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202736 10/11/2011
CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1 ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $880.49 CARMEL, INDIANA 46032 5555 a 82NO sr iNOPLS IN 45250 CHECK NUMBER: 202736 CHECK DATE: 10/1112011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4356003 3822 130.49 SAFE'L'Y ACCESSORIES 601 5023990 3824 450.00 OTHER EXPENSES 601 5023990 3839 300.00 OTHER EXPENSES Original Invoice BILL TO- REMIT TO- ATTN: KERRI LOVEALL Red Wing Shoe Store CITY OF CARMEL UTILITIES/WATER Castleton Village CITY OF CARMEL UTILITIES 6653 East 82nd St. 760 TURD AVE. S.W. Indianapolis, IN 46250 -4577 CARMEL, IN 46032 (317) 577 -0760 Invoice Number I ©voice Date Terms Description 510000003839 09/30/2011 Net 30 Ticket Date Purchased By Other Inrormation 1 1tem Amount 00051034104 09/21/2011 WHITLOW, SEAN 02246D 075 175.49 Customer Tax 1.78 Total $177.27 Customer Payment $27.27 Net Total $150.00 00051034189 09/28/2011 LUPER, MICHAEL 06785D 130 170.99 Customer Tax 1.47 Total $172.46 Customer Payment $22.46 Net Total $150.00 Total Merch $346.48 Customer Tax $3.25 Maj. Acct. Tax $0.00 Message: Total Charges $349.73 Customer Payment 549.73 Maj, Acct. Payment 50.00 Total Due $300.00 Date Due 10/30/2011 Original Invoice BELL TO REM. TO ATTN: KERRI LOVEM L Red Wing Shoe Store CITY OF CARMEL UTILITIES/WATER Castleton Village CITY OF CARMEN UTILITIES 6653 East 82nd St. 760 THIRD AVE. S.W. Indianapolis, IN 462504577 CARMEL, IN 46032 (317) 577 -0760 Invoice Number invoice Date Terms Description 510000003824 0912512011 Net 30 Ticket Date Purchased By Other Information Item Amount 00051033838 09/02/2011 ZAPF, CHAD 04216E2100 179.99 Customer Tax 2.10 Total $182.09 Customer Payment $32.09 Net Total $150.00 00051034102 09/21 /2011 SMITH, JERRY G 02240E2105 157.49 Customer Tax 0.52 Total $158.01 Customer Payment $8.01 Ne Total $150.00 00051034103 09/21/2011 MCNULTY, MATT 04216D 110 179.99 Customer Tax 2.10 Total $182.119 Customer Payment $32.09 Net Total $150.00 Total Merch $51.7.47 Customer Tax $4.72 Maj. Acct. Tax $0.00 Message: Total Charges $522.19 Customer Payment $72.19 Maj. Acct. Payment $0.00 Total Due $450.00 Date Due 10/25/2011 1 VOUCHER 112558 WARRANT ALLOWED 264001 IN SUM OF RED WING SHOE CO. WHAT 6653 E. 82nd St. OPERAIIONS Indianapolis, IN 46250 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 3824 04- 6200 -06 $450.00 31? Voucher Total 50 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, rates 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 10/3/2011 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/3/2011 3824 $450.00 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 Original Invoice BILL TO REMIT TO ATTN: BONNIE CALLAIIAN Red Wing Shoe Store CARMEL CITY STREET DEPT Castleton Village 3400 W 13 1 ST ST 6653 East 82nd St_ CARMEL, IN 46074 Indianapolis, IN 462504577 (317) 577 -0760 Invoice Number invoice Date Terms Description 510000003822 09/25/2011 Net 30 Ticket Date Purchased By Other Information Item Amount 00051034110 -09/2--2/201-1—RUSSELL,-ERIC- 06670E2110 130.49 Total $130.49 Net Total $130.49 Total Merch $130.49 Customer Tax $0.00 Maj. Acct. Tax $0.00 Message: Total Charges $130.49 Customer Payment $0.00 Maj. Acct- Payment $0.00 Total. Due $130.49 Date Due 10/25/2011 1 VOUCHER NO. WARRANT NO. ALLOWED 20 Red Wing Shoe Store IN SUM OF 6653 E. 82nd Street Indianapolis, IN 46250 -4577 $130.49 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 5100000003822 43- 560.03 $130.49 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 Thursclay, kd, c,/ober 06, 2011 Street Commiss' oyner Street CorT �issioner 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 invoices) or bill(s)) 09/25/11 5100000003822 $130.49 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