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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 /zri-e L S-62e-e7' D-e H A �t 73-6-703) Dt �� P ADDR 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