HomeMy WebLinkAbout235187 7 /22/2014 I
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CITY OF CARMEL, INDIANA VENDOR: 356009
ONE CIVIC SQUARE R G A/HOOSIER RUBBER &TRANSMISS%WCK AMOUNT: $""*"2,100.51'
s9\ �? CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET CHECK NUMBER: 235187
''��>'ON�O' NORTH LITTLE ROCK AR 72114 CHECK DATE: 07/22/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 G12244-001 2,100.51 OTHER EXPENSES
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER IRAN
CODE
MRGA G 12244-001 DI
R
�� 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 06/27/14 1
AN EMPLOYEE OWNED COMPANY
3905 East Progress Street
Any different or additional terms that may be embodied in your purchase order are hereby objected to. If your order is not an
North Little Rock, AR 72114 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.
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1.0.... 2 2 600-E-AL 44.0500 88.10
ADAPTOR DIX EA
356-T
20 2 2 600-C-AL 59.9500 119.90
COUPLER DIX EA
356-T
30 2 2 600-F-AL 130.3800 260.76
ADAPTOR DIX EA
40 2 2 600-13-AL 163.4500 326.90
COUPLER DIX EA
50 50 50 FS24 4.9500 247.50
STAINLESS P-F C DIX EA
LAMP FASTLOK PS24
60 50 50 GTT-600 18.0000 900.00
150PSI TIT GBLH FT
FOLD
CUST.NO. ORDER DATETERR- __ PC ORD Written By DATE SHIPPED WHSE AMOUNT - 1943.16
TC125 06/26/14 TD 70 S JRN 06/27/14 70
FRGHTIINSIHNDL 157.35
Carrier: UPS RED FOB: SP,FNA,PREPAID ORIGINAL INVOICE SALES TAX .00
- -Tracking: — - — - -- -- - —--- - - - - - --
Terms of Payment: NET 30 DAYS INVOICE TOTAL 2100.51
Please Pay This Amount
ORDER ISSUED IN: INDIANAPOLIS
Note New Remit To Address: PHONE: 317/634-3976
3905 East Progress Street
North Little Rock, AR 72114
Customer PO No. S14084 Mark No.
I
s CARMEL UTILITIES s CARMEL WASTE WATER
0 760 3RD AVENUE SW H 9609 HAZEL DELL PARKWAY
D SUITE 110 P
_ T__CARMEL IN_46032 T INDIANAPOLIS__ IN 46280
-- 0 0
VOUCHER # 145110 WARRANT# ALLOWED
350590 IN SUM OF $
RGA/HOOSIER RUBBER & TRANSMIS!
3905 E. Progress Street
North Little Rock, AR 72114
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
G12244-001 01-7202-06 $2,100.51
Voucher Total $2,100.51
Cost distribution ledger classification if
claim paid under vehicle highway fund
PA ��s�y
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
350590
RGAMOOSIER RUBBER &TRANSMISSON Purchase Order No.
3905 E. Progress Street Terms
North Little Rock, AR 72114 Due Date 7/16/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/16/2014 G12244-001 $2,100.51
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
yl,a/y G�
Date Officer