224634 09/25/2013 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: $137.74
INDPLS IN 46250 CHECK NUMBER: 224634
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4356003 137 . 74 510000004998
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
510000004998 09/16/2013 Net 30
—Ticket 9 Date Purchased By Other Information Item - Amount
00051043483 09105/2013 PARKS,PIFER 0561IW2105 137.74
Total $137.74
Net Total $137.73
Total Merch $137.74
Customer Tax $0.00
Maj.Acct. Tax $0.00
Message: Total Charges 5137.74
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $137.74
Date Due 10/16/2013
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$137.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 510000004998 I 43-560.031 $137.74 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday ept er 20 2Q,13
r
S$teet Corn I'I>3i �1®1
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))
09/16/13 510000004998 $137.74
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