315694 8/31/2017 CITY OF CARMEL, INDIANA VENDOR: 356009
ONE CIVIC SQUARE
R G A/HOOSIER RUBBER &TRANSMISS%MCK AMOUNT: S''"*"'132.69"
CARMEL, INDIANA 46032 NOR EAST PROGRESS STREET CHECK NUMBER: 315694
NORTH LITTLE ROCK AR 72114 CHECK DATE: 08/31/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 H77217-001 132.69 OTHER EXPENSES
w,
Ln
i `CW
O
W V/
3 lu l'
t O Z ~ a
0 0)
M M
a LL Q
o Z m *t o o_ w
L- n *'
�o
Cid
C-410 LL
LU
3 0 0
7S j
O U3 _ v
tn
O (�' O� O to
w M Z C7 U
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
CODE
MRGA H77217-001 DI
RGq 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 08/16/17 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
s
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 termand conditions contained above and attached shall apply.
(WAN7#7�
EkA 1 N131yl8E1# 13Nf► QF IN i4SUR 1tN(T PRICE fJ�Tf"M
TQTA �Ai If tH#
NUSGAIPIIC3A1 FAC?f7UG3: tSC�3UN7 A11if�f[3N1
. _.
10 40 40 BLTR-SKIRTBOARD-RUBBER-FT 2.6500 106.00
1/4"X8" SBR BLTR FT
FOLD
CUST. NO. ORDER DATE TERR I PC I ORD Written By DATE SHIPPED WHSE AMOUNT 106.00
TC125 08/16/17 TC 70 S TJS 08/16/17 70
FRGHT/INS/HNDL 26.69
Carrier: BEST WAY FOB: SP,FNA,PREPAID ORIGINAL INVOICE SALES TAX .00
Tracking:
Terms of Payment: NET 30 DAYS INVOICE TOTAL 132.69
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. S17534 Mark No.
s CARMEL UTILITIES s CARMEL WASTE WATER
0 9609 HAZELDELL PKWY H 9609 HAZEL DELL PARKWAY
T INDIANAPOLIS IN 46280 T INDIANAPOLIS IN 46280
O 0