225060 10/08/2013 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
4 off�o? INDPLS IN 46250 CHECK NUMBER: 225060
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 4997 137 . 74 OTHER EXPENSES
F'
Red W ip Shoe Store
Cast eton Village
6653 East 82nd St.
Indianapolis, IN 462504577
(317)577-0760
09/04/13 12:39 00051043471
Sold By Employee #35559
DIALLO, AMADOU (317)519=7978
MAJOR ACCOUNT
SALES
05611W2100 6" BLACK, WP NON-METAI_L 144.99
Safety Footwear
Major/Nat'l Account 5% -7.25
MA Exempt Govt Agency
0031201550020
SUB-TOTAL 137.74
7.00% SALES TAX - - 0.00
TOTAL $137.74
Major Account Charge 137.74
Sold Items 1
CITY OF CARMEL UTILITIES/WATER
3450 W. 131ST ST.
CARMEL, IN 46074
(317)733-2855
I ACKNOWLEDGE THAT THIS' SALE COMPLIES
WITH THE CONDITIONS OF THE AGREEMENT MADE
WITH THE MAJOR ACCOUNT
DIALLO,:AMADOU
000051043471, o
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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 Description
510000004997 09/16/2013 Net30
ITick-et# Date Purchased By Other Information Item Amount
00051043471 09/04/2013 DIALLO,AMADOU 0561 I W2100 137.74
Total $137.74
Net Total $137.74
Total Merch $137.74
Customer Tax $0.00
Maj.Acet.Tax $0.00
Message: Total Charges $137.74
Customer Payment $0.00
Maj.Acct. Payment $0.00
Total Due $137.74
Date Due 10/16/2013
- - I - -
i
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 10/1/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2013 4997 $137.74
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
i0/y�3 C� I�Lt ✓��------�
Date Officer
VOUCHER # 132949 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
4997 01-6200-03 $137.74
Voucher Total $137.74
Cost distribution ledger classification if
claim paid under vehicle highway fund