HomeMy WebLinkAbout241901 02/09/15 ,44q
�%` CITY OF CARMEL, INDIANA VENDOR: 356009
® 4`;• ONE CIVIC SQUARE R G A/HOOSIER RUBBER &TRANSMISSfMCK AMOUNT: $....."'*43.60'
9 �_� CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET CHECK NUMBER: 241901
y��TON�°, NORTH LITTLE ROCK AR 72114 CHECK DATE: 02/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 G31058-001 43.60 OTHER EXPENSES
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAM
CODE
RGA G31058-001 DI
RGA 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 11/12/14 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 o£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.
LINE' QUANTITY pART NUMBER UNIT OFMEASURE% •UNIT PRICE EXTENDED,
TOTAL BACK THIS ' DESCRIPTION PRODUCT c DISCOUNT;% AMOUNT
NO ' , ORDERED .
TOTAL BACK
SHIPMENT
20 2 2 400-DP-AL-NRW 21.8000 43.60
CAMLOCK AL DP HSCL EA
GC-400-DP-AL
FOLD
CUST.NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 43.60
TC125 10/24/14 TD 70 S TJS 11/12/14 70
FRGHT/INS/HNDL .00
Carrier: CALL CUST FOB: SP,FNA,PREPAID RIG EMAIL QUOTE SALES TAX .00
Tracking:
Terms of Payment: NET 30 DAYS INVOICE TOTAL43.60
Pleave 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. 514493 Mark No. DUANE 571-2634 X1640
s CARMEL UTILITIES s CARMEL WASTE WATER
O 760 3RD AVENUE SW H 9609 HAZEL DELL PARKWAY
T CARMEL IN 46032 SUITE I 10 T INDIANAPOLIS IN 46280
0 0
VOUCHER # 146552 WARRANT# ALLOWED
350590 IN SUM OF $
RGA/HOOSIER RUBBER & TRANSMIS,'
3905 E. Progress Street
North Little Rock, AR 72114
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Carmel Wastewater Utility .
ON ACCOUNT OF APPROPRIATION FOR +i
f
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
r
G31058-001 01-7200-04 $43.60
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Voucher Total $43.60
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Cost distribution ledger classification if
claim paid under vehicle highway fund y
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
I'
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 1/28/2015
Invoice Invoice Description
Date Number (or note attached invoices) or bill(s)) Amount
t
1/28/2015 G31058-001 f $43.60
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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
Date Officer