HomeMy WebLinkAbout242382 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 356009
ONE CIVIC SQUARE R G A/HOOSIER RUBBER &TRANSMISS%NCK AMOUNT: $****"'601.68*
CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET CHECK NUMBER: 242382
NORTH LITTLE ROCK AR 72114 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 G42458-001 601.68 OTHER EXPENSES
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
CODE
RGA G42458-001 DI
IaR(;q 2002 LAFAYETTE RD. INVOICE DATE PAGE'
INDIANAPOLIS IN 46222 02/02/15 1
AN EMPLOYEE OWNED COMPANY I
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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R E PRODUC : DtSeOUNT; o `>:..` . s; :AMOUNO;::;;;;;::..:.:
10 2 2 250-A-AL 8.5200 17.04
ADAPTOR DIX EA
20 2 2 250-DC-AL 12. 1000 24.20
DIX EA
30 2 2 SHTR-RUBBER-SHT-EA 109.9500 219.901
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1/4X6.5X120-GUM SHTR EA
70 2 2 HOSF-FIRE-HOSE-ASSY-EA 170.2700 340.54 _
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2-1/21NX25FT HOSF EA
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FAM ALUM CAM ONE END X FEM NST SWIVEL DITHER
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CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 601 .68
TC125 01/19/15 TD 70 S JTD 02/02/15 70
FRGHT/INS/HNDL 00 l
Carrier: CWR FOB: SP,FA,PREPAID ORIGINAL INVOICE SALES TAX .00
Terms of Payment: NET 30 DAYS INVOICE TOTAL 601 .68 ;
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. S14735 DUANE Mark No. 317-571-2634 Ext. 1640
s CARMEL UTILITIES s CARMEL WASTE WATER
0 760 3RD AVENUE SW H 9609 HAZEL DELL PARKWAY
D SUITE 110 I
T CARMEL IN 46032 T INDIANAPOLIS IN 46280
0 0
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
RGA/HOOSIER RUBBER &TRANSMISSON Purchase Order No.
3905 E. Progress Street Terms
North Little Rock, AR 72114 Due Date 2/11/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2015 G42458-001 $601.68
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
VOUCHER # 146711 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
G42458-001 01-7502-06 $601.68
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Voucher Total $601.68
Cost distribution ledger classification if f
claim paid under vehicle highway fund
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