170107 03/18/2009 CITY.OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of I
ONE CIVIC SQUARE SHOE CARNIVAL, INC CHECK AMOUNT: $29.98
,ra CARMEL, INDIANA 46032 PO Box 2252
INDIANAPOLIS IN 46207 CHECK NUMBER: 170107
CHECK DATE: 3/1812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 134406 29.98 UNIFORMS.
3
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AW
SHOE %orwo AG KN IV, -Ae-L
*INVOICE
Shoe Carnival, Inc. INVOICE NUMBER: 134406
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 1/13/2009
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 29.98
Remit to:
Shoe Carnival. Inc, TOTAL SALES 29.98
P.O. Box 2252 TOTAL FREIGHT 0.00
Indianapolis, IN 46207 TOTAL TAX 0.00
INVOICE 'TOTAL 29.98
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, �y
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))
134406 Shoes for Personnel $29.98
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: WARRANT N
ALLOWED 20
Shoe Carnival
IN SUM OF
P.O. Eox 2252
Indianapolis, IN 46207
$29.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT 'Board Members
1120 134406 43- 560.01 $29.98 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
MAR ii 6
s.� r
,r s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund