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HomeMy WebLinkAbout232896 05/21/14 (9, CITY OF CARMEL, INDIANA VENDOR: 353874 ONE CIVIC SQUARE ROGERS & CO OF INDIANA, INC CHECK AMOUNT: $********58.47* CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK NUMBER: 232896 INDIANAPOLIS IN 46220 CHECK DATE: 05/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 13179 58.47 REPAIR PARTS c ` 's C 0 0 C` C RO E R S & C 0 9 of Indiana,Inc. CUSTOMER 6364 WESTFILED BLVD. INDIANAPOUS,IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 13179 PHONE:(317)255-3171 www.ragerspools.net ALL CLAIMS AND RETURNED GOODS L H NAME D �© W 13!' C f- '57. . P ADDRESS T a T CITY STATE DATE SALESMAN ❑CASH ❑REC.ACCT I ❑Ppd TERMS CUSTOMER { �r ORDER NO. I..d�CHARGE ElRETD.MDSE. ElColl. DEPT. , C �/ F.O.B. — `�( ❑C.O.D. ❑ QUANTITY „, DESCRIPTION. PRICE ACCOUNT 12-1230 1 f 7 ,C,eA F -5Ptoq6 -13 5k, R� ke- 0\ 570 242A �el 97S' SALES TAX RECEIVED BY TOTAL $ �� VOUCHER NO. WARRANT NO. ALLOWED 20 Rogers and Company of Indiana IN SUM OF $ 6364 Westfield Blvd. Indianapolis, In 46220 $58.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#!TITLE I AMOUNT Board Members 2201 j 13179 j 42-370.00 j $58.47 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 2 6, 2014 Stre(S ( riIoner 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)) 05/12/14 13179 $58.47 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