HomeMy WebLinkAbout302674 08/31/16 ,.i ur.CggM
`l F, CITY OF CARMEL, INDIANA VENDOR: 356009
Pb `; ONE CIVIC SQUARE R G A/HOOSIER RUBBER &TRANSMISS%WCK AMOUNT: $"'"""1,558.69"
f. r' CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET CHECK NUMBER: 302674
NORTH LITTLE ROCK AR 72114 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 H21885-001 1,558.69 OTHER EXPENSES
VOUCHER # 165983 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
H21855-001 01-7200-02 774.72
H21855-001 01-7202-06 783.97
fL3//L
Voucher Total 1,558.69
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
350590
RGA/HOOSIER RUBBER &TRANSMISSON Purchase Order No.
3905 E. Progress Street Terms
North Little Rock, AR 72114 Due Date 8/22/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/22/2016 H21855-001 1,558.69
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
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
RCODE
GA
H21855-001 DI
[MRGA 2002 LAFAYETTE RD.
INVOICE DATE PAGE
INDIANAPOLIS IN 46222 08/18/16 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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10 4 4 HOSP-PVC-HOSE-ASSY-EA 223.2500 893.00
I
41NX20FT MXF HOSP EA
41NCH GREEN SUCTION HOSE WITH MALE X FE ALE
CAMLOCKS ATTACHED
80 4 4 HOSP-PVC-HOSE-ASSY-EA 154.8600 619.44
41NX1OFT MXF HOSP EA
41NCH GREEN SUCTION HOSE WITH MALE X FE ALE
CANILOCKS ATTACHED
150 25 25 400-G-BU 1 .8500 46.25
BUNA GASKET DIX EA
GC-400-G-BU
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FOLD j
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE j
1
TC125 07/28/16 TD 70 S JTD 08/18/16 70 AMOUNT 1558.69
FRGHT/INS/HNDL .00
Carrier: CWR FOB: SP,FA,PREPAID ORIGINAL INVOICE
Tracking: SALES TAX .00
Terms of Payment: NET 30 DAYS INVOICE TOTAL 1558.69
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. S16331-DUANE Mark No. 571-2634 Ext. 1640
s CARMEL UTILITIES s CARMEL WASTE WATER
0 9609 HAZELDELL PKWY _ H 9609 HAZEL DELL PARKWAY
D P
T INDIANAPOLIS IN 46280 T INDIANAPOLIS IN 46280
0 0