220345 05/21/2013i
CITY OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of 1
ONE CIVIC SQUARE SHOE CARNIVAL, INC
CARMEL, INDIANA 46032 PO BOX 2252
CHECK AMOUNT: $440.00
+� INDIANAPOLIS IN 46207
CHECK NUMBER: 220345
CHECK DATE: 5/21/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 1738380 440 . 00 UNIFORMS
0 E C A19 R N V Ae L
*****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 1738380
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 3/5/2013
(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 440 . 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 440 . 00
P.O. BOX 2252 TOTAL FREIGHT 0. 00
Indianapolis, IN 46207 TOTAL TAX 0. 00
INVOICE TOTAL 440 . 00
)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
vhom, 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))
1738380 Shoes for Personnel $440.00
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
$440.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1738380 I 43-560.01 I $440.00 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
MAY 2 0 2813
1
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund