The URL can be used to link to this page

Home My WebLink About166777 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00350856 Page 1 of 1 ONE CIVIC SQUARE LEHIGH SAFETY SHOES CHECK AMOUNT: $1,419.87 CARMEL, INDIANA 46032 Po Box 371958 PITTSBURG PA 15250 -7958 CHECK NUMBER: 166777 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION `651 5023990 S11441 354478 1,419.87 BOOTS Password to Access our Website w ww.lehi ghs afet y shoes.com 4 E-hi' ELM MIG Page 1 safety shoes Rocky Brands Retail LLC Cust.No. Report Invoice Date Invoice# 39 East Canal Street Nelsonville, Ohio 45764 085893 00000 00333 11/21/08 1 354478 Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS, IN 46280 Customer's Order Number SM Mobile -Unit Order Date Terms 85 027288 LH 95378 IND TRK 194 11/21/08 30 DAYS NET Line Ticket Employee Id Employee Name Dept Other Amount Due Style WD I Size Qty Price I Adjust Tar Sery Chg Misc Total Sale Cash Recvd Subsidy Emp Bal DED 1 007462 Jason stewart 5258 W I 1 109.99 109.99 109.99 109.99 2 007463 kevin buhlnann 1 61009 W 11 1 99.99 99.99 99.99 99.99 3 007464 lonnie patton 5142 W 12 1 79.99 79.99 79.99 79.99 4 007465 robbie kinkead XPS534 M 11 1 94.99 94.99 94.99 94.99 5 007466 chris stubbs XHY662 W I1 1 129.99 129.99 129.99 129.99 6 007467 ralph gluwell 4406 W 10.5 l 104.99 104.99 104.99 104.99 7 007468 blaine mallaber 6001 M 11.5 1 89.99 89.99 89.99 89.99 8 007469 joe faucett 5258 M 10.5 1 109.99 109.99 109.99 109.99 9 007470 gary lafollett 5258 M 10 1 109.99 109.99 109.99 109.99 Continued... Call 1- 800 444 -4086 For Your I Password to Access our Website Pag 2 www.lehi hsafety shoes.com safety shoes Rocky Brands Retail LLC Cust.No. Report Invoice Date Invoice# 39 East Canal Street Nelsonville, Ohio 45764 085893 00000 00333 11/21/08 354478 Sold To: Ship To: CARMEL WATER& WASTEWTR CARMEL WATER& WASTEWTR TREATMENT PLANT TREATMENT PLANT 760 3RD AVE. SW 9609 HAZEL DELL PKWY CARMEL IN 46032 INDIANAPOLIS, IN 46280 Customer's Order Number SM Mobile -Unit Order Date Terms 85 027288 LH #5378 IND TRK 194 11/21/08 30 DAYS NET Line Ticket Employee Id Employee Name Dept Other Amount Due Style WD Size Ory Price MDSE Amt Adjust Tax Scnv Chg Mise Total Sale Cash Recvd Subsidy Emp Bal DED 10 007471 jelTcooper 5258 W 9.5 1 109.99 109.99 109.99 109.99 11 007472 dennis loss 5123 M 10 1 124.99 124.99 124.99 124.99 12 007473 brad oliver 5123 M II 1 124.99 124.99 124.99 124.99 13 007474 pete brennan XHY662 W 9 l 129.99 129.99 129.99 129.99 Total Qty Merchandise Value Adjustment. x Sery Chg Misc Cash Rec Company Subsidy Amount Due 13 1,419.87 1,419.87 1,419.87 The Goods covered by this Invoice were produced in complia n Y'i PTi n= I T T VAi !-t? I124/20OR 740 24 AM- red00021 VOUCHER 086770 WARRANT ALLOWED r 350856 IN SUM OF LEHIGH SAFETY SHOES CO. P.O. Box 371958 Pittsburgh, PA 15250 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code t 354478 01- 7202 -05 $294.97 i 354478 01- 7202 -06 $1,124.90 t b ,1 s Voucher Total $1,419.87 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 v 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, price per unit, etc. Payee 350856 LEHIGH SAFETY SHOES CO. Purchase Order No. P.O. Box 371958 Terms Pittsburgh, PA 15250 Due Date 12/1/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/1/2008 354478 $1,419.87 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 r Date Officer