213155 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
` ONE CIVIC SQUARE RED WING SHOE STORES INC
CHECK AMOUNT: $1,066.92
CARMEL, INDIANA 46032 6653E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 213155
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 729 . 70 510000004352
601 5023990 4353 199. 48 OTHER EXPENSES
651 5023990 4353 137 . 74 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
510000004352 09/10/2012 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051038332 08/20/2012 KILLEN,TERRY 06337H 095 107.99
Total $107.99
Net Total $107.99
00051038333 08/20/2012 LOVEALL,DAVID 06672D 095 157.49
Total $157.49
Net Total $157.49
00051038422 08/27/2012 MUIR, ED 02406D 085 197.99
Total $197.99
Net Total $197.99
00051038425 08/27/2012 JOHNSON,RANDY 05009M 095 99.74
Total $99.74
Net Total $99.74
00051038442 08/29/2012 HOBBS,JIM 06674D 115 166.49
Total $166.49
Net Total $166.49
Total Merch $729.70
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $729.70
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $729.70
Date Due 10/10/2012
1
Drescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rohom, 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))
09/10/12 510000004352 $729.70
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
Nith IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$729.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 510000004352 1 43-560.031 $729.70 I 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
Friday, Sete ber 21, 2012
S 'a/ '
treet Commis/i�/er
Cost distribution ledger classification if
claim paid motor vehicle highway fund
f 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
510000004353 09/10/2012 Net 30
Ticket# Date _ -- -. _. er n orme ' n em Ain`ouk
00051038361 08/23/2012 COOK,STEVE 05009M 120 99.74
Total $99.74
Net Total $99.74
00051038454 08/30/2012 SIMPSON,DON 05007M 115 99.74
Total $99.74
Net Total $99.74
00051038507 09/04/2012 COOPER,JEFF 05290M 090 137.74
O K Total $137.74
Net Total $137.74
Total Merch $337.22
Customer Tax $0.00
Mal Acct.Tax $0.00
Message: Total Charges $337.22
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $337.22 >
Date Due 10/10/2012
7
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1.:
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Lt_
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER
Form No.301-S(Rev.1995) '
TO
ADDRESS
Invoice Date Invoice•Nurn er Item Amount
I 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
119
Signature Title
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.
19 ja
fficer Title
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
SANITATION DEPARTMENT ACCT.
CARMEL, INDIANA
Favor Of
Red W—) 5koe S fo re
Casflc6" VA(Avs
(*(,S.3 E. 19.14 S4.
_ S-7
Total Amount of Voucher $
Deductions
SI OOOOOC X135 13.7
Amount of Warrant $ (3-7.
Month of 19
Acct.
VOUCHER RECORD No.
Collection System
Operation
Plant
Commercial
General
Undistributed
Construction
Depreciation Reserve
Stock Accounts-Merchandise
Total
Allowed
Board Members
Filed
BOYCE FORMS•SYSTEMS 1-800-382-8702 325
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
510000004353 09/10/2012 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051038361 08/23/2012 COOK,STEVE 05009M 120 99.74
Total $99.74
Net Total $99.74
00051038454 08/30/2012 SIMPSON,DON 05007M 115 99.74
Total $99.74
Net Total $99.74
00051038507 09/04/2012 COOPER,JEFF 05290M 090 137.74
Total $137.74
Net Total $137.74
Total Merch $337.22
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $337.22
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $337.22
Date Due 10/10/2012
1
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 9/17/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/17/2012 4353 $199.48
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
9/L///-L—- C/-� c r�L—
Date Officer
VOUCHER # 122117 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
4353 01-6200-06 $199.48
Voucher Total $199.48
Cost distribution ledger classification if
claim paid under vehicle highway fund