221211 06/18/2013 a CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC
®t% CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $934.20
INDPLS IN 46250 CHECK NUMBER: 221211
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4805 107 . 99 OTHER EXPENSES
2201 4356003 4820 826 .21 SAFETY ACCESSORIES
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 46254.4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000004820 06/04/2013 Net30
Ticket# Date Purchased By Other Information Item Amount
00051042219 05/122/2013 WALDEN,JASON 83624E2100 137.74
Total $137.74
Net Total $137.74
00051042220 05/22/2013 DELPH,DAMIAN 02414E3110 278.99
Total $278.99
Net Total $278.99
00051042319 05/31/2013 I-LICKS,JEFFREY 06680B 130 179.99
Total $179.99
Net Total $179.99
00051042320 05//31/2013 DAVIS,WILLIAM 04448D 095 229.49
Total $229.49
Net Total $229.49
Total Merch $826.21
Customer Tax $0.00
Maj.Acct. Tax $0.00
Message: Total Charges 5826.21
Customer Pavment $0.00
Maj.Acet.Payment $0.00
Total Due $826.21
Date Due 07/04/2013
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.
I
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/04/13 510000004820 $826.21
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
$826.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 510000004820 I 43-560.031 $826.21 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
r' ay, e 14, 2013
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
510000004805 05/28/2013 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051042035 05/08!2013 RHODES,KENNETH 06337D 110 107.99
Total $107.99
Net Total $107.99
Total Merch $107.99
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $107.99
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $107.99
Date Due 06/27/2013
I
t
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 6/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2013 4805 $107.99
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 �/Z/
Date icer
.VOUCHER # 131793 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
4805 01-6200-03 $107.99
Voucher Total $107.99
Cost distribution ledger classification if
claim paid under vehicle highway fund