174496 07/08/2009 f CITY OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of 1
el ONE CIVIC SQUARE SHOE CARNIVAL, INC CHECK AMOUNT: $32.98
CARMEL, INDIANA 46032 PO BOX 2252
INDIANAPOLIS IN 46207 CHECK NUMBER: 174496
CHECK DATE: 7/8/2009
DEPARTMENT T ACCO PO NUM INVOICE NUMBER A MOUNT DE SCRIPTION
1120 �4356001 134424 32.98 UNIFORMS
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*INVOICE
Shoe Carnival, Inc. INVOICE NUMBER: 134424
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 6/6/2009
Telephone: (812) 867 -6471 Ext. 4815
Telephone: (812) 867 -4572
CARMEL FIRE DEPARTMENT CUSTOMER NO: CARMEL FIRE
QUARTERMASTER CUSTOMER P.O.:
2 CARMEL CIVIC SQUARE
CARMEL IN 46032
CONTACT: TERMS: NET 30
DESCRIPTION AMOUNT
SHOES 32.98
Remit to:
Shoe Carnival. Inc. TOTAL SALES 32.98
P.O. BOX 2252 TOTAL FREIGHT 0.00
Indianapolis, IN 46207 TOTAL TAX 0.00
INVOICE TOTAL 32.98
Prescribed by State Board of Accounts City Form No. 2071 (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))
134424 $32.98
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.
Shoe Carnival ALLOWED 20
IN SUM OF
P.O. Box 2252
Indianapolis, IN 46207
$32.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #fFITLE AMOUNT
Board Members
1120 134424 43 560.01 $32.98 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
u n e 2009
7 d�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund