169133 02/17/2009 F CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE SQUARE RED WING SHOE STORES INC
0 CHECK AMOUNT: $1,232.94
y ,�o CARMEL, INDIANA 46032 6653E 62ND S7
INDPLS IN 46250 CHECK NUMBER: 169133
CHECK DATE: 211712009
DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4356003 510000002601 157.49 SAFETY ACCESSORIES
2201 4356003 510000002603 949.46 SAFETY ACCESSORIES
651 5023990 51023111, 125.99 OTHER EXPENSES
Original Invoice
BELL TO REMIT TO
ATTN: BONNIE CALLAHAN Red Wing Shoe Store
CARMEL CITY STREET DEPT Castleton Village
3400 W 131ST ST 6653 East 82nd St.
WESTFIELD, IN 46074 Indianapolis, IN 46250 -4577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000002603 42/09/2009 Net 30
Ticket Date Purchased B Other Information Item Amount
00051022816 01/08/2009 BROWNING, TIM 02414D 130 251.99
Total $251.99
Net Total $251.99
100051022818 01/08/2009 CARTER, MARK 02225E2130 157.49
Total $1.57.49
Net Total $157.49
00051022868 01/12/2009 TOWNS, ADAM 02412E3105 269.99
Total $269.99
Net Total $269.99
00051023011 01/21/2009 ZELLER, STEVE 02412E3140 269.99
Total $269.99
Net Total $269.99
Total Merch $949.46
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges $949.46
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $949.46
Date Due 03/11/2009
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 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))
02/09/09 5100000002603 $949'46
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. W NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
6653 E. 82nd Street
Indianapolis, IN 46250 -4577
$949.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 5100000002603 43- 560.03 $949.46 I 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
iday, F b uary 3 2009
Street Commissioner
Stre lhe'4ommissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 2/9/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/9/2009 012909 $125.99
�l
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5 11- 10 -1.6
Date Officer
VOUCHER 095034 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
Board members
PO INV ACCT AMOUNT Audit Trail Code
012909 01- 7200 -01 $125.99
i
i
1
t
Voucher Total $125.99
Cost distribution ledger classification if
claim paid under vehicle highway fund
Original Invoice
BILL TO REMIT TO
ATTN: LISA STEWART Red Wing Shoe Store
CITY OF CARMEL/COMMU Castleton Village
1 CIVIC SQUARE. 6653 East 82nd St.
CARMEL, IN 46032 Indianapolis, IN 46250 -4577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000002601 02/09/2009 Net 30
Ticket Date Purchased By Other Information Item Amount
00051023019 01122/2009 SCI -)R_INER, ADAM 00406E2100 157.49
Total $157.49
Net Total $157.49
Total Merch $157.49
Customer Tax $0.00
Maj_ Acct. Tax $0.00
Message: Total Charges $157.49
Customer Payment $0.00
Maj. Acct- Payment $0.00
Total Due $157.49
Date Due 03111/2009
lie
l
w s r P� I
Of ..O �f7
1
Prescribed by State Board of Accounts I 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))
01/22/09 510000002601 Boots Adam $157.49
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. 'WARRAN NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
Castleton Village, 6653 East 82nd Street
Indianapolis, IN 46250 -4577
$157.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO #I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 510000002601 43- 560.03 $157.49 I 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, February 13, 2009
Director, D CS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund