HomeMy WebLinkAbout219876 05/07/2013 a \�f CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
t` ONE CIVIC SQUARE RED WING SHOE STORES INC
s CHECK AMOUNT: $1,022.20
CARMEL, INDIANA 46032 6653E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 219876
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 872 .20 510000004761
601 5023990 150 . 00 00051041751
Original Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wina Shoe Store
CITY OF CARMEL UTILITIES/WATER Castleton Village
3450 W. 131ST ST. 6653 East 82nd St.
CARMEL,IN 46074 Indianapolis,IN 462504577
(3 17)577-0760
Invoice Number Invoice Date Terms Description
510000004766 05/01/2013 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051041751 04/18/2013 BROWN,ALEX 04216D 090 184.49
Customer Tax 2.41
Total $186.90
Customer Payment $36.90
Net Total $150.00
Total Merch $184.49
Customer Tax $2.41
Maj.Acct. Tax $0.00
Message: Total Charges $186.90
Customer Payment $36.90
Maj.Acct. Payment $0.00
Total Due $150.00
Date Due 05/31/2013
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 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 5/2/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/2/2013 4766 $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
Date Officer
VOUCHER # 131517 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
4766 01-6200-06 $150.00
Voucher Total $150.00
Cost distribution ledger classification if
claim 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 Description
510000004761 04/30/2013 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051041662 04/111/2013 JONES,GARY 05266M 090 128.24
Total $128.24
Net Total $128.24
00051041727 04"16/2013 HENDERSON,BRAD 06672D 105 157.49
Total $157.49
Net Total $157.49
00051041729 04/16/2013 CLARK MIKE 05290M 110 137.74
�y Total $137.74
�� ifiliL J' I Net Total $137.74
00051041839 041/24/2013 CLARK,MIKE. 05290M 110 -137.74
05500M 115 113.99
Total $-23.75
Net Total $-23.75
00051041840 04%24/2013 WIL LIAMSON,MICE 04416E2105 193.49
Total $193.49
Net Total $193.49
00051041917 04/29//2013 IIENRICKS,MIKE 02414D 115 278.99
Total $278.99
Net Total $278.99
Total Merch S872.20
Customer Tax $0.00
Maj.Acct. Tax $0.00
Message: Total Charges $872.20
Customer Payment $0.00
Maj.Acet.Payment $0.00
Total Due $872.20
Date Due 05/30/2013
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))
04/30/13 510000004761 $872.20
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
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$872.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 510000004761 1 43-560.031 $872.20 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
i ly, M y 03, 2013
StreeQs�Woner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund