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222557 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1 ONE CIVIC SQUARE RED WING SHOE STORES INC CARMEL, INDIANA 46032 6653 E 82ND ST CHECK AMOUNT: $961.70 � INDPLS IN 46250 CHECK NUMBER: 222557 CHECK DATE: 7/3012013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 4882 212 . 48 OTHER EXPENSES 601 5023990 4902 275 . 99 OTHER EXPENSES 2201 4356003 4903 473 . 23 SAFETY ACCESSORIES Original Invoice BI LL TO- REMIT TO- ATTN. BONNIE CALLAFIAN Red Wing Shoe Store CITY OF CARMEL STREET DEPT Castleton Village 3400 W 131ST ST 6653 East 82nd St. CARMEL,IN 46074 Indianapolis,IN 46350-4577 (317)577-0760 Invoice Number Invoice Date Terms Description 510000004903 07/20/2013 Net30 Ticket# Date jPurchased By Other Information Item Amount 00051042804 07/10/2013 COFFEY,TIM 02412E3130 287.99 Total $287.99 Net Total $287.99 00051042805 07,110/2013 STUBBS,CHRIS 83900E2110 185.24 Total $185.24 Net Total $185.24 Total Merch $473.23 Customer Tax $0.00 Maj.Acct.Tax $0.00 Message: Total Charges $473.23 Customer Payment $0.00 Maj.Acct.Payment $0.00 Total Due $473.23 Date Due 08/19/2013 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)) 07/20/13 510000004903 $473.23 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 $473.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 510000004903 1 43-560.031 $473.23 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 y //FriAAAM013 mow-tQ2rrtrrir 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 UTILITIL•S/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 510000004882 07/09/2013 Net30 Ticket 4 Date Purchased By Other Information Item Amount 00051042646 06/26/2013 SIMPSON,DON Employee#:158 06337D 115 107.99 Total $107.99 Net Total $107.99 00051042739 07/05/2013 FROLICK,JEFF 05010M 120 104.49 Total $104.49 Net Total $104.49 Total Merch $212.48 Customer Tax $0.00 Maj.Acct. Tax $0.00 Message: Total Charges $212.48 Customer Payment $0.00 Maj.Acct.Payment $0.00 Total Due $212.48 Date Due 08/08/2013 I \ l Original Invoice BILL TO- REMIT TO- ATTN: KERRI LOVEALL Red Wing Shoe Stoic CITY OF CARMEL UTILITIES/WATER Castlemn Village 3450 W. 131ST ST. 6653 East 82nd St. CA32MEL;IN 46074 Indianapolis;IN 46350-4577 (3 17)577-0760 Invoice Number Invoice Date Tenns Description 510000004843 06/16/2013 Net 30 ITick-eir Date Purchased By OtherInformation Item Amount 1 00051042460 06/10/2013 COOK,STEVE 83608D 120 10924 Total $109.24 Net Total $109.24 00051042461 06110/2013 CARPENTER,JEFF 02205D 100 130.49 Total S130.49 Net Total S130.49 00051042489 06/13/2013 COOKSEY.SHAWN 04216D 095 184.49 Customer Tax 2.41 A Total $186.90 ,�'�JJ' Customer Pa��ment $36.90 Net Total $150.00 "Dotal Merch $424.22 Customer Tax 52.41 Maj.Acct-Tax 00 Message: Total Charges $426.63 Customer Pavment 536.90 Maj.Acct.Payment $0.00 Total Due S389.73 Date Due 1 07/16/2013 �3$�1 37i J i Original 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 Descri tion 510000004902 07/20/2013 Net30 ITicket# Date Purchased By Other Information Item Amount 00051042815 07/11/2013 HOLLANDER,GREG 06634D 130 125.99 Total $125.99 Net Total $125.99 00051042816 0711 1/2013 CALLAHAN,STEVE 04216D 080 184.49 Customer Tax 2.41 Total $186.90 Customer Payment $36.90 Net Total $150.00 Total Merch $310.48 Customer Tax $2.41 Maj.Acct. Tax $0.00 Message: Total Charges $312.89 Customer Payment $36.90 Maj.Acct.Payment $0.00 Total Due $275.99 Date Due 08/19/2013 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 7/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2013 2489 $2.41 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 # 132254 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 2489 01-6200-06 $2 4 I Voucher Total H Cost distribution ledger classification if claim paid under vehicle highway fund