187000 06/23/2010 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: $494.97
INDPLS IN 46250
CHECK NUMBER: 187000
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 3198 494.97 SAFETY ACCESSORIES
Original Invoice
BILL TO REMIT TO
ATTN: BONNIE CALLAHAN Red Wing Shoe Store
CAR:MEL CrlY STREET DEPT Castleton Village
3400 W 131ST ST 6653 East 82nd St.
WESTI IELD, IN 46074 Indianapolis, IN 4625011577
(31.7)577 -0760
Invoice Number Invoice Date Terms Description
5100000031.98 06/15/2010 Net 30
Ticket Date Purchased By Other Information Item Amount
00051028734 06109/2010 TOWNSEND, SCOTT 02414D 120 251.99
Total $251.99
Net Total $251.99
00051028736 06/09/2010 STEWART, JEFF 06670D t 10 121.49
Total $121.49
Net Total $121.49
00051028739 06/09/2010 PRIVETT, SHAUN 06670D 105 121.49
Total $121A9
Net Total $121.49
Total Merch $494.97
Customer Tax $0.00
Maj_ Acct_ Tax $0.00
Message: Total Charges $494.97
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $494.97
Date Due 07/15/2010
A.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
6653 E. 82nd Street
Indianapolis, IN 46250 -4577
$494.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member:
2201 5100000003198 43- 560.03 $494.97 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
Thursday r(IfA 17
Street;Commi sbnr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form 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))
06/15/10 5100000003198 $494.97
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