184920 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
*4 Q� ONE CIVIC SQUARE ROGERS 8 CO OF INDIANA, INC CHECK AMOUNT: $16114
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
'a« INDIANAPOLIS IN 46220 CHECK NUMBER: 184920
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 32878 161.14 BUILDING MATERIAL
1 4�! —�.J -O CUSTOMER
O of'Indiana, Inc.
636d WE EITFS�ID BLVD x t� DIANAPOUS, -1N 46220 THIS SLIP MUST ACCOMPANY INVOICE NJD 3 2 S_Z
PHONE: 1[317) -3171 wrow.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S f_ r D S NAME
I ADDRESS
T f 4 (p03 T CITY STATE
O
t O
DATE SALESMAN CASH REC. ACCT. S 1 IA Ppd TERMS CUSTOMER
l� p"r ORDER NO.
HARGE RETD. MDSE.... Coll. �`C p�L
DEPT.
X
EO.B• 3 `l
C.O.D. Gj
QUANTITY DESCRIFnW PRICE AMOUNT
7 F A161
P Q ri x. W
APR 2 2010
PumIr !se
P 0. P or F BY:
is
Ling i�BCr
P� rctmL;er Date
Date
SALES TAX
RECEIVED BY
TOTALS
DWROUE
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rate §,per'day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
353874 Rogers Co. of Indiana, Inc. Terms
6364 Westfield Blvd
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/14/10 32878 Pool paint 23368 F 161.14
Total 161.14
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.
353874 Rogers Co. of Indiana, Inc. Allowed 20
6364 Westfield Blvd
Indianapolis, IN 46220
In Sum of
161.14
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #fTITL AMOUNT Board Members
Dept
1093 32878 4235000 161.14 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
22 -Apr 2010
Signature
161.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund