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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 O D 1 4 t n F ADDRESS �1/Lfi CITY STATE C�GGJ" �--�'V 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 z. 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