HomeMy WebLinkAbout162021 07/23/2008 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: $306.00
INDIANAPOLIS IN 46220 CHECK NUMBER: 162021
CHECK DATE: 7/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 24039 306.00 REPAIR PARTS
R O V E 1J COO of Indiana, Inc. CUSTOMER q ry
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 4 1 1
11 PHONE: (317 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS I 444AAA ���JJJ
S A n S NAME
O L �R 5�e-e l p H
ADDRESS
D 3tftoo W. 131 4, P
CITY STATE
DATE SALESMAN CASH REC. ACCT. S I IA Ppd TERMS CUSTOMER
I ORDER NO.
CHARGE RETD. MDSE. Coll. Ai.� 1
II DEPT. F.O.B.
r El C.O.D.
QUANTITY DESCRIPTION PRICE AMOUNT
7777
SALES TAX
RECEIVED B 3 o t0 oD
TOTAL L.+V
VOUCHER NO. 1'VARRANT N
Rogers and Company of Indiana ALLOWED 20
IN SUM OF
6364 Westfield Blvd.
Indianapolis, In 46220
$306.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 24039 42- 370.00 $306.00 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, July 17, 2008
c
S 4t Commissioner
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))
06 /30 /08 24039 $306.00
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