HomeMy WebLinkAbout213373 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 365558 Page 1 of 1
B W ROGERS CO ONE CIVIC SQUARE
0 CHECK AMOUNT: $115.00
AKRON OH 443091030
CARMEL, INDIANA 46032 PO BOX 569 CHECK NUMBER: 213373
CHECK DATE: 10/912012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 275087-001 115 . 00 REPAIR PARTS
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
CODE
02%) B W ROGERS CO 275087-001 DI
BX R® rs Co. MACHINE DRIVE DIV - DISTR INVOICE DATE PAGE
41`�
15402 STONY CREEK WAY
P.O. Box 569,Akron, Ohio 44309 NOBLESVILLE IN 46060 09/25/12 1
For Terms and Conditions visit:www.bwrogers.com
Any different or additional terms that may be embodied in your purchase order are hereby objected to. If your order is not an
acceptance of our proposal,this will operate as an acceptance of your order only in the event you agree to the terms hereof.
The terms and conditions contained above and attached shall apply.
i2UANTITY .
L1iVE PART]VIJM$ER UNE7 OF:M4SURE UfiE17 PRICE FJCTEfJCE
Nt): pdE AL BACI( klpM I)ESCRIPf10A1 PfiQPUC7 p15CC1E1ryT°lo-: AM0i3NJ
.... .......... :........::.............:.:.:........................:.....:..,.....
10 2 2 C--800028 47.0700 94.14
CAP Y07D EA
INBOUND FRT IS: .00
FOLD
CUST. NO. ORDER DATE TTERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 94.14
C4034 09/21/12 8C 10 S DDG 09/24/12 10
FRGHT/INS/HNDL 20.86
___ ___ _ _ _EOB:__SP,FNA,PREPAID__..-_ _ . _ OR!Cs!NAL-INVOICE
Tracking: SALES TAX :00 "
Terms of Payment: NET 30 DAYS CUST FAX#: 317-733-2005 INVOICE TOTAL 115.00
Please Pay This Amount
ORDER ISSUED IN: NOBLESVILLE
PHONE: 317-776-2900
Customer PO No. PO S13254 Mark No. PO S13254
s CARMEL STREET DEPARTMENT s CITY OF CARMEL
0 H
D 3400 W 131 STREET P 9609 HAZEL DELL PKWY
T WESTFIELD IN 46074 T WESTFIELD IN 46074
0 0
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))
09/25/12 275087-001 $115.00
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
B. W. Rogers Co.
TO g0 X. IN SUM OF $
4
$115.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUN r Board Members
2201 I 275087-001 I 42-370.001 $115.00 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
l Friday,/October 05, 2012
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund