226791 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
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ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $914.70
CARMEL, INDIANA 46032 6653E 62ND ST
INDPLS IN 46250 CHECK NUMBER: 226791
CHECK DATE: 1213/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 510000000509 805 .46 OTHER EXPENSES
2201 4356003 510000005083 109 . 24 SAFETY ACCESSORIES
OI- ?9c)-3-a s
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
510000005099 11/19/2013 Net 30
Ticket# Date Purchased By Other Information Item Amount
00051044269 10/28/2013 COPELAND,JOSEPH 83608D 090 113.99
Total $113.99
Net Total $113.99
00051044270 10/28/2013 KINKEAD,ROBBIE 06672E2110 159.99
Customer Tax 0.70
Total $160.69
Customer Payment $10.69
Net Total $150.00
00051044271 10/28/2013 HARVEY,ANTHONY 06674D 120 169.99
Customer Tax 1.40
Total $171.39
Customer Payment $21.39
Net Total $150.00
00051044528 11/13/2013 MALLABER,BLAINE 06702D 115 130.49
Total $130.49
Net Total $130.49
00051044529 11/13/2013 MANIFOLD,CURT 06704B 120 130.49
Total $130.49
Net Total $130.49
00051044530 11/13/2013 TURNER,DAVID L 06634D 100 130.49
Total $130.49
Net Total $130.49
Total Merch $835.44
Customer Tax $2.10
Mai Acct.Tax $0.00
Message: Total Charges $837.54
Customer Payment $32.08
Maj.Acct.Payment $0.00
Total Due $805.46
Date Due 12/19/2013
1
VOUCHER # 136897 WARRANT # ALLOWED
264001 IN SUM OF $
RED WING SHOE STORES INC
6653 E. 82ND STREET
INDIANAPOLIS, IN 46250
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
1
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
51000000509 01-7202-05 $805.46
1
I
I
i
Voucher Total $805.46
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
264001
RED WING SHOE STORES INC Purchase Order No.
6653 E. 82ND STREET Terms
INDIANAPOLIS, IN 46250 Due Date 11/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/25/201: 5100000050(, $805.46
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
Date Officer
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
510000005083 11/17/2013 Net30
Ticket#-- - -Date.-- -Purchased-By-- Other"Information —Item Amount
00051044063 10117/2013 RUSSELL,ERIC 05012W2110 109.24
Total $109.24
Net Total $109.24
Total Merch $109.24
Customer Tax $0.00
Maj.Acct.Tax $0.00
Message: Total Charges $109.24
Customer Payment $0.00
Maj.Acct.Payment $0.00
Total Due $109.24
Date Due 12/17/2013
1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
6653 E. 82nd Street
Indianapolis, IN 46250-4577
$109.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 510000005083 I 43-560.031 $109.24 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
In v
Tues N 013"M
VVV �Aj 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))
11/17/13 510000005083 $109.24
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