186490 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $679.47
INDPLS IN 46250
CHECK NUMBER: 186490
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 510000003160 679.47 SAFETY ACCESSORIES
Original Invoice
BILL TO REMIT TO
ATTN: BONNIE CALLAHAN Red Wing Shoe Store
CARMEL CITY STREET DEPT Castieton Village
3400 W 131 ST ST 6653 East 82nd St_
WESTFIELD, IN 46074 Indianapolis, IN 462504577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000003160 06/01/2010 Net 30
Ticket Date Purchased By Other Information Item Amount
00051028438 05/11/2010 COFFEY, TIM 02412E3130 269.99
Total $269.99
Net Total $269.99
00051028450 05/12/2010 HOBBS, JIM 02260D 115 152.99
Total $1.52.99
Net Total $1.52.99
00051028501 05/17 12010 DELPFL DAMIAN 02426E3110 256.49
Total $256.49
Net Total $256.49
Total Merch $679.47
Customer Tax $0.00
Maj. Acet. Tax $0.00
Message: Total Charges $679.47
Customer Payment $0.00
Maj_ Acct. Payment $0.00
Total Due $679.47
Date Due 07/01/2010
1
VOUCHER NO. WAR NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
6653 E. 82nd Street
E
Indianapolis, IN 46250 -4577
$679.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 510000003160 43- 560.03 $679.47 1 hereby certify that the attached invoice(s), or
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
THu.rsda 03,
AA
ii
Street Commissioner
AtrP.Ft (;c:n iss;orler
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Farm No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/01/10 510000003160 $679.47
1 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
Clerk- Treasurer