173516 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
CHECK AMOUNT: $1,507.38
CARMEL, INDIANA 46032 6653E 82Np ST
INDPLS IN 46250 CHECK NUMBER: 173516
CHECK DATE: 6110/2009
DEPAR A CCOUNT PO NUMBER INV OICE NUMBE AMOUNT DESCRIPTION
1125 4239012 2732 1,520.88 SAFETY SUPPLIES
1125 4239012 2742 -13.50 SAFETY SUPPLIES
1
ECIEE V ki
MAY 2 9 2009
BY:
Original Invoice
BILL TO REMIT TO
ATTN: CO AGEL Red Wing Shoe Store
CARMEL ARKS Castleton Village
76 AVE
6653 East 82nd St.
ARMEL, IN 46032 Indianapolis, IN 4625011577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000002732 05/15/2009 Net 30
Ticket Date Purchased By Other Information Item Amount
00051024105 04/30/2009 stafford- waters, janna 1`09:20767 02327D 085 125.99
Total $125.99
Net Total $125.99
00051024106 04/30/2009 taylor, josh PO #:20767 06621D 105 116.99
Total $116.99
Net Total $116.99
00051024107 04/30/2009 bentley, meredith PO #:20767 02241D 060 139.49
Total $139.49
Net Total $139.49
00051024109 04130/2009 hart, shwan PO4:20767 066211) 140 116.99
Total $116.99
Net Total $116.99
00051024110 04/30/2009 hart, ryan PO #:20767 066211) 1.20 116.99
Total $116.99
Net Total $116.99
00051024111 04/30 /2009 BURNETT, ANDREW PO#:20767 06621D 100 116.99
Total $116.99
Net Total $116.99
00051024113 04/30/2009 BASEY, BRIAN PO #:20767 06621E2085 116.99
Total $116.99
Net Total $116.99
00051024114 04/3012009 JONES, STEVE PO4:20767 02241D 100 139.49
Total $139.49
Net Total $139.49
00051024115 04/3012009 MASINGILL, ORVILLE PO4:20767 02241E2095 139.49
Total $139.49
Net Total $139.49
00051024189 05/06/2009 ALEKSA, JOHN PO #:20767 02241D 115 139.49
Total $139.49
Net Total $139.49
00051024242 05/09/2009 SMITH, CRAIG PO#:20767 08668D 115 134.99
Total $134.99
Net Total $134.99
00051024290 05/1.3/2009 JACKSON, MICHAEL PO#:20767 06621D 110 116.99
Total $116.99
Net Total $116.99
Total Merch $1,520.88
Customer "Tax $0.00
Maj. Acct. Tax $0.00
l
1 50-7- 3S
Message: Total Charges $1,520.88
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $1,520.88
Date Due 06/14/2009
2
1
�pY 2 9 ZODg
Original Invoice
BH,L TO REMIT TO
ATTN: ACCOUNTS PAYABLE Red Wing Shoe Store
CARMEL CLAY PARKS Castleton Village
1.427 E. 116TH ST_ 6653 East 82nd St.
CARMEL, W 46032 Indianapolis, IN 46250A577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000002742 05/26/2009 Net 30
Ticket It Date Purchased By Other Information Item Amount
00051024428 05/25/2009 bentley, meredith PO #:20767 02241D 060 139.49
02327B 075 125.99
Total -13.50
Net Total -13.50
Total Merch -13.50
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges -13.50
Customer Payment $0.00
Maj_ Acct. Payment $0.00
Total Due -13.50
Date Due 06/25/2009
1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Red Wing Shoe Store Terms
Castleton Village
6653 East 82nd St
Indianapolis, IN 46250 -4577
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
5115109 510000002732 Safety shoes for maintenance staff 20767 1,520.88
5126109 510000002742 Credit for return 20767 (13.50)
Total 1,507.38
t 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. Warrant No.
Red Wing Shoe Store Allowed 20
Castleton Village
6653 East 82nd St
Indianapolis, IN 46250 -4577 In Sum of
1,507.38
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
.Dept
1125 510000002732 4239012 1,520.88 1 hereby certify that the attached invoice(s), or
1125 510000002742 4239012 (13.50 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
4 -Jun 2009
Signature
1,507.38 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund