HomeMy WebLinkAbout175108 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
CHECK AMOUNT: $60.44
6364 WESTFIELD BLVD
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46220 CHECK NUMBER: 175108
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 29198 60.44 OTHER MAINT SUPPLIES
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R O GE R S C® of Indian Inc. CUSTOMER "P
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOIt
PHONE: (317) 2551317.1 www.rogerspools.net r_" CLAIMS AND RETURNED GOODS
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T )4_` C G� LLY STATE
7 n --e Q 3 2-
DATE SALESAAN CASH REC. ACCT SHIP VIA Ppd TERMS CUSTOMER
n ORDER NO.
f D�OD9 26Z CHARGE El RETD. MDSE. L] Coll. A�G T 2 ,70 21 i p D
DEPT. F.O.B. 0
C.O.D. �D�� 5
QUANTITY DESCRIPTION PRICE AMOUNT
IV
RECEIVED BY
TOTAL 60 AA
T1 T
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
353874 Rogers Co. of Indiana, Inc. Terms
6364 Westfield Blvd
Indianapolis, IN 46220
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
6110109 29198 Defoamer 21980 F 60.44
Total 60.44
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.
353874 Rogers Co. of Indiana, Inc. Allowed 20
6364 Westfield Blvd
Indianapolis, IN 46220
In Sum of
60.44
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 29198 4238900 60.44 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
16 -Jul 2009
Signature
60.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund