176402 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
6653 E 82ND ST CHECK AMOUNT: $134.99
CARMEL, INDIANA 46032
INDPLSIN 46250 CHECK NUMBER: 176402
CHECK DATE: 811912009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 51000002826 134.99 OTHER EXPENSES
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Original Invoice
BELL TO REMIT TO
ATTN: Aw O Red Wing Shoe Store
CITY OF CARMEL WATER/UTILITIES Castleton Village
3450W. 131st 6653 East 82nd St.
Westfield, IN 46074 Indianapolis, IN 46250 -4577
(317) 577 -0760
Invoice Number .Invoice Date Terms Descri ption
510000002526 08/0312009 Net 30
Ticket Date Purchased By Other Information Item Amount
00051024859 07/08/2009 ZAPF, CHAD PO #:07 -08 =09 03936D 105 134.99
Total $134.99
Net Total $134.99
Total Merch $134.99
Customer Tax $0.00
Maj. Aect. Tax $0.00
Message: Total Charges $134.99
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $134.99
Date Due 09/02/2009
i
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL r�
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 8111/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 51 $134.99
I hereby certify that the attached invoice(s), or bill(s) is (are) true and 11
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 09Z594 WARRANT ALLOWED
24001 IN SUM OF
Rf f-D WING SHOE CO. 4
6G3 E. 82nd St. a
Indianapolis, IN 46250 0A R�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
51000000282 01- 6200 -06 $134.99
Voucher Total $134.99
Cust distribution ledger classification if
claim paid under vehicle highway fund