211922 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $750.96
CARMEL, INDIANA 46032 6653 E 82ND ST
o�`o INDPLS IN 46250 CHECK NUMBER: 211922
CHECK DATE: 8/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 5100004299 161 .49 SAFETY SUPPLIES
2201 4356003 5100004300 589 .47 SAFETY ACCESSORIES
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
510000004300 08/04/2012 Net 30
Ticket# Date Purchased By her Information Item Amount
00051037973 07/18/2012 MORRIS,NATHANIEL 02414D 105 274.49
Total $274.49
Net Total $274.49
00051037986 07/20/2012 WILLIAMS,RONALD 06683D 100 161.99
Total $161.99
Net Total $161.99
00051037987 07/20/2012 PIERCY,BOYD 06672D 110 152.99
Total $152.99
Net Total $152.99
Total Merch $589.47
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $589.47
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $589.47
Date Due 09/03/2012
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$589.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 510000004300 I 43-560.03 I $589.47 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
Le-
tAj 4�r
f� Thurday�August 09, 2012
NO '4'
,. v ~ Street Commissioner
Street CCr:1Tltles;;a ar
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))
08/04/12 510000004300 $589.47
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: LISA STEWART Red Wing Shoe Store
CITY OF CARMEL/COMMU Castleton Village
I CIVIC SQUARE. 6653 East 82nd St.
CARMEL,IN 46032 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000004299 08/04/2012 Net 30
Ticket# - --- -- Date Purchased By Other Information Item Amount
00051037981 07/19/2012 BLANCHARD,JIM 83808D 120 161.49
Total $161.49
Net Total $161.49
Total Merch $161.49
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $161.49
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $161.49
Date Due 09/03/2012
Rom
4013 -7 2012
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
Castleton Village, 6653 East 82nd Street
Indianapolis, IN 46250-4577
$161.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 I 510000004299 I 42-390.12 I $161.49 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
Frida y ugust 10, 2012 /
erector
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))
07119/12 510000004299 Safety Boots $161.49
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