HomeMy WebLinkAbout200341 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 365558 Page 1 of 1
ONE CIVIC SQUARE B W ROGERS CO
CARMEL, INDIANA 46032 PO BOX 569
CHECK AMOUNT: $3,943.00
iro• Eo
AKRON OH 443091030 CHECK NUMBER: 200341
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 122449001 3,943.00 OTHER EXPENSES
INVOICE
MAIL REMITTANCE T0: ENTERING OFFICE INVOICE NUMBER TRAN
i B 122449 -001 DI
ll 380 WATER ST
PO BOX 1 030 INVOICE DATE PAGE
P.O. Box 669, Akron, Ohio 44309 AKRON OH 44309 1030 06/15/11 1
For Terms and Conditions visit: www.lawrogers.00rn
Any different or additional terms that may be embodied In your purchase order are hereby objected to. If your order Is not an
acceptance of our proposal, this will operate as an acceptance of your order only in the event you agree to the terms hereof.
The terms and conditions
contained I dab above e attached
a; r.:.� ?xv.;:::.: tt•o>::r:• :.;a;.:: shall aPP1y.
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1 ERVICE 3943.0000 3943.00
REPAIR V20F EA
INBOUND FRT IS: .00
ORIGINAL
FQID
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE
C4034 05/26/11 Pe 11 S CMW 06/15/11 Og AMOUNT 3943.00
Carrier: DELIV FOB: SP,FNA,PREPAID FRGHT /INS/HNDL ,00
Tracking: ORIGINAL INVOICE SALES TAX ,00
Terms of Payment: NET 30 DAYS CUST FAX 317 -2005 INVOICE TOTAL 3943.00
Pima Pay TftL8 Amount
ORDER ISSUED IN; AKRON
PHONE: 330 315 -3100
Customer PO No. S12518 Mark No
S CARMEL STREET DEPARTMENT 5 CITY OF CARMEL
D 760 3110 AVE S.W, H
T CARMEL IN 46082 p 3400 W 131 ST
D T WESTFIELD IN 46074
0
VOUCHER 115617 WARRANT ALLOWED
365558 IN SUM OF
B W ROGERS CO
PO BOX 569
AKRON, OH 44309
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
122449001 01- 7362 -06 $3,943.00
Voucher Total $3,943.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
365558
B W ROGERS CO Purchase Order No.
PO BOX 569 Terms
AKRON, OH 44309 Due Date 8/5/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/5/2011 122449001 $3,943.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have
j C--'( audited same in accordance with IC D 5- 11- 10 -1.6
/L J'�— /VLF
Date Officer