HomeMy WebLinkAbout159049 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
CHECK AMOUNT: $34.19
i�•o. CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 159049
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4237000 21253 34.19 REPAIR PARTS
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of Indiana, Inc. CUSTOMER x
t V E R S 'lJf._ C o.
6364 I TFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 21253
f 1i'v PH (317J 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S y�� S NAME
D Ae n 1 'rjL $'rnsA _1c 1U fi P ADDRESS
T 1 i SOIL T CITY STATE
412,,-,-eG a (-a3�7,
DATE SALESMAN CASH REC. ACCT. SPl IA Ppd TERMS CUSTOMER
j �J I El /lie ORDER NO,
I�' CHARGE RE7D. MDSE. 1 Coll.
DEPT. ii L� F.O.B.
l 1 C.O.D.
QUANTITY DESCRIPTION PRICE AMOUNT
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SALES TAX
RECEIVED BY TOTAL
Prescrr ard of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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. of Indiana Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
21253 Lid e-ling, Shaft Seal, Reage, it
Total
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
VOUCHER NO. WARRANT NO.
n4/28108
ALLOWED 20
Rogers Co. of Indiana Inc IN SUM OF
:J' RiO
6364 Westfield Boulevard
Indianapolis, IN 46220
$34.19
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
g materials or services itemized thereon for
which charge is made were ordered and
received except
20
7
S oatu r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund