HomeMy WebLinkAbout176918 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
1 0� CHECK AMOUNT: $60.40
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 176918
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBE AMOUNT DESCRIPTION
2201 4350400 31103 60.40 GROUNDS MAINTENANCE
R OG E RS C of Indiana, Inc. CUSTOMER 3110
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SLIP MUST ACCOMPANY INVOICE NO.
PHONE: (317) 255 3117711 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S 17 O W H NAME 7
D I r
P ADDRE S
T' T CITY STATE
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DATE f SALE MAN CASH. El REC. ACCT. SHIP VIA El Ppd TERMS CUSTOMER
j ORDER NO.
DEPT.
C F1 F.O.B. El RETD. MDSE. Coll. 2
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4
C.O.D.
QUANTITY DESCRIPTION RICE AMOUNT
l r
SALES TAX
RECEIVED B TOTAL
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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))
08/18/09 31103 $60.40
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 N -W ARRAN T NO.
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF
6364 Westfield Blvd.
Indianapolis, In 46220
$60.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO CCT /TITLE AMOUNT Board Members
2201 31103 43- 504.00 $60.40 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
fi Thursday, ust 27, 2009
Street CommissioUer
Street ';rrT Zner
Cost distribution ledger classification if
claim paid motor vehicle highway fund