HomeMy WebLinkAbout214427 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of 1
0 ONE CIVIC SQUARE SHOE CARNIVAL, INC
" CARMEL, INDIANA 46032 PO BOX 2252
CHECK AMOUNT: $540.00
INDIANAPOLIS IN 46207 CHECK NUMBER: 214427
CHECK DATE: 1117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 1691849 540 . 00 UNIFORMS
.O E ARN A
*****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 1691849
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 9/24/2012
(812) 867-6471 Ext . 4815
CARMEL FIRE DEPARTMENT CUSTOMER NO: CARMEL FIRE
QUARTERMASTER CUSTOMER P.O. :
2 CARMEL CIVIC SQUARE
CARMEL IN 46032
CUSTOMER DOC RETENTION: CATEGORY 2
CONTACT: TERMS: NET 30
DESCRIPTION AMOUNT
SHOES 540 . 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 540 . 00
P.O. Box 2252 TOTAL FREIGHT 0 . 00
Indianapolis, IN 46207 TOTAL TAX 0 . 00
INVOICE TOTAL 540. 00
Misc. Transaction Form
1691849
cust. name
address
date
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signature _x
cashier x
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0 refund
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White-(CORPORATE OFFICE)
DAR 1035
At TSTaDT OFFICE CST
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shoe Carnival
IN SUM OF $
P.O. Box 2252
Indianapolis, IN 46207
$540.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1691849 I 43-560.01 I $540.00 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
NOV -5 2012
l -:
Fire Chief
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))
1691849 $540.00
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