HomeMy WebLinkAbout209320 05/22/2012 a CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,071.69
6653E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 209320
CHECK DATE: 5/2212012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 510000004156 1,071.69 SAFETY ACCESSORIES
Original Invoice
BILL TO REMIT TO
ATTN. BONNIE CALLAHAN Red Wing Shoe Store
CARMEL CITY STREET DEPT Castleton Village
3400 W 131ST ST 6653 East 82nd St.
CARMEL, IN 46074 Indianapolis, IN 46250 -4577
(317) 577 -0760
Invoice Number Invoice Date Terms Description
510000004156 05/05 /2012 Net30
Ticket Date Purchased By Other Information Item Amount
00051036896 04/16 /2012 STAPLETON, NATHAN 02246D 090 175.49
Total $175.49
Net Total $175.49
00051036934 04/20/20I2 HENRICKS, MIKE 83400D 115 156.74
Total $156.74
Net Total $156.74
00051036935 04/20/2012 JONES, GARY 83400D 095 156.74
Total $156.74
Net Total $156.74
00051037079 04/30 /2012 VANWINKLE, JEFF 02412E3100 283.49
Total $283.49
Net Total $283.49
00051037080 04/30 /2012 OTTINGER, MARK 83600D 100 175.74
Total $175.74
Net Total $175.74
00051037091 05/01/2012 WALDEN, RICHARD 05525W2100 123.49
Total $123.49
Net Total 1 $123.49
Total Merch $1,071.69
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges $1,071.69
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $1,071.69
Date Due 06/04/2012
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
6653 E. 82nd Street
Indianapolis, IN 46250 -4577
$1,071.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1510000000041561 43- 560.031 $1,071.69 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
ThursdayjMay 17, 2012
vv St et Commission
Wtrep CTjtle�:issjoner
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 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))
05/05/12 51000000004156 $1,071.69
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