HomeMy WebLinkAbout237958 10/08/14 CITY OF CARMEL, INDIANA VENDOR: 00350590
4
ONE CIVIC SQUARE RGA/HOOSIER RUBBER &TRANSMISSIGMECK AMOUNT: S'""'"1,330.00'
i =Q CARMEL, INDIANA 46032 3905 E PROGRESS ST CHECK NUMBER: 237958
9M�rtiii�°� N LITTLE ROCK AR 72114 CHECK DATE: 10/08/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 G16651-001 1,330.00 OTHER EXPENSES
INVOICE
TRAN
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER CODE
RGA G16651-001 DI
RGA 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 09/02/14 .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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HOMO
CALL WHEN READY DUANE 571-2634 EXT. 1640
10 4 4 HOSP-PVC-HOSE-ASSY-EA 180.0000 720.00
41NX20FT MXF HOSP EA
80 4 4 HOSP-PVC-HOSE-ASSY-EA 125.0000 500.00
41NX1OFT MXF HOSP EA
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 1220.00
TC125 07/25/14 TD 70 S JTD 09/02/14 70
FRGHTlINS/HNDL 110.00
Carrier: FOB: SP,FNA,PREPAIDORIGINAL INVOICE
"Tracking -- -- - -_ - — - _ -.__ _ _ SALES TAX 00
Terms of Payment: NET 30 DAYS INVOICE TOTAL 1330.00
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. S14153 Mark No.
s CARMEL UTILITIES s CARMEL SEWER
0 760 3RD AVENUE SW H 130 1 ST AVE SW
D SUITE 110 P
T CARMEL-- - -IN 46032 - -- ---- - -- - -T.--CARMEL— IN_46032_______
VOUCHER # 145648 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
i
PO# INV# ACCT# AMOUNT Audit Trail Code
G16651-001 01-7202-06 $1,330.00
Voucher Total $1,330.00
Cost distribution ledger classification if j
claim paid under 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 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 10/1/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/1/2014 G16651-001 $1,330.00
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
Date Officer