219467 04/24/2013 a CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ti
mot. ONE CIVIC SQUARE RED WING SHOE STORES INC
' CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $1,239.22
INDPLS IN 46250 CHECK NUMBER: 219467
«°M
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 660 . 72 510000004711
601 5023990 4712 578 . 50 OTHER EXPENSES
Reprint 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
510000004711 04/09/2013 Net 30
Ticket 4 Date Purchased By Other Information Item Amoulit
00051041463 03/28/2013 STAPLETON,NATHAN 04448D 090 229.49
Total $229.49
Net Total $229.49
00051041464 03/28./2013 ALDEN,RICHARD 02426D 110 274.49
Total $274.49
Net Total $274.49
00051041626 04/09/2013 MOFFITT,SAMUEL 83400D 115 156.74
Total $156.74
Net Total 5156.74
Total Merch $660.72
Customer Tax $0.00
Maj.Acct. Tax $0.00
Message: Total Charges $660.72
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $660.72
Date Due 05/09/2013
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$660.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 1 510000004711 1 43-560.031 $660.72 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
/Fri y April 19, 2013
Steeett Commis i ner
Stre et Comm�lsstoner
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))
04/09/13 510000004711 $660.72
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
Reprint Invoice
BILL TO- REMIT TO-
ATTN: KERRILOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIESiWATER Castleton Village
3450 W. 131ST ST. 6653 East 82nd St.
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Plumber Invoice Date Terms Description
510000004712 04/09/2013 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051041364 03,122/2013 BASKERVILLE,STEVEN 04216D 110 184.49
Customer Tax 2.41
Total $186.90
Customer Payment $36.90
Net Total $150.00
00051041365 03/22/2013 STEELE,MATTI-JEW 04216D 130 184.49
Customer Tax 2.41
Total $186.90
Customer Payment $36.90
Net Total $150.00
00051041366 03/22/2013 WHITLOW,SEAN 04216D 080 184.49
' Customer Tax 2.41
Total $186.90
Customer Payment $36.90
Net Total $150.00
00051041452 03/27/2013 ZAPF_,CHAD 83600D 100 175.74
Customer Tax 1.80
Total $177.54
Customer Payment $27.54
Net Total $150.00
00051041490 03/30/2013 HARVEY,ANTHONY 06634D 120 -125.99
05007M 120 104.49
Total $-21.50
Net Total $-21.50
Total Merch $707.71 -"
Customer Tat $9.03
Maj.Acct.Tax $0.00
Message: Total Charges $716.74
Customer Payment $138.24
Maj.Acct.Payment $0.00
Total Due $578.50
Date Due 05/09/2013
I
VOUCHER # 131393 WARRANT # ALLOWED
264001
1 IN SUM OF $
RED WING SHOE CO. j
6653 E. 82nd St.
Indianapolis, IN 46250
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
4712 01-6200-06 .00
Voucher Total $600.00
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 4/17/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/17/2013 4712 $600.00
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
Date Officer