218218 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1
ONE CIVIC SQUARE ROGERS&CO OF INDIANA,INC CHECK AMOUNT: $79.00
CARMEL, INDIANA 46032 6364 WESTFIELD BLVD
INDIANAPOLIS IN 46220 CHECK NUMBER: 218218
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350400 07106 79 . 00 GROUNDS MAINTENANCE
ROGERS & COs of Indiana,Inc. CUSTOMER
6364 WESTFILED BLVD. INDIANAPOLIS,IN 46220 THIS SUP MUST ACCOMPANY INVOICE NO. 07106
PHONE:(317)255-3171 www.rogerspools.net ALL CLAIMS AND R URNED,GOODS
S 1 S NAME
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DATE SALESMAN l �❑l CASH l� ❑REC.ACCT. SHIP VIA ❑Ppd TERMS CUSTOMER
ORDER NO.
J I 1 13 El CHARGE E]RETD.MDSE. El coil.
DEPT. F.O.B. —
❑C.O.D. ❑
QUANTITY DESCRIPTION PRICE ACCOUNT
Pc nJ —VJ
7`t 00
SALES TAX
�EIVED BY
-- rJ Z TOTAL $ '71 0 D
VOUCHER NO. WARRANT NO.
ALLOWED 20
Rogers and Company of Indiana
IN SUM OF $
6364 Westfield Blvd.
Indianapolis, In 46220
I
$79.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 07106 1 43-504.001 $79.00 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
rids arch 08, 2013
Street Commi i ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/07/13 07106 $79.00
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