227480 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 264001 Page 1 of 1
c,,tif ONE CIVIC SQUARE RED WING SHOE STORES INC CHECK AMOUNT: $299.73
CARMEL, INDIANA 46032 6653 E 82ND ST
ss'+ INDPLS IN 46250 CHECK NUMBER: 227480
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239012 299 . 73 SAFETY SUPPLIES
. Red Wing Shoe Store
Cast l etbn V i l l age
6653 East 82nd St.
Indianapolis, IN 462504577
(317)577-0760
°Y.
12/05/13 14;58 00051044878
Sold By Employee #80200
MISER, WILLIAM (317)571-2289
STORE COPY
SALES
00926D 110 6", BROWN, 926 179.99
Major/Nat'l Account 10% -18.00
MA Exempt Govt Agency
0031201550020
SUB-TOTAL 161 .99
7.00% SALES TAX 0.00
TOTAL $161.99
Major Account Charge 161 .99
Sold Items 1
CITY OF CARMEL/COMMU
1 CIVIC SQUARE
CARMEL, IN 46032
(317)571-2418
I ACKNOWLEDGE THAT THIS SALE COMPLIES
WITH THE CONDITIONS OF THE AGREEMENT MADE
WITH T�E MAJOR ACCOUNT
X ;
MI _ , 'WILLIAM
000051044878
Red Wing Shoe Store
Cast ,, Shoe
Village
6653 East 82nd St.
Indianapolis: IN 462504577
(317)577-0760
11/27/13 10;13 00051044756
Sold By Employee #35559
HOHLT, WILLIAM (317)733-9174
SALES
836030 110 6" BROWN 144.99
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/COMMU
1 CIVIC SQUARE
CARMEL, IN 46032
(317)571-2418
0000510447560
VOUCHER NO. WARRANT NO.
ALLOWED 20
Red Wing Shoe Store
IN SUM OF $
Castleton Village, 6653 East 82nd Street
Indianapolis, IN 46250-4577
$299.73
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1192 42-390.12 $137.74 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1192 42-390.12 $161.99
materials or services itemized thereon for
which charge is made were ordered and
received except
i
Friday Dec mb 3, 201
V
Director
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))
11/27/13 Boots- Bill Hohlt $137.74
12/05/13 Boots-Craig Miser $161.99
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