160558 06/10/2008 *f CITY OF CARMEL, INDIANA VENDOR: 00353185 Page 1 of 1
ONE CIVIC SQUARE ROGER AND CO CHECK AMOUNT: $2,977.15
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 160558
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350400 21253 34.19 GROUNDS MAINTENANCE
2201 4350400 17571 21504 2,890.00 FILTER SAND
2201 4350400 21888 52.96 GROUNDS MAINTENANCE
'✓r
i
0 V E R S LJIL lJ o i of Indiana, tnc. GummC
2 1504
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
PHONE: (317) 255 -3771 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
5 S NAME
0 T I
ADDRESS
r..
T n T CITY STATE Soj
DATE SALESMAN CASH REC. ACCT. SLiI VIA Pp
d TERMS CUSTOMER
NO,
!�I
s S fQ j El j
am
CHARGE RETD. MDSE. ❑Coll.
DEPT. F.O.B. 30
k 3
QUANTITY DESCRIPTION PRICE AMOUNT
r s ;Y toon) 5 �o �r�.%� c c 5, A/D �o ;2.3aq 00
Q
4`;•
to L' t
/(5 SALES TAX
RECEIVED BY
iF *;r 1,a..'�""p "s-l1� �,TOT�kL !T G 00
i
RO G of [ridiana, Inc. cwTomm, 6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. J
PHONE: (317` 255 -3171 wwwrogerspools.net 2 ALL CLAIMS AND RETURNED GOODS
O n r�'^ T f H NAME
6 ;J) -if'I ADDRESS
yaoi
CITY STATE
l�1'�sT e �P �f� o7 o
DA SALESMAN CASH REC. ACCT. SjQIp IA Ppd TERMS CUSTOMER
1 r J✓ ORDER NO.
ICI CHARGE RETD. MDSE. Coll.
DEPT. F.O.B. 3
y C.O.D. E] v D
QUANTITY D 'r DESCRIPTION PRICE AMOUNT
tj
SALES TAX
RECEIVED BY TOTAL
VOUCHER NO. WARRANT N
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF
6364 Westfield Blvd.
Indianapolis, In 46220
$2,942.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
17571 21504 43- 504.00 $2,890.00 1 hereby certify that the attached invoice(s), or
2201 21888 43- 504.00 $52.96
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
4
rids 08
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))
05/08/08 21504 $2,890.00
05/17/08 21888 $52.96
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
111 I
ROGERS C ol ImIlana, Inc. CUSTOMER
6364 WESTFIELD BLVD, INDIANAPOLIS, IN 46920 It IIS SL MUST ACCOMPANY INVOICE NO.
PHONE: 1317) 255-3171 www, I ogof spools. I ityl All- CIAIMS AND R"JRNFD GOODS 21 253
S NAME
0 L5 OF
L I ADDRESS
D A d)" 1 rJ I S T 7 i-6 P
T A CITY STATE
0 41 c 3 �2- 0
(f I mo e /L I..
DATE SALESMAN CASH REC. ACCT. SHIP VIA PI)d TERMS CUSTOMER
ORDER NO.
F CHARGE RFTD. MDSE. Coll.
DEPT. F.O.B.
C.O.D.
OUANTITY DESCRIFTION PRfCE AMOUNT
75, A CL
31
4
j 0q y sue{
A f
3q (q
SALES TAX
RECEIVED BY
TOTAL S 3,
NJ
m
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
Rogers Co Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
06109ZQ8
ALLOWED 20
Rogers Co
IN SUM OF
C-4 Westfield Boulevard
Indianapolis, IN 46220
$34.19
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PT I NVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1 9 504 $34. 1 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sigr}>�ur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund