HomeMy WebLinkAbout243320 3 /18/2015 `y�i_.4.�gy��
CITY OF CARMEL, INDIANA VENDOR: 353874
+• ® ONE CIVIC SQUARE ROGERS &CO OF INDIANA, INC
CHECK AMOUNT: $*******'40.46*
s' CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK NUMBER: 243320
�iTON�� INDIANAPOLIS IN 46220 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 16590 40.46 REPAIR PARTS
. . 0
R O G-E R S C®q of Indiana,Inc. CUSTOMER
6364 WESTFILED BLVD. INDIANAPOLIS,IN 46220 THIS SUP MUST ACCOM�ANY INVOICE NO. 1,6 5 9 0
PHONE:(317)255-3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S S NAME
D
I ADDRESS
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O Vv�S�T/t���, 607 / T CITY STATE
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DATE SALESMAN ❑CASH+- ❑REC.ACCT. ❑Ppd TERMS CUSTOMER
XCHARGE
ORDER NO.
I to J 7 ❑RETD.MDSE. ❑Coll. M�^DEPL F.O.B.
1 ❑C.O.D. ❑
QUANTITY DESCRIPTION PRICE ACCOUNT
w7 i-E? VIC-
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SALES TAX
RECEIVED TOTAL $
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF$
6364 Westfield Blvd.
Indianapolis, In 46220
$40.46-
ON
40.46ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 16590 I 42-370.001 $40.46 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
17
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omrrussioner
tree ommissloner
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))
03/10/15 16590 $40.46
I
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
120
Clerk-Treasurer