205979 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
0 ONE CIVIC SQUARE RED WING SHOE STORES INC
CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $547.48
INDPLS IN 46250
CHECK NUMBER: 205979
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 121.49 51000000398
601 5023990 3989 425.99 OTHER EXPENSES
Original Invoice
BILL TO REMIT TO
ATTN. KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILTTIESAVATER Castleton Village
CITY OF CARMEL UTILITIES 6653 East 82nd St.
760 THIRD AVE. S.W. Indianapolis, IN 46250 -4577
CARMEL, IN 46032 (317) 577 -0760
Invoice Number Invoice Date Terms Description
510000003989 L 01/12/2012 Net30
Ticket _Date Purchas B =ther Information Item Amount
00051035650 01 /06/2012 MORGAN, TRENT 02270E2130 193.49
Customer Tax 3.04
Total $196.53
Customer Payment $46.53
Net Total $150.00
00051035651 01/06/2012 CALLAHAN, STEVE 04216D 085 179.99
Customer Tax 2.10
Total $182.09
Customer Payment $32.09
Net Total $150.00
00051035689 01/09/2012 BROWN, ALEX 05603W2095 125.99
Total _8125.99
Net Total'" $125.99
00051035693 01/09/2012 FAUCETT, JOE 06703D 105 121.49 1
Total $121.49
Net Total $121.49
Total Merch $620.96
Customer Tax $5.14
Maj. Acct. Tax $0.00
Message: Total Charges $626.10
Customer Payment $78.62
Maj. Acct. Payment $0.00
Total Due $547.48
Date Due 02/11/2012
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
264001
RED WING SHOE STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due Date 1/24/2012
and members
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2012 5100000039E $121.49
ti
a.
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
Ayl 3
Date 0 cer
VOUCHER 116640 WARRAN
264001
RED WING SHOE STORES INC
6653 E. 82ND STREET /N
INDIANAPOLIS, IN 46250 S
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
PO INV ACCT AMOUNT
B�
51000000398 01- 7202 -06 $121.49
I
1
Voucher Total $121.49
Cost distribution ledger classification if
claim paid under vehicle highway fund
Original Invoice
BILL TO REMIT TO
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIESAVATER Castleton Village
CITY OF CARMEL UTIL=S 6653 East 82nd St.
760 THIRD AVE. S.W. Indianapolis, IN 46250 -4577
CARMEL, IN 46032 (317) 577 -0760
Invoice Number Invoice Date Terms Description
510000003989 01/12/2012 Net 30
Ticket Date Purchased By Other Information Item Amount
00051035650 01/06/2012 MORGAN, TRENT 02270E2130 193.49
Customer Tax 3.04
Total $196.53
Customer Payment $46.53
Net Total $150.00
00051035651 01/06/2012 CALLAHAN, STEVE y 04216D 085 179.99
Customer Tax 2.10
Total $182.09
Customer Payment $32.09
Net Total $150.00
00051035689 01/09/2012 BROWN, ALEX 05603W2095 125.99
Total $125.99
Net Total $125.99
00051035693 01/09/2012 FAUCETT, JOE 06703D 105 121.49
Total $121.49
Net Total $121.49
Total Merch $620.96
Customer Tax $5.14
Maj. Acct. Tax $0.00
Message: Total Charges $626.10
Customer Payment $78.62
Maj. Acct. Payment $0.00
Total Due $547.48
Date Due 02/11/2012
1
Prescri'oed by Stave Board of Accounts City Form No. 201 (Rev 1995)
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 1/26/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/26/2012 3989 $425.99
:lea: '.`;e ct:uched invoice(s), o. bill(s) is (are) true and
sect ^d 1 have audited same in accordance with IC 5- 11- 10 -1.6
12 'I l/ L r v
Date Officer
JCHER 1 1 VVARRAW
b�WUI
RED WING SHOE CO.
6653 E. 82nd St. WATER
Indianapolis, IN 46250 OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV# ACCT AMOUNT Audit Trail Code
3989 01-6200-06 $425.99
Voucher Tc'... $41'
Coy ci 'rbution ledger classification if
claim paid under vehicle highway fund