HomeMy WebLinkAbout229653 2/25/2014 *f CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS&CO OF INDIANA, INC
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK AMOUNT: $77.70
�• �� INDIANAPOLIS IN 46220
CHECK NUMBER: 229653
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 12275 77 . 70 REPAIR PARTS
® S & COO of Indiana,Inc. CUSTOMER
6364 WESTFILED BLVD. INDIANAPOLIS,IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 12275
PHONE:(317)255.3171 www.rogerspools.net ALL CL44S AND RETURNED GOODS
S s NAJ R
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3 cft'�O �.c, . l 3� S�
O "5 7-�e� l /J O CITY STATE
DATE SALESMAN / ❑CASH ❑REC.ACCT. S ElPpd TERMS CUSTOMER
,t Ie- ORDER NO.
if CHARGE ❑RETD.MDSE. L( ❑Coll. /V —
DEPT. F.O.B.
30
/ ❑C.O.D. ❑
QUANTITY j DESCRIPTION PRICE ACCOUNT
S�qj--m— lis bas kle cJ 30,TS-
-777 .7O �
SALES TAX
RECEIVED BY n� TOTAL ' 77
77 70
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))
02/18/14 12275 $77.70
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF $
6364 Westfield Blvd.
Indianapolis, In 46220
$77.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 1 12275 1 42-370.001 $77.70 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
lei
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund