156306 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
q, =a CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $112.49
INDPLS IN 46250 CHECK NUMBER: 156306
CHECK DATE: 2/6/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 51018369 112.49 OTHER EXPENSES
Red Win Shoe Sto
Cast�eton Village
6653 East 82nd St,
Indianapolis, IN 462504577
(317)577 -0760
01/17/08 14:46 00051018369
Sold'B Em to ee 5747
MICAH 86 (317)571 -2645
.,MA PO 0
SALES
05526M 100 8 BROWN, 5526 124.99
Safety Footwear
Contract 10% -12.50
MA Exempt Government Agency
0031
SUB -TOTAL 112.49
6,00% SALES TAX 0.00
TOTAL $112.49
Major Account Charge 112.49
Sold Items 1
CITY OF CARMEL WATER DIST
3450 W. 131 STREET
WESTFIELD, IN 46074
(317)733 -2053
I 1111
0000510183690
VOUCHER 077.141 WARRANT ALLOWED
264001 IN SUM OF
RED WING SHOE STORES INC
6653 E. 82ND STREET
-INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
51018369 01- 7200 -01 $112.49
Voucher Total $112.49
!_Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 19951
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, rates per day, number of units, k
price per unit, etc.
Payee
264001
RED WING SHOE STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due, Date 1/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or.bill(s)) Amount
1/25/2008 51018369 $112.49
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 t
Date Officer'