING BUSINESS ADVANTAGE AC�AtA AMOUNT: $.....*"127.49" s _� CARMEL, INDIANA 46032 P.O.BOX 844329 CHECK NUMBER: 326393 9'�'iY'oria�'`9 DALLASTX 75284-4329 CHECK DATE: 06/15/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 51132937 127.49 OTHER EXPENSES VOUCHER NO. 181785 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995) ALLOWED 20 Vendor# 264001 IN SUM OF$ 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 127.49 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 or bill(s)is(are)true and correct and that PO# ACCT# 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 51-1-32937 01-6200-03 $127.49 and received except 6/6/2018 51-1-32937 $127.49 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 RjEjD W)1lNJG f H10ES' City of Carmel-Waste Water Page : 2 of 4 Accounts Payable Customer Number: 28953 9609 Hazel Dell Pkwy Reference Number: 20180310028953 Indianapolis IN 46280-2935 Statement Date : 03/10/2018 United States Payment Terms : 45 Days Pay By: 04/24/2018 Please retain a copy of this report for your records. AGING SUMMARY Unpaid from Unpaid from Unpaid Prior to Unapplied Credit Customer Name Customer Number 02/10/2018 01/10/2018 .01/10/2018 Total* Total(USD) City of Carmel-Waste 28953 $471.72 $0.00 $2,906.83 $0.00 $3,378.55 Water Total: $471.72 $0.00 $2,906.83 $0.00 $3,378.55 CURRENT ACTIVITY SUMMARY Unit Price Total Total Tax Purchase Total Employee Paid Subsidy Payroll Deduction Billed Total(USD) $127.49 $0.00 $127.49 $0.00 $127.49 $0.00 $127.49 ACCOUNT SUMMARY Previous Balance $3,378.55 MEM3 ..�tiW.a..�....�>,,,,�,_.._ Payments $0.00 Subtotal-Account Balance: $3,506.04 Disputed Balance $0.00 Total Due: $3,506.04 If you have any outstanding unapplied credits,please advise Program Support on how these payments should be applied to your account. For Red Wing Business Advantage Account Program Support, call 888-767-7874 or email support@redwingbusinessadvantageaccount.com ©Multi Service Technology Solutions, Inc. 2018 �� RE,rDFWliaNG SHOES' ONOps City of Carmel-Waste Water Accounts Payable Page: 3 of 4 9609 Hazel Dell Pkwy Customer Number: 28953 Indianapolis IN 46280-2935 Reference Number: 20180310028953 United States Statement Date: 03/10/2018 Payment Terms: 45 Days Pay By: 04/24/2018 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-Waste Water Invoice Statement Number 20180310028953 Billed Total $127.49 Employer Transaction Employee Invoice Employee Unit Price Purchase Employee Payroll Billed Total Date Name Number ID Department Total Total Tax Total Paid Subsidy Deduction USD 02/23/2018 Rhodes,Ken 51-1-32937 water $127.49 $0.00 $127.49 Total: $0.00 $127.49 $0.00 $127.49 $127.49 $0.00 $127.49 $0.00 $127.49 $0.00 $127.49 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-Waste Water Page: 4 of 4 Accounts Payable Customer Number: 28953 9609 Hazel Dell Pkwy Reference Number: 20180310028953 Indianapolis IN 46280-2935 Statement Date: 03/10/2018 United States Payment Terms : 45 Days Pay By: 04/24/2018 Please retain a copy of this report for your records. RE.DsWII�,Ns Invoice# 51-1-32937 �`'oo€s' Sale Date 02/23/2018 Invoice Amount $127.49 S TQC _ Red Wing Shoe Store City of Carmel-Waste Water 6653 EAST 82ND ST 9609 Hazel Dell Pkwy INDIANAPOLIS, IN 46250-4577 Indianapolis, IN 46280-2935 United States United States Store Location Number: 15199 Customer Number: 28953 Voucher Code Employee Name Ken Rhodes Issued By Employer Employee ID Department water Quantity Item SKU Description Unit Price Total Amount 1 06712D 105 OXFORD,BLACK,NT SD $127.49 $127.49 Summary of Charges Unit Price Total $127.49 Total Tax $0.00 y� Purchase Total $127.49 Em to ee Paid $0.00 P Y Employee Signature Subsidy $127.49 Payroll Deduction $0.00 Billed Total $127.49 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