HomeMy WebLinkAbout233341 06/04/14 r Coq
tf. CITY OF CARMEL, INDIANA VENDOR: 353874
ONE CIVIC SQUARE ROGERS &CO OF INDIANA, INC CHECK AMOUNT: $********90.22*
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK NUMBER: 233341
INDIANAPOLIS IN 46220 CHECK DATE: 06/04/14
ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 13717 90.22 REPAIR PARTS
Sr laeer-'
R®V ER S lac coo of Indiana,Inc. CUSTOMER
6364 WESTFILED BLVD INDIANAPOLIS,IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
13 717
PHONE:(31.7)255.3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
SS NAME
o C 41"A ee 5r/^,"T H
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D ADDRESS
T T CITY STATE
O O
DATE SALESMAN ❑CASH ❑REC.ACCT. SHIP VIA ❑Ppd TERMS CUSTOMER
/ l ORDER NO.
KCHARGE ❑RETD.MDSE. / ❑Coll. Al e 7 d
DEPT. F.O.B. TJ��
ElC.O.D. ❑
QUANTITY DESCRIPTION PRICE ACCOUNT
�G-ooa cIn ,v 1 Itis ,�1 ��. 2K
0.v
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
$90.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members,
2201 1 13717 1 42-370.001 $90.22 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
F Ma 30, 2014
44 44
Stre%�?e S T ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
05/29/14 13717 $90.22
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