223625 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $220.49
CARMEL, INDIANA 46032 6653 E 82ND ST
INDPLS IN 46250 CHECK NUMBER: 223625
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 51043253 220 .49 SAFETY SUPPLIES
Reding Shoe Store
Cast eton Village
6653 East 82nd St,
Indianapolis, IN 462504577
(317)577-0760
08/16/13 12:29 00051043253
Sold By Employee #35559
BLANCHARD, JIM (317)571-2444
SALES
02409D 120 8" BLACK/BROWN, AT 244.99
Safety Footwear
Major/Nat'l Account 10% -24.50
MA Exempt Govt Agency
0031201550020
SUB-TOTAL 220.49
7.009 SALES TAX 0.00
TOTAL $220.49
Major Account Charge 220.49
Sold Items 1
CITY OF CARMEL/COMMU
1 CIVIC SQUARE �..
CARMEL, 'IN 46032 f'
(317)571-'2418
000051043253a
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
Castleton Village, 6653 East 82nd Street
Indianapolis, IN 46250-4577
$220.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 00051043253 I 42-390.12 I $220.49 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
I Mon y, August 26, 2013
Dire or �
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))
08/16/13 00051043253 Safety Boots Jim Blanchard $220.49
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