172008 04/29/2009 ±ti CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
0 s. ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $1,709.91
CARMEL, INDIANA 46032 6653 E 82ND ST
oM :.o• INDPLS IN 46250 CHECK NUMBER: 172008
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DES CRIPTION
2201 4356003 2698 1,430.93 SAFETY ACCESSORIES
1192 4356003 51023749 161.99 SAFETY ACCESSORIES
651 5023990 51023946 116.99 OTHER EXPENSES
i
Original Invoice
BILL TO REMIT TO
ATTN: BONNIE CALLAHAN lied Wing Shoe Store
CARMEL CITY STREET DEPT Castleton Village
3400 W 131ST ST 6653 East 82nd St.
WESTFIELD, IN 46074 Indianapolis, IN 462504577
(317) 577 -0760
Invoice Number Invoice bate Terms Description
510000002698 04/17/2009 Net 30
Ticket Date Purchased By Other Information Item Amount
00051023742 03125/2009 clark, mike 02426D 115 256.49
Total $256.49
Net Total $256.49
00051023743 03/25/2009 ALDEN, RICHARD 04445D 110 215.99
Total $215.99
Net Total $215.99
00051.023750 03/25/2009 MOFFITT, SAMUEL 02259D 110 143.99
Total $143.99
Net Total $143.99
00051023754 03/26/2009 WILLIAMSON, MIKE 02259D 100 143.99
Total $143.99
Net Total $143.99
00051023821 04/03/2009 STAPLETON, NATHAN 04445E2085 215.99
Total $215.99
Net Total 1 $215.99
00051023822 04/03 /2009 BURKE, RAPHAEL 02412E3120 269.99
Total $269.99
Net Total $269.99
00051023921 04/13/2009 FUCKS, JEFF 02270D 130 184.49
Total $184.49
Net Total $184.49
Total Merch $1,430.93
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges $1,430.93
Customer Payment $0.00
Maj. Acct. Payment $0.00.
Total Due 51,430.93
Date Due 05/17/2009
1
i
Prescribed by State Board of Accounts CilyForm No. X01 (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))
04/17/09 510000002698 $1,430.93
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. WARRAN NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM of
6653 E. 82nd Street
Indianapolis, IN 46250 -4577
$1,430.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Members
2201 510000002698 43- 560.03 $1,430.93 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
4 ednes A I 2, 2009
Str t Commissioner
trE)et C_ -0mr -'tom
.I Q�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
S
w pP� 2
Doc's
d�
Original Invoice
BILL TO REMIT TO S
ATTN: LISA STEWART Red Wing Shoe Store
CTTY OF CARMEL /COMMU Castleton Village
1 CIVIC SQUARE. 6653 East 82nd St.
CARMEL, IN 46032 Indianapolis, IN 462504577
(317) 577 -0760
-Invoice Number Invoice -Date Terms. tion
510000002689 04/16/2009 Net30
Ticket Date Purchased By Other Information Item Amount
00051023749 03/25/2009' MAST; DARREN 01421E2111 161.99
Total $161.99
Net Total $161.99
Total Mereh $161.99
Customer Tax $0.00
Maj. Acct. Tax. $0.00
Message: Total Charges $161.99
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $161.99
Date Due 05/1.6/2009
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 property 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))
04116/09 510000002689 Darren Mast Boots $161.99
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
,20
Clerk- Treasurer
VOUCHER NO. WARRANT N
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
Castleton Village, 6653 East 82nd Street
Indianapolis, IN 46250 -4577
$16
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 510000002689 43- 560.03 $161.99 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
Friday, April 24, 2009
Director, DOCS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
0t-iginal Invoice
BILL TO REMIT TO
ATTN: LISA KEMPA Red Wing Shoe Store
CITY OF CARMEL WATERf JTILITIES Castleton Village
9609 HALELDELL PARKWAY 6653 East 82nd St,
INDIANAPOLIS, IN 46280 Indianapolis IN 46250 -4577
(317) 577 -0760
Invoice-Number Invoice-Date Terms Description
510000002705 04/17/2009 Net 30
Ticket Date Purchased•By Other Information Item— Amount
00051023946 04/15/2009 SCHRVUVIEL, LARRY PO #:RWSS051 05290M 095 116.99
Total, $11.6.99
Net Total $11.6.99
Total Merch $116.99
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges $116.99
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $116.99
Date Due 05/1712009
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 TermsC
INDIANAPOLIS, IN 46250 Due Date 4/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/20/2009 51023946 $116.99
hereby certify that the attached invoice(s), or bills) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 095473 WARRANT ALLOWED
264001 IN SUM OF
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
l�
Board members
PO INV ACCT AMOUNT Audit Trail Code
51023946 01- 7202 -06 $116.99
Voucher Total $116.99
Cost distribution ledger classification if
claim paid under vehicle highway fund