184466 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
s CHECK AMOUNT: $11.61
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 184466
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 32771 11.61 REPAIR PARTS
®G R S C o e of Indiana, Inc. CUSTOMER
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 4620' THIS SUP MUST ACCOMPANY INVOICE NO. 32
PHONE: (317) 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
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DATE SALES N CASH REC. ACCT. SHIP.VIA Ppd TERMS CUSTOMER
ORDER NO.
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QUANTITY DESCRIPTION PRICE AMOUNT
RECEIVED BY
TOTAL
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF
6364 Westfield Blvd.
Indianapolis, In 46220
$11.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 32771 42- 370.00 $11.61 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
Monday, :April 05, 2010
Street Commissioner
a614fa
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))
03/26/10 32771 $11.61
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