215158 12/04/2012 f CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
0 ONE CIVIC SQUARE RED WING SHOE STORES INC
CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $732.72
row. INDPLS IN 46250 CHECK NUMBER: 215158
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 447 249. 74 MATERIALS & SUPPLIES
601 5023990 4472 150 . 00 MATERIALS & SUPPLIES
2201 4356003 4485 332 . 98 SAFETY ACCESSORIES
Original Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES!WATER Castleton Village
3450W. 131ST ST. 6653 East 82nd St,
CARMEL,IN 46074 Indianapolis,IN 46250.4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000004.172 11/24/2012 Net 30
Ticket# Date Purchased Hi Other Information Item Amount
00051039182 10/22/2012 RHODES,KENNETH 06618D 110 170.99
Customer Tax 1.47
Total $172.46
Customer Payment $22.46
Net Total $150.00
00051039378 11/01/2012 CHAFIN,ALTON 02235D 080 152.99
Customer Tax 0.21
Total S153.20
Customer Pavment $3.20
Net Total $150.00
00051039646 11!21/2012 SCHIMMEL,LARRY 05010M 095 99.74
Total $99.74
Net To $99.74
Total Merch 5423.72
Customer Tax S1.681
Maj.Acct.Tax 50.00
Message: Total Charges $425.40
Customer Payment 525.66
Maj.Acct.Payment $0.00
Total Due $399.74
Date Due 12/24/2012
1
VOUCHER # 126231 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
51000000447 01-7202-05 $249.74
i
Voucher Total $249.74
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 STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due Date 11/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/29/201,' 5100000044 $249.74
hereby certify that the attached invoice(s), or bill(s) is (are)true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
Original Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES/WATER Castleton Village
3450W. 131ST ST. 6653 East 82nd St.
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(3 17)577-0760
Invoice Number Invoice Date Terms Description
510000004472 11/24/2012 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051039182 10/22/2012 RHODES,KENNETH 06618D 110 170.99
Customer Tax 1.47
Total $172.46
Customer Payment $22.46
Net Total $150.00
00051039378 11,101/2012 CHAFIN,ALTON 02235D 080 152.99
Customer Tax 0.21
Total $153.20
Customer Payment $3.20
Net Total $150.00
00051039646 11/21/2012 SCHIMMEL,LARRY 05010M 095 99.74
Total $99.74
Net Total $99.74
Total Merch $42172
Customer Tat $1.68
Maj.Acct. Tax $0.00
Message: Total Charges $425.40
Customer Payment $25.66
Maj.Acct.Payment $0.00
Total Due $399.74
Date Due 12/24/2012
1
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Account 10% -19.00 1
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1M26,1550,020'
.�?,S80;TOTAL 170.99
q7.00%',SA'L'ES:TAX, : 1 .47 :{
$172.46
Ma.)q`r,r46 oiint:`Charge
1'50...';..0,0
xx 246
-,
Auth # 30513 Y
F�1::...F•: .i'�� 1i1.,
;tt;.C'IT:Y OF CARMELi�tJfiI�L�I;TiTES%WATER
w� 34,50,-;W.. 131:STtiST ,n
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-` I''AGKNOW LE3DGET;A.T.?y' WIS' SALE:,COMPLIES`;:
4,;, ,r1
THE COND:I'tIQ m.., HE+AG MEN T„MgpE�``
�;'�� WITH THE�:hi"'J �����A r000P1T1`Y �r�l
' � •
'?XRHODES,+yKENNETH "` f .`F •'
Ziff,
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VOUCHER # 122890 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
4472 01-6200-03 $150.00
Voucher Total $150.00
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 11/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/28/201', 4472 $150.00
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
pp
Date Officer
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
510000004485 11/26/2012 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051039372 11/01/2012 SMITH,KEVIN 02406E2090 197.99
Total $197.99
Net Total $197.99
00051039635 11;20/2012 STEWART,JEFF 06670D 110 134.99
Total $134.99
Net Total $134.99
Total Merch $332.98
Customer Tax $0.00
Maj.Acct. Tax $0.00
Message: Total Charges $332.98
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $332.98
Date Due 12/26/2012
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$332.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 1 510000004485 I 43-560.031 $332.98 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,,November 29/2012
J r./C ✓
1 V
Street=Commissionerer
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))
11/26/12 510000004485 $332.98
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