220763 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $1,151.21
a CARMEL, INDIANA 46032 6653 E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 220763
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 601 .47 510000004785
651 5023990 549 . 74 51000000453
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
510000004785 05/18/2013 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051041950 05/02/2013 BURKE,RAPHAEL 05266M 115 128.24
Total $128.24
Net Total $128.24
00051042007 05/06/2013 VANWINKLE,JEFF 02412E3100 287.99
Total $287.99
Net Total $287.99
00051042025 05/07i2013 OTTINGER,MARK 83900D 095 18514
Total $185.24
Net Total $185.24
Total Merch $601.47
Customer Tax $0.00
Maj.Acct. Tax $0.00
Message: Total Charges $601.47
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $601.47
Date Due 06/17/2013
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$601.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 510000004785 I 43-560.031 $601.47 I 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
1) 4sdihay 30, 2013
ua" tr?
Street Commis to er
o#ee qmisslompr
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))
05/18/13 510000004785 $601.47
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
Reprint Invoice
BILL TO- REMIT TO-
ATTN: KERRI LOVEALL Red Wing Shoe Store
CITY OF CARMEL UTILITIES/WATER Castleton Village
3450 W. 131ST ST. 6653 East 82nd St.
CARMEL,IN 46074 Indianapolis,IN 46250-4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000004532 12/21/2012 Net30
Ticket 4 Date Purchased By Other Information Item Amount
00051039729 111129./2012 TURNER,DAVID L 06672D 100 157.49
v?(,1i1 Customer Tax 0.52
1 /vrr Total $158.01
Customer Payment $8.01
Net Total $150.00
00051039731 11/29/2012 MANIFOLD,CURT A 02406D 120 197.99
�! I �L'�t r Customer Tax 3.36
Total $201.35
Customer Payment $51.35
Net Total S150.00-
00051039741 1/30/2012 BUI-IMANN,KEVIN 05010W2110 99.74
Total $99.74
Net Total $99.74
00051039742 11/30;'2012 KINKEAD,ROBBIE 06672E2110 157.49
G?.1 Customer Tax 0.52
- 74 1 �J Total $158.01
Customer Payment $8.01
Net Total $150.00
00051039780 12/03/2012 BUCKSOT,BRUCE 83400E2130 156.74
Customer Tax 0.47
Total $157.21
Customer Payment $7.21
Maj.Acct.Payment $150.00
Net Total $0.00
Total Merch $769.45
Customer Tax $4.87
Maj.Acct. Tax $0.00
Message: Total Charges $774.32
Customer Payment $74.58
PAbi WE P, tt Maj.Acct.Payment $150.00 J`T ED`RUDE A,
Total Due $549.74 -
Date Due 01/20/2013
, � tick
VOUCHER # 135656 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE STORES INC i
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater-Utility j
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
51000000453 01-7202-05 $549.74
.4
I
Voucher Total $549.74
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 STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due Date 5/30/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/30/2013 5100000045: $549.74
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