183932 03/29/2010 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: $36.96
INDIANAPOLIS IN 46220 CHECK NUMBER: 183932
CHECK DATE: 3/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350400 32718 36.96 GROUNDS MAINTENANCE
1
0 5 R O G R S C 0® of Indiana, Inc, CUSTOMER
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 3271
PHONNEE (331 7)) 2255J5-3317711 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S w S NAME
L I
ADDRESS
T �y� GW 4 a� ,I T CITY STATE
DATE SA MAN CA REC. ACCE SHIP VIA Ppd TERMS CUSTOMER
ORDER NO.
CHARGE RETD. MDSE. Coll. J
DEPT. F.O.B.
C.O.D.
i QUANTITY DESCRIPTION RICE AMOUNT
0
r r tr'/J
SALES TAX
RECEIVED BY TOTAL
VOUCHER NO, WARRANT NO.
ALLOWED 20
Rogers Co. of Indiana, Inc.
IN SUM OF
6364 Westfield Blvd.
Indianapolis, IN 46220
$36.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. I ACCT #!TITLE I AMOUNT Board Members
1205 32718 I 43- 504.00 I $36.96 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
Thursday, March 25, 2010
Director, Administration
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))
03/23/10 32718 $36.96
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