161544 07/11/2008 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: $51.58
INDIANAPOLIS IN 46220
CHECK NUMBER: 161544
CHECK DATE: 7111/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4239000 23044 51.58 MISCELLANEOUS SUPPLIE
R O V F,R S C O 9 of Indiana, Inc. CUSTOMER
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
PHONE: (317) 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S
S NAME PG�/WKJ
L ,4 H ADDRESS
O C �N �D 7 O T Q STATE
CITY D 3
BATE SALESMAN CASH REC. ACCT. SHIP VIA Ppd TENS CUSTOMER
ORDER NO.
k CHARGE RETD. MDSE. Coll.
o DEPT. F.O.B.
C.O.D.
QUANTITY DESCRIPTION PRICE AMOUNT
A5
FUND;
D
s.:
J
RECEIVED BY
TOTAL 57
:1i:i1 =U:i i ..T;tYit4.0 •`frJ: o .,itt
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, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Rogers Co. of Indiana Inc. Terms
6364 Westfield Blvd
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
616108 23044 Supplies for Rotary Fountain 51.58
Total 51.58
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
Rogers Co. of Indiana Inc. Allowed 20
6364 Westfield Blvd
Carmel, IN 46032
In Sure of
51.58
ON ACCOUNT OF APPROPRIATION FOR
101 General
PO# or INVOICE N0. ACCT #!TITLE AMOUNT Board Members
Dept
1125 23044 4239000 51.58 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
30 -Jun 2008
Signature
51.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund