HomeMy WebLinkAbout170086 03/18/2009 .ate CITY OF CARMEL, INDIANA VENDOR: 00353185 Page 1 of 1
I ONE CIVIC SQUARE ROGER AND CO CHECK AMOUNT: $74.90
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 170086
CHECK DATE: 3/18/2009
DEPARTMEPaC ACC OUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1205 4238900 27068 74.90 OTHER MAINT SUPPLIES,
3 /R O G PI R S C ®o of Indiana, Inc. CUSTOMER 27 0 6 8 b� 636'j WESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
1 L PHONE: (317) 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S H NAME
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D 1 4 t n F ADDRESS
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CITY STATE
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DATE SALESMA CAS REC. ACCT. SHIP VIA El Ppd TERMS CUSTOMER
ORDE R NO.
CHARGE E RETD. MDSE. F] Coll. O
DEPT. F.O.B. F El C.O.D. El
QUANTITY DESCRIPTION PRICE AMOUNT
o
SALES TAX
RECEIVED TOTAL
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rest beby State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
IP 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
Rogers Co Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0310A inr
27068 50# bag, Pea Giavel bag Fine Filter band $74.90
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.
03/16/09
ALLOWED 20
Rogers C
IN SUM OF
63 &4 Westfield, Boulevard
n lanapolis, IN 46220
$74.90
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1 20 97n68 O materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund