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HomeMy WebLinkAbout219885 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 353874 Page 1 of 1 0 °. ONE CIVIC SQUARE ROGERS&CO OF INDIANA,INC CHECK AMOUNT: $384.40 CARMEL, INDIANA 46032 6364 WESTFIELD BLVD oh INDIANAPOLIS IN 46220 CHECK NUMBER: 219885 CHECK DATE: 5/712013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 07379 384 .40 REPAIR PARTS RO G i R S & CO*of Indiana,Inc. CUSTOMER O 6364 WESTFILED BLVD. INDIANAPOLIS,IN 46220 THIS SLIP MUST ACCOMPANY INVOICE NO. PHONE:(317)255-3171 www.rogerspools.net ALL CLAIMS AND RETURNED GOODS S S NAME D s'f- I ADDRESS Loo O I/V e.! r-4-el-47 7 i 7 TO CITY ' / .33 STATE DATE SALESMAN ❑CASH ❑REC.ACCT. SHIP VIA ❑Ppd TERMS CUSTOMER ORDER NO. CHARGE El El RETD.MDSE. / �J Coll. /V e - - - --DEPT.- - - - - - F.O.B. - - - - - - -- QUANTITY DESCRIPTION PRICE ACCOUNT p I 01 sP 4 a S IJ� d f a og7 10 ^6-rolZ ©d 27? 00 q1 O 1 O, ouVr ruck 7- 3 IV C SALES TAX RECEIVED BY ��y t ( f TOTAL $ O"� -[qC)CJ VOUCHER NO. WARRANT NO. ALLOWED 20 Rogers and Company of Indiana IN SUM OF $ 6364 Westfield Blvd. Indianapolis, In 46220 $384.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 07379 I 42-370.00 $384.40 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 Fri May 03, 2013 Street Commi si 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)) 04/16/13 07379 $384.40 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 5-11-10-1.6 120 Clerk-Treasurer