172018 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK AMOUNT: $195.46
INDIANAPOLIS IN 46220 CHECK NUMBER: 172018
CHECK DATE: 4/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1205 4350400 27178 60.40 GROUNDS MAINTENANCE
1205 4350400 27262 135.06 GROUNDS MAINTENANCE
N R O GE R S ClO CUSTOMER
of Indiana, Inc.
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO_ 2
i PHONE: Q17) 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
S �f l /q S NAME
ADDRESS
T l C✓ T CITY STATE
o 71 o
DATE SALESMAN CASH REC. ACCT. SHIP VIA f El Ppd TERMS CUSTOMER
/w� ❑Coll. ORDER NO.
lC CHARGE RETD. MDSE. V
Me �0' JWU/v
DEPT. F.O.B.
C.O.D. I/�
QUANTITY DESCRIPTION PRICE AMOUNT
FA5 i b
F s 1e0 dtu
:S�OL3 f 35 06
s
RECEIVED BY
TOTAL
ROGERS COO of Indiana, 111c. CUSTOMER
6364 WESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE No. 27178
PHONE: (317) 255-3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
0 H
S e
S NAME
L j -7
I
D P ADDRESS,,
T T CITY STATE
0 0
DATE SALESMAN U CASH, Ll REC. ACCT. SHIP VIA CUSTOMER
r ORDER NO.
5
'Q� FVC RETD, MDSE.
Coll.
DEPT. El F. 0. B.
C.O.D.
QUANTITY DESCRIPTION PRICE AMOUNT
SALES TAX
RECEIVED BY
TOTAL
`-T
5,
L 4r
J.
Y
r
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
Total
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- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
04/27/09
ALLOWED 20
Rogers Co.
IN SUM OF
6364 Westfield Boulevard
Indianapolis, IN 46220
$195.46
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
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
1205 06 materials or services itemized thereon for
which charge is made were ordered and
27178 504 $60.40 received except
20
gn�ttur�X
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1