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157644 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1 ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $9.00 CARMEL, INDIANA 46032 6653 E 82ND ST INDPLS IN 46250 o CHECK NUMBER: 157644 CHECK DATE: 3/19/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 51018358 C 9.00 OTHER EXPENSES 4 r` 5 f Original Invoice BILL TO REMIT TO LISA KEMPA Red Wing Shoe Store CITY F CARMEL WATER DIST Castleton Village 3450 W. 131 STREET 6653 East 82nd St. WESTFIELD, IN 46074 Indianapolis, IN 46250 -4577 (317) 577 -0760 Invoice Number Invoice Date Terms Description 510000002034 02/07/2008 Net 30 PTicket Date P urchased By Other Information Item Amount 8358 01/16/2008 RANSFORD, BRETT PO #:01162008 03936D 095 121.49 Total $121.49 Net Total $121.49 00051018369 01/17/2008 BECK, MICAH PO#:011708 05526M 100 11149 Total $112.49 Net Total $112.49 Total Merch $233.98 Customer Tax $0.00 Maj. Acct. Tax $0.00 Message: Total Charges $233.98 Customer Payment $0.00 Maj. Acct. Payment $0.00 Total Due $233.98 Date Due 03/08/2008 1 VOUCHER 081012 WARRANT ALLOWED 264001 Q '�E F? IN SUM OF RED WING SHOE CO. 6653 E. 82nd St. Indianapolis, IN 46250 0,0�R�'� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 51018358 -C 01- 6200 -06 $9.00 Voucher Total $9.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, raises per day, number of units, price per unit, etc. Payee 264001 RED WING SHOE CO. Purchase Order No. 6653 E. 82nd St. Terms Indianapolis, IN 46250 Due Date 3/7/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/7/2008 51018358 -C $9.00 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 Date Officer