210522 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $1,369.42
INDPLS IN 46250
CHECK NUMBER: 210522
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356001 51000004223 1,369.42 UNIFORMS
Original Invoice
BILL TO- REMIT TO
ATTN: BONNIE CALLAHAN Red Wing Shoe Store
CITY OF CARMEL 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
510000004223 06/15/2012 Net 30
Ticket Date Purchased By Other Information Item Amount
00051037375 05/25/2012 PRIVETT, SHAUN 05009M 110 99.74
Total $99.74
Net Total $99.74
00051037450 06/01/2012 KALOGEROS, MIKE 02240E2100 157.49
Total $157.49
Net Total $157.49
00051037451 06/01/2012 HICKS, JEFFREY 02259B 130 157.49
Total $157.49
Net Total $157.49
00051037452 06/01/2012 DAVIS, WILLIAM 02414D t00 274.49
Total $274.49
Net Total $274.49
00051037508 06/06/2012 COFFEY, TIM 05008W2130 99.74
Total $99.74
Net Total $99.74
00051037513 06/07/2012 DAVIS, JOSH 06672D 105 152.99
Total $152.99
Net Total $152.99
00051037514 06/07/2012 STUBBS, CHRIS 06672E2105 152.99
Total $152.99
Net Total $152.99
00051037616 06/15/2012 TOWNSEND, SCOTT 02414D 120 274.49
Total $274.49
Net Total $274.49
Total Merch $1,369.42
Customer Tax $0.00
Maj. Acct. Tax $0.00
Message: Total Charges $1,369.42
Customer Payment $0.00
Maj. Acct. Payment $0.00
Total Due $1,369.42
Date Due 07/15/2012
1
VOUCHER NO. WARRA N
ALLOWED 20
Red Wing Shoe Store
IN SUM OF
6653 E. 82nd Street
Indianapolis, IN 46250 -4577
$1,369.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 1 510000004223 I 43- 560.01 I $1,369.42 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
Thursday, 28, 2012
Street Cgmmissioner�
Street Lommi4!;innPr
Title
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))
06/15/12 510000004223 $1,369.42
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