HomeMy WebLinkAbout171060 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS CO OF INDIANA, INC
t CARMEL, INDIANA 46032 6364 WESTFIELD BLVD CHECK AMOUNT: $60.40
INDIANAPOLIS IN 46220 CHECK NUMBER: 171060
CHECK DATE: 4/16/2009
DEPARTMENT ACCOU PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4238900 27178 60.40 OTHER MAINT SUPPLIES
's
PLEASE RETURN COPY OF ITH PAYMENT
DATE REFERENCE CHARGE P,AYM_ENT� AMOUNT,DUE
03/26/09 27178 60.40
v
FUTURE CURRENT 30 -60 60 -90• 90 -120 OVEW' 20 BALANCE
60.40 60.40
PAY THIS AMOUNT
R ®G R S i C ®O of Indiana, Inc. CUSTOMER 27 178
6364 W ESTFIELD BLVD. INDIANAPOLIS, IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO.
PHONE: (31 255 -3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS
0 Chi l' H NAME jG K
L �'t L`(� I mi l
D P ADDRESS
T CITY STATE
O
DATE W SALESMAN El CASH El REC. ACCT SHIP VIA Ppd TERMS CUST
r ORDER ER N NO.
CHARGE [_1 RETD. MDSE. Coll.
DEPT. F.O.B.
C.O.D. El
QUANTITY DESCRIPTION PRICE AMOUNT
SALES TAX
RECEIVED BY TOTAL
•mot
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/26/09 27178 $60.40
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.
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF
6364 Westfield Blvd.
Indianapolis, In 46220
$60.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member;
2201 27178 42- 389.00 $60.40 1 hereby certify that the attached invoice(s), or
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
Thursdqq, April 09, 2009
Ur ,Ip
Street Commissioner` G,
Cost distribution ledger classification if
claim paid motor vehicle highway fund