224125 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 00351414 Page 1 of 1
ONE CIVIC SQUARE SHOE CARNIVAL, INC CHECK AMOUNT: $1,240.00
CARMEL, INDIANA 46032 PO BOX 2252
INDIANAPOLIS IN 46207 CHECK NUMBER: 224125
CHECK DATE: 911 012 01 3
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356001 1693695 160 . 00 UNIFORMS
1120 4356001 1738341 1, 080 . 00 UNIFORMS
SHOE
ARN AL
*****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 1738341
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 7/11/2013
(812) 867-6471 Ext. 4815
CARMEL FIRE DEPARTMENT CUSTOMER NO: CARMEL FIRE
QUARTERMASTER CUSTOMER P.O. :
2 CARMEL CIVIC SQUARE
CARMEL IN 46032
CUSTOMER DOC RETENTION: CATEGORY 2
CONTACT: TERMS: NET 30
DESCRIPTION AMOUNT
SHOES FOR GARY CARTER 1, 080 . 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 1, 080. 00
P.O. BOX 225'52 TOTAL FREIGHT 0. 00
Indianapolis, IN 46207 TOTAL TAX 0 . 00
INVOICE TOTAL 1, 080. 00
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SHOE CAR N V! A L
*****INVOICE*****
Shoe Carnival, Inc. INVOICE NUMBER: 1693695
7500 EAST COLUMBIA STREET
EVANSVILLE IN 47715 INVOICE DATE: 7/29/2013
(812) 867-6471 Ext. 4815
CARMEL FIRE DEPARTMENT CUSTOMER NO: CARMEL FIRE
QUARTERMASTER CUSTOMER P.O. :
2 CARMEL CIVIC SQUARE
CARMEL IN 46032
CUSTOMER DOC RETENTION: CATEGORY 2
CONTACT: TERMS: NET 30
DESCRIPTION AMOUNT
SHOES 160 . 00
Remit to:
Shoe Carnival. Inc. TOTAL SALES 160 . 00
P.O. Box 2252 TOTAL FREIGHT 0 . 00
Indianapolis, IN 46207 TOTAL TAX 0. 00
INVOICE TOTAL 160 . 00
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DAR 1035 —ST-T OFFICE 01-
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Shoe Carnival
IN SUM OF $
P.O. Box 2252
Indianapolis, IN 46207
$1,240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 1738341 43-560.01 j $1,080.00 1 hereby certify that the attached invoice(s), or
1120 1693695 43-560.01 $160.00 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
SEP - g MR
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
nrhom, 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))
1738341 $1,080.00
1693695 $160.00
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