217796 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
0 ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $1,902.93
;` ro CARMEL, INDIANA 46032 6653 E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 217796
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 51000004602 450 . 00 OTHER EXPENSES
2201 4356003 51000004603 1, 223 . 44 SAFETY ACCESSORIES
2201 4356003 51000004604 229 . 49 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
510000004602 02/09/2013 Net30
Ticket# Date c ase v Other Information Item Amount
00051040237 01/04/201' LUPE _'MICHAEL 04216D 130 184.49
Customer Tax 2.41
Total $186.90
Customer Payment $36.90
Net Total $150.00
00051040238 01/04/2 FO I K 02260D 105 170.99
Customer Tax 1.47
Total $172.46
Customer Payment $22.46
Net Total $150.00
00051040242 01/04/2 3 bICKEL.MATT 02246E2095 179.99
Customer Tax 2.10
Total $182.09
Customer Payment $32.09
Net Total $150.00
00051040328 01/11/2013 EIDSON,LARRY 02226E2150 161.99
Customer Tax 0.84
Total $162.83
Customer Payment $12.83
Net Total $150.00
00051040329 01/11/2013 BECK,MICAH 05526M 100 132.99
Total $132.99
Net Total $132.99
00051040330 01/11/2013 MERRILL..GARY 83624D 095 137.74
Total $137.74
Net Total $137.74
00051040331 01/11/2013 EPP.GREG 06670D 085 134.99
Total $134.99
Net Total 1 $134.99
Total Merch $1,103.18
Customer Tax $6.82
Maj.Acct.Tax $0.00
Message: Total Charges $L 110.00
Customer Payment S104.28
Maj.Acct.Payment $0.00
Total Due $1,005.72
Date Due 03/11/2013
1 - -
Prescribed b ------ --
yState Board of Accounts f—�-------
ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev 1995)
CITY OF CARMEL
An invoice or bill to be properly itemized
Performed, dates of service rendered by show, kind of service
y whom where
Price per unit, etc. , rates per da
y, number o f units,
264001 1 Payee
RED WING SHOE CO.
6653 E. 82nd St. Purchase Order No.
Indianapolis, IN 46250 Terms
Due Date
2/18/2013
Invoice Invoice
Date Number Description
(or note attached invoices) or bill(s))
2/18/2013 4602 Amount
$450.00
I hereby certify that the attached invoice(s),
correct and I have audited same in accordancebwith) true and
IC 5-1
1-10-1.6
Date
Officer
VOUCHER # 123574 WARRANT
ALLOWED
IN SUM OF $
264001
RED WING SHOE CO.,
6653 E. 82nd St.
Indianapolis, IN 46250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
Audit Trail Code
P0 # INV# ACCT#
AMOUNT
4602 01-6200-06
$450.00
Voucher Total $450.00
' Q
t distribution ledger classification if
4--n paid under vehicle highway fund
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 Descri !ion
510000004604 02/09/2013 Net 30
Ticket# Date. Purchased By Other Informafion Item Amount
00051040637 01/30/2013 HIGGI1-413OT1iAM,MATT 04448D 120 229.49
Total $229.49
Net Total 1 $229.49
Total Merch 5229.49
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $229.49
Customer Payment 50.00
Maj.Acct.Payment $0.00
Total Due $229.49
Date Due 03/11/2013
" 1
k <Y
FAt-
Original Invoice
BILL TO- REMIT TO-
ATTN: BONNIE CALLAI-IAN Red Wing Shoe Store
CITY OF CARMEN 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
510000004603 02/09/2013 Net 30
Ticket 4 Date Purchased By Other Information Item Amount
00051040326 01/11!2013 ZELLER,STEVE 02412E3140 287.99
Total $287.99
Net Total $287.99
00051040387 01/15/2013 TOWNS.ADAM 02414E3100 278.99
Total 5278.99
Net Total 5278.99
00051040417 01/17/2013 BROWNING.TIM 00971D 130 166.49
Total 5166.49
Net Total 5166.49
00051040443 01/18/2013 MASON.CAMERON 83400D 105 156.74
Total $156.74
Net Total $156.74
00051040525 01/22/2013 CARTER,MARK 06672E2120 157.49
Total $157.49
Net Total $157.49
00051040537 01/23/2013 BELL.DARRYL 83600D 130 175.74
Total $175.74
Net Total 5175.74
Total Merch S1,223.44
Customer Tax $$0.00
Maj.Acct. Tax $0.00
Message: Total Charges 51,223.44
Customer Payment S0.00
Maj.Acet.Payment $0.00
Total Due $1,223.44
Date Due 03/11/2013
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 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))
02/09/13 510000004604 $229.49
02/09/13 510000004603 $1,223.44
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$1,452.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
�r-Lv.�
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 5100000046049®32 $229.49 I hereby certify that the attached invoice(s), or
2201 510000004603 '4� �jG9/t�1:1/ 2 $1,223.44 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
0
Thu s ay,#tuary 21, 2013
Street Commi i ner
street eissloner
Cost distribution ledger classification if
claim paid motor vehicle highway fund