331797 10/30/18 4+or c�qM�
�! �� CITY OF CARMEL, INDIANA VENDOR: 00350856
• ONE CIVIC SQUARE LEHIGH OUTFITTERS CHECK AMOUNT: $*******149.36*
s9` �_�; CARMEL, INDIANA 46032 PO BOX 644755 CHECK NUMBER: 331797
M��TON�, PITTSBURG PA 15264 CHECK DATE: 10/30/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 2637155 149.36 OTHER EXPENSES
VOUCHER NO. 186735 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 350856 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
LEHIGH OUTFITTERS, LLC CITY OF CARMEL
P.O. Box 644755 An invoice or bill to be properly itemized must show: kind of service,where performed,
Pittsburgh, PA 15264-4755 dates service rendered, by whom, rates per day,number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
149.36 350856 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR LEHIGH OUTFITTERS, LLC Terms
Carmel Wasterwater Utility P.O. Box 644755 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice Pittsburgh, PA 15264-4755
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund # AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
2637155 01-7202-06 $149.36 and received except 10/24/2018 2637155 $149.36
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
Page 1 of 1
INVOICE
Lehigh Outfitters,LLC
39 East Canal Street Customer No. Order No.
OUTFITTERS.COM Nelsonville,Ohio 45764 085893-000 8620473
Phone:800-848-9452
Fax:(740)753-4024 Invoice Date Invoice No. Due Date
10/12/18 2637155 11/11/18
Bill To: 085893-000 Ship To: 085893-000
3687 1 AB 0.408 E0257X 10452 04129288998 S2 P5800352 0001:0001
'I'lltlt�llllll"Iltlllll'111111'lllllllll"II'llll'llllll'IIItII
CARMEL WATER&WASTEWTR CARMEL WATER&WASTEWTR
TREATMENT PLANT TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280-2935 317-571-2634
INDIANAPOLIS
IN USA
Customer's Order Number Mobile Unit Terms
18995— - -- - -- — -- — — —NET-030-DAYS— _-
Sales Employee Employee Unit Merch Adj Sales Sery FrtlLine Cash Company Employee Pay
Slip Id Name Dept Style w Size Qty Price Amt Amt Tax Fee Misc. Total Recv Subsidy Bal Due Ded
307812 OLIVER,BRAD FQ0002809 WI 11 1 149.36 149.36 .00 .00 00000.00 .00 149.36 .00 149.36 .00
ReC iv d by
Date: : S 119 5
Acct #: _ d_l ? o b
Use: 66 s -
EAJO-
Main Marketing Box
Total Qty Total Merchandise I Adjustment I Sales Tax I Sery Fee Freight Line Totals Cash Received Company Subsidy Employee Bal Due
1.0 149.36 0.00 1 0.00 0.00 1 149.36 0.00 149.36 0.00
Legal title of the items included on this invoice have been transferred from Rocky Brands to the Customer noted on this invoice at point of shipment.
-----------------------------------------------------------------------------------------------cut here---------------------------------------------------------------------iT--------------------
Click here for tracking numbers-set 1
To assure proper credit Please detach this portion and return with remittance.
REMITTANCE ADVICE
Invoice To: PLEASE REMIT PAYMENT TO:
085893-000 Lehigh Outfitters,LLC
CARMEL WATER&WASTEWTR P.O.BOX 644755
TREATMENT PLANT Customer 085893-000
9609 HAZEL DELL PKWY PITTSBURGH,PA 15264-4755 Invoice No. 2637155
INDIANAPOLIS IN 46280-2935 Invoice Date 10/12/18
Summary Total Due 149.36
0001:0001 1
Amount Paid ��Cr,3W
PK1 1 RO P A C K I N G S L I-..P,>. Page
10/12/18 At 15:42
_ /Co/Div HD RB
"•:3HIGH OUTFITTERS
i-=.ocky Boots, Georgia Boots, - PS-13-02
Durango Boots, Slipgrips, S2V)
LOGAN OH 43138
Ship To: CARMEL WATER& WASTEWTR Sold To: CARMEL WATER& WASTEWTR
TREATMENT PLANT TREATMENT PLANT
9609 HAZEL DELL PKWY 9609 HAZEL DELL PKWY
317-571-2634 INDIANAPOLIS, IN 46280
INDIANAPOLIS, IN 46280 United States =
United States ti
PO# . S18995 Order Date .:. .1.0%:12/18 Pkt Ctl# 8620473000
Customer 085893 - - Start. Date : :1-0/12/18; . #of Ctns 1
Store# -_Cancel Date _ ._ _ Weight 6.52 =
Dept Nbr ._- $.620473 . Wave# 20181012085._
Pkt Nbr 8620473 `0:00 _u SWC# . . . 085893- .:46280
Chute #: PS-13-02 Ship Via FEDG
Style Width Size :I:t:em Desdri-ption Vendor=:_JPC Customer SKU Ship Qty
FQ000280.9 .WIDE 1'1=.` :1WP-Brans6n.ch..wpAZTEC CRAZY HORSE 085787849325 Oliver, Brad 1
Totals 1
- - *** End Of Report ***