HomeMy WebLinkAbout174484 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC CHECK AMOUNT: $120.63
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 174484
CHECK DATE: 7/8/2009
DEPA ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350400 29282 120.63 GROUNDS MAINTENANCE
s� R O GE R S& C O of Indiana, Inc. CUSTOMER A p�
1 Z 0 636ANESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. a9 2 2
PHONE: (317) 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S S NAME
O CL&I F671--� H
LD I L� p ADDRESS C7) 2
c f w J
O �j� J 032, O CITY t i STATE
DATE SALESMAN �r vv 11 ((�V❑ CASH REC. ACCT. SHIP VIA Ppd TERMS CUSTOMER
ORDER NO.
J CHARGE RETD. MDSE. COIL
DEPT.
L C.O.D.
QUANTITY' DESCRIPTION PRICE AMOUNT
RECEIVED BY TOTAL
`Prescribed`,�y State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form N0. 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
Roger CO. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06112/09, 29282 may fore bracket $120.63
Total
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.
4 e?'), ALLOWED 20
R IN SUM OF
6364 Westfield Boulevard
Indianapolis, IN 46220
$1 20-63
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE 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
1205 29282 50 .63 which charge is made were ordered and
received except
20
Si ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund