246955 06/30/15 CITY OF CARMEL, INDIANA VENDOR: 353874
® ONE CIVIC SQUARE ROGERS & CO OF INDIANA, INC CHECK AMOUNT: S"""'"`"436.90`
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK NUMBER: 246955
'M�row. INDIANAPOLIS IN 46220 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239034 11672 436.90 LANDSCAPING SUPPLIES
Lk
SC ®of Indiana,Inc. CUSTOMER
6364 WESTFIELD BLVD. INDIANAPOLIS,IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 11672
PHONE:(317)255-3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S S NAME
o 51„ -t-- H
L t7� I
D P ADDRESS
T T CITY STATE
O O
DAT SALESPERSON ❑CASH ❑C.O.D S I A ❑Ppd TERMS CUSTOMER
�/ /( JL �, ORDER NO. J D/
�� ❑RETD.MDSE. � F-1 coil. � `� ci`
DEPT. ACHARGE
F.O.B. ��� t)J
3 0r'
t � ❑CREDIT CARD
QUANTITY DESCRIPTION PRICE AMOUNT
I .20 qo
laL- SsQ0-4 TL 15-11 UQlUte. 3qSs�
3 8 ZS
q31�
SALES TAX
RECEIVED BY
— � TOTAL $
' s
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))
06/18/15 11672 $436.90
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
$436.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 11672 I 42-390.341 $436.90 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
T JZrrd 15
reeh ommissi�r�Sr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund