211024 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
r ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $491.22
CARMEL, INDIANA 46032 6653 E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 211024
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 4258 269 . 99 SAFETY ACCESSORIES
601 5023990 4259 221 . 23 OTHER EXPENSES
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
510000004258 06/30/2012 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051037657 06/19/2012 DELPH,DAMIAN 02426E3110 269.99
Total $269.99
Net Total $269.99
Total Merch $269.99
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $269.99
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $269.99
Date Due 07/30/2012
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$269.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 510000004258 I 43-560.031 $269.99 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
r
Wednesday �uly 11 2012
Street Commissio er
trait ^nm m.is .io
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))
06/30/12 510000004258 $269.99
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
Original Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES/WATER Castleton Village
CITY OF CARMEL UTILITIES 6653 East 82nd St.
760 THIRD AVE.S.W. Indianapolis,IN 46250-4577
CARMEL,IN 46032 (317)577-0760
Invoice Number Invoice Date Terms Description
510000004259 _ 06/30/2012 Net 30
Ticket# Date Purchased By Other Information Item Amount
..00051037690 06/22/2012 FROLICK,JEFF 05007M 120 99.74
Total $99.74
Net Total $99.74
00051037759 06/28/2012 HAAG,JAMES 06702D 085 121.49
Total $121.49
Net Total $121.49
Total Merch $221.23
Customer Tax $0.00
Mai Acct.Tax $0.00
Message: Total Charges $221.23
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $221.23
Date Due 07/30/2012
1
VOUCHER # 121394 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE CO.
6653 E. 82nd St.
Indianapolis, IN 46250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4259 01-6200-06 $221.23
Voucher Total $221.23
Cost distribution ledger classification if
claim paid under 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 CO. Purchase Order No.
6653 E. 82nd St. Terms
Indianapolis, IN 46250 Due Date 7/9/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2012 4259 $221.23
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
Date Officer