HomeMy WebLinkAbout203146 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $269.99
CARMEL, INDIANA 46032 6653 E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 203146
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 5100003846 269.99 SAFETY ACCESSORIES
Original Invoice
BILL TO REMIT TO
ATTN. BONNIE CALLAHAN Red Wing Shoe Store
CARMEL CITY STREET DEPT Castleton Village
3400 W 131ST ST 6653 East 82nd St.
CARMEL, IN 46074 Indianapolis, IN 46250 -4577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000003846 10/14/2011 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051034168 09/26/2011 TABAK, TRAVIS 02426E3120 269.99
Total $269.99
Net Total $269.99
Total Merch $269.99
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges $269.99
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $269.99
Date Due 11/13/2011
1
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))
10/14/11 510000003846 $269
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
VOUCHER NO. WA NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
6653 E. 82nd Street
Indianapolis, IN 46250 -4577
$269.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 510000003846 43- 560.03 $269.99 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, O O lober 20, 2011
aucw 1
Street Commissioner
I
6treet GorT e l ssloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund