172519 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
s 0 CHECK AMOUNT: $401.88
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 172519
CHECK DATE: 5113/2009
DEPARTMENT ACC PO NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 27451 160.26 REPAIR PARTS
1047 4238900 27769 241.62 OTHER MAINT SUPPLIES
G R S C ®®ol' Indiana, luc. CUSTOMER 27-451
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
PHONE: (317) 255 -3171 w<vw.r'ogerspools.net ALL CLAIMS AND RETURNED G
S S NAME
O H
L I
D P ADDRESS
T T CITY STATE
O O
DATE' SALESMAN CASH REC. ACCT. VIA Ppd TERMS CUSTOMER
O DER NO.�
CHARGE RETD. MDSE. Coll.
DEPT. L- F.O.B. 3 o
1 C.O.O. El `j
QUANTITY DESCRIPTION PRICE AMOUNT
x- R s c c_ �{o �f L 4- rt Oe4.5 g0 r 13 1 G o Z�
7� 1 1
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MAY 1 2009
B,Y
SALES TAX
RECEIVED BY TOTAL E
R 0 G C of Indialla, Inc. CUSTOMER
6364 WESTF-0D BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. t
PHONE: (317) 255 -3171 Nww. rogerspools. net ALL CLAIMS AND RETURNED GOODS
S S NAME
O H
D I ADDRESS,
T T CITY STATE
O
O
r
I DATE SALESMAN CAS REC. ACCT. SHIP VIA Ppd TERMS CUSTOMER
ORDER NO.
Ile CHARGE RE7D. MDSE. ❑Coll.
DEPT. F.O.B.
p C.O.D.
QUANTITY y DESCRIPTI PRICE AMOUNT
y
`I
MAY 0 5 2009) I
SALES TAX
RECEIVE BY
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TOTAL E ✓J I� r
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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.
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
4/24/09 27451 Rotary plaza fountain parts 20457 160.26
5/5/09 27769 Pool paint 20806 241.62
Total 401.88
I 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- 16 -1.6
20_
Clerk- Treasurer
Voucher No. Warrant No.
Rogers Co. of Indiana, Inc. Allowed 20
6364 Westfield Blvd
Indianapolis, IN 46220
In Sum of
401.88
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 27451 4237000 160.26 1 hereby certify that the attached invoice(s), or
1047 27769 4238900- 241.62 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
7 -May 2009
Signature
401.88 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund