HomeMy WebLinkAbout196927 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC CHECK AMOUNT: $60.40
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
`o INDIANAPOLIS IN 46220 CHECK NUMBER: 196927
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 37982 60.40 REPAIR PARTS
R O G R S l.X C09 of Indiana, Inc. CUSTOMER 3798
6364 WESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
PHONE: (317) 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GgODS
S S NAME
0 He <,L
L I /I •P�t� 'P I ADDRESS
T T CITY STATE
DATE SALESMAN CASH REC. ACCT. SFjIP�V Ppd TERMS CUSTOMER
f ORDER NO.
f�l HARGE RETD. MDSE. 64 El Coll, V
DEPT. F.O.B. 3 <J_.,_____
C.O.D.
QUANTITY DESCRIPTION PRICE AMOUNT
"A.)
SALES TAX
RECEIVED BY TOTAL
..v!. lu ?.i .sa'e....L1.4.7 :;rat c •„3
VOUCHER NO. WARRANT N
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF
6364 Westfield Blvd.
Indianapolis, In 46220
$60.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# De t. INVOICE NO. ACCT /TITLE AMOUNT
p Board Member;
2201 37982 42- 370.00 $60.40 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
i T"hursd y April 21, 2011
Street Commissioner
Ctrpat t'.nrY1 FY11 c i�nor
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))
04/08/11 37982 $60.40
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