HomeMy WebLinkAbout302570 08/31/16 r GAq -
`�' CITY OF CARMEL, INDIANA VENDOR: 357335
ONE CIVIC SQUARE DUNHAM RUBBER AND BELTING CORP CHECK AMOUNT: $..•..2,708.14•
° CARMEL, INDIANA 46032 PO BOX 47249 CHECK NUMBER: 302570
9M�TON. INDIANAPOLIS IN 46247-0249 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 45321706 2,708.14 OTHER EXPENSES
VOUCHER # 166038 WARRANT# ALLOWED
357335 IN SUM OF $
DUNHAM RUBBER & BELTING CORP.
PO BOX 47249
INDIANAPOLIS, IN 46247-0249
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
45321706 01-7202-05 1,534.14
45321706 01-7362-05 1,174.00
Voucher Total 2,708.14
Cost distribution ledger classification if
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
357335
DUNHAM RUBBER & BELTING CORP. Purchase Order No.
PO BOX 47249 Terms
INDIANAPOLIS, IN 46247-0249 Due Date 8/29/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/29/2016 45321706 2,708.14
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
-3S--7
INVOICE
Dunham Rubber&Belting Corporation INVOICE
Branch: 00 Dunham Rubber&Belting Corp-( 45321706
PO Box 47249 ' Invoice Date Page
Indianapolis,IN 46247-0249 8/24/2016 14:33:25 1 of 2
•� ORDER NUMBER
1134240
317-888-3002
Bill To: Ship To:
CITY OF CARMEL/WATER-WASTEWATER UTILITIES CITY OF CARMEL/WATER-WASTEWATER UTILIT
3450 W. 131 ST ST. 9609 HAZEL DELL PARKWAY
CARMEL,IN 46074 INDIANAPOLIS,IN 46280
USA USA
Ordered By:Mr.JEFF COOPER
Customer ID: 23029
PO Number Term Description Net Due Date Disc Due Date Discount Amount
516397 Net 30 9/23/2016 9/23/2016 0.00
Order Date Pick Ticket No Primary Salesrep Name Taker
8/12/2016 13:35:59 1135282 Gary Woodward CROBERTSON
Quantifies Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM 4 Item Description Price Price
Unit Size A Unit Size
Delivery Instructions: INSTALL 8/23/16 8AM
Carrier: OUR TRUCK Tracking#:
1.0000 1.0000 0.0000 EA 2P3X1-24X161L EA 1,534.1400 1,534.14
1.0 241N X 161FTOIN 2PLY 3X1 SS LACE RS187 1.0000
24" X 161' 0" RECESS STAINLESS STEEL
STAPLE LACED
16.0000 16.0000 0.0000 HR LABOR HR 70.0000 1,120.00
1.0 BELT LABOR CHARGE 1.0000
Rate charged is per man per hour required for
service(roundtrip).
4.0000 4.0000 0.0000 HR LABOR-OT HR 105.0000 420.00
1.0 OVERTIME LABOR CHARGE 1.0000
Rate charged (if necessary) is per man per hour
required for service(roundtrip).
54.0000 54.0000 0.0000 MI MILES MI 1.0000 54.00
1.0 MILEAGE CHARGES 1.0000
Rate is per mile and total amount invoiced will be
based on actual roundtrip mileage for service.
* * *REPRINT* * *
12.16.1985-04/29/15
INVOICE
Dunham Rubber&Belting Corporation INVOICE
Branch: 00 Dunham Rubber&Belting Corp-C 45321706
PO Box 47249 ' Invoice Date Page
Indianapolis,IN 46247-0249 8/24/2016 14:33:25 2 of 2
��•� ORDER NUMBER
1134240
317-888-3002
Quantities Pricing
Item ID UOM Unit Extended
q
Ordered Shipped Remaining Item Description UOUni[Size A UnitSize priCe Price
Total Lines: 4 SUB-TOTAL: 3,128.14
TAX: 0.00
CASH RECEIPTS: 420.00
AMOUNT DUE: 2,708.14
* * *REPRINT
12.16.1985-0329115