HomeMy WebLinkAbout203366 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 365558 Page 1 of 1
ONE CIVIC SQUARE B W ROGERS CO
o CARMEL, INDIANA 46032 PO BOX 569 CHECK AMOUNT: $146.91
AKRON OH 443091030 CHECK NUMBER: 203366
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 137294001 146.91 OTHER EXPENSES
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE. INVOICE NUMBER TRAN
CODE J
l 137294 -001 01 FX
B.W. R Co. PO BOX 380 WATER ER ST INVOICE DATE PAGE
P.O. BOX 569, Akron, Ohio 44309 AKRON OH 44309 1030 09/22/11 1
For Terms and Conditions visit: www.bwrogers.com 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 terma and condItbns contained above and attached shell apply.
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81 1 INC FOR FREIGHT THAT WAS NOT HARG
ON THE ORIGINAL INVOICE
INBOUND FRT IS: .00
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FOLD j.
COST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 00
C4037 09/02/11 8C 11 S JJS 09/01/11 11
FRGHTANS /HNDL 146.91
Carrier: DAYTON FOB: SP,FNA,PREPAID ORIGINAL INVOICE
Tracking: SALES TAX .00
Terms of Payment: NET 30 DAYS CUST FAX'#: 317- 671 -2462 INVOICE TOTAL 146.91
PlettEa Pey Thla Ameunt
ORDER ISSUED IN: AKRON.'
PHONE: 330 -315 -3100
a r
Customer PO No. W09560 NF Mark No.
S CITY OF CARMEL UTILITIES S CITY OF CARMEL UTILITIES
O ATTN: A/P H WATER OPERATIONS
D 760 THIRD AVE SW r 3450 W 131ST ST
T CARMEL IN 46032 T WESTFIELD IN 46074
0 0
Prescribed by State Board of Accounts
Form No. 301 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER
TO
ADDRESS
Invoice Date Invoice Number Item Amount
I 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
19
Signature Title
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct a d I have audited same in accordance
with IC 5- 11- 10 -1.6.
1 19
Offi Title
t
Voucher No. Warrant No.
ACCOUNTS PAYABLE DETAILED ACCOUNTS
MUNICIPAL WATER DEPT. ACCT.
NO.
CARMEL, INDIANA
O Favor Of
p 9 �h 5
P D oX s69
R ti o H kj x(30
Total Amount of Voucher
Deductions
372 4Y 9
o 3
Amount of Warrant
Month of 19
VOUCHER RECORD Acct.
No.
Source of Suppl
Water Treatment
Transmission and Dist.
Customer Accounts
Administrative and General
Operation- Maintenance
Utility Plant in Service
Constr. Work in Progress
Materials and Supplies
Customers Deposits
Total
Allowed
Board of Control
Filed
Official Title
BOYCE FORMS SYSTEMS 1- 800 -382 -8702 325