HomeMy WebLinkAbout216492 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of 1
`• ONE CIVIC SQUARE SHOE CARNIVAL,INC CHECK AMOUNT: $915.00
CARMEL, INDIANA 46032 PO BOX 2252
INDIANAPOLIS IN 46207 CHECK NUMBER: 216492
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 1738308 915 . 00 UNIFORMS
SHOE *****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 1738308
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 10/31/2012
(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 915 . 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 915 . 00
P.O. Box 225'52 TOTAL FREIGHT 0. 00
Indianapolis, IN 46207 TOTAL TAX 0 . 00
INVOICE TOTAL 915 . 00
Misc. Transaction Form
'HOE CARN WAL
1738308
cust. name I Q� F,Q:
address o9. &4,1C" �br)UA& date CU' /i
city �` CL
state &zip lo 4c o3a
telephone )
signature
cashier
m L x
O refund
0 exch.
I tom:
empl.
0_purch.
F-
O other
THANK YOU!!!
White-(CORPORATE OFFICE) Canary-(STORE COPY) Pink-(CUSTOMER COPY)
DAR 1035 AITSTADT OFFICE CITY
'rescribed 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))
1738308 Shoes $915.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Shoe Carnival
IN SUM OF $
P.O. Box 2252
Indianapolis, IN 46207
$915.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1738308 I 43-560.01 $915.00 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
JAN 1201g
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund