223170 08/13/2013 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: $1,070.19
INDPLS IN 46250 CHECK NUMBER: 223170
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 510000004923 1, 070 . 19 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 46250.4577
(317)577-0760
Invoice Number Invoice Date Terms Description
510000004923 08/03/2013 Net30
Ticket#` - Date Purchased By Other Information Item Amount
00051042961 07/22/2013 LOVEALL,DAVID 06672D 095 157.49
Total $157.49
Net Total $157.49
00051042962 07/22/2013 KILLEN,TERRY 0633714095 107.99
Total $107.99
Net Total $107.99
00051043050 07/31!2013 MORRIS,NATHANIEL 02414D 105 278.99
Total $278.99
Net Total $278.99
00051043051 07/31/2013 KALOGEROS,MIKE 06672D 095 157.49
Total $157.49
Net Total $157.49
00051043057 071/31/2013 PIERCY,BOYD 83400D 110 156.74
Total $156.74
Net Total $156.74
00051043058 07/31/2013 WILLIAMS_,RONALD 02401D 100 211.49
Total $211.49
Net Total $211.49
Total Merch S1,070.19
Customer Tar $0.00
Maj.Acct. Tax $0.00
Message: Total Charges $1,070.19
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $1,070.19
Date Due 09/02/2013
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))
08/03/13 510000004923 $1,070.19
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
$1,070.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 1 510000004923 I 43-560.031 $1,070.19 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
0
//F:'rid 2013
Str {R1%&er
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund