328192 07/25/18 y u''c±q� CITY OF CARMEL, INDIANA VENDOR: 356009
ONE CIVIC SQUARE R G A/HOOSIER RUBBER &TRANSMISS%WCK AMOUNT: $''"**"*356.13•
s a CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET CHECK NUMBER: 328192
.91�.._.��i NORTH LITTLE ROCK AR 72114 CHECK DATE: 07/25/18
iron co�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
. 651 5023990 222196001 69.25 OTHER EXPENSES
651 5023990 I22196002 260.00 OTHER EXPENSES
651 5023990 222199001 26.88 OTHER EXPENSES
VOUCHER NO. 185977 RRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201(Rev 1995)
Vendor # 35(000� IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
RGA/HOOSIER RU BER&TRANSMISSO CITY OF CARMEL
3905 E. Progress St t An invoice or bill to be properly itemized must show: kind of service,where performed,
North Little Rock, AR 72114 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
356.13 350590 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR RGA/HOOSIER RUBBER&TRANSMISSON Terms
Carmel WaSterwater UtIIItV 3905 E. Progress Street Due Date
BOARD MEMBERS
I hereby certify that that attached invoice North Little Rock,AR 72114
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
I22196-001 01-7202-06 $69,25 and received except 7/10/2018 I22196-001 $69.25
I22196-002 01-7200-02 $260.00 7/10/2018 I22196-002 $260.00
I22199-001 01-7202-06 $26,88 7/10/2018 I22199-001
$26.88
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
INVOICE
TRAIN
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER CODE
RGA 122196-002 DI
RGA 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 06/27/18 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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1.0.... 400 400 1145-06400 .6500 260.00
HOSZ FT
3/8" VALUFLEX RED 30OPSI
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 260.00
TC125 06/26/18 TC 70 S TJS 06/27/18 70
FRGHT/INS/HNDL .00
Carrier: EMAIL CUST FOB: SP,FNA,PREPAID ORIGINAL INVOICE SALES TAX .00
Tracking:
Terms of Payment: NET 30 DAYS INVOICE TOTAL 260.00
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. S18592 Mark No. djarvis@carmel.in.gov
s CARMEL UTILITIES s CARMEL WASTE WATER
0 9609 HAZELDELL PKWY H 9609 HAZEL DELL PARKWAY
T INDIANAPOLIS IN 46280 T INDIANAPOLIS IN 46280
0 0
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
CODE
RGA 122196-001 DI
RGA 2002 LAFAYETTE RD, INVOICE DATE PAGE
INDIANAPOLIS IN 46222 06/27/18 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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.......... .:.:..:...:.....................:.::.::i?A�F7�1.1".�.::::::::::.::::::::::..:::::::::::13FSC�3[MND:$'a:.::::.:::.:......................::::::::::::.
20 15 15 SKT1000-1/2X6 3.4500 51 .75
SKIRTBOARD RBR GLBR LF
30 1 1 HOSR-RUBBER-HOSE-ASSY-EA 17.5000 17.50
HOSE ENDS HOSR EA
PARTS AND LABOR TO PUT 3/8"MPT ON HOSE
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 69.25
TC125 06/26/18 TC 70 S TJS 06/27/18 70
FRGHT/1NS/HNDL .00
Carrier: EMAIL CUST FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX 00
Tracking:
Terms of Payment: NET 30 DAYS INVOICE TOTAL 69.25
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. S18592 Mark No. djarvis@carmel.in.gov
s CARMEL UTILITIES s CARMEL WASTE WATER
0 9609 HAZELDELL PKWY H 9609 HAZEL DELL PARKWAY
T INDIANAPOLIS IN 46280 T INDIANAPOLIS IN 46280
0 0
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER IRAN
CODE
RGA 122199-001 DI
RGA 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 06/27/18 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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.... ....:...... ...........f�$�3iF.?7'ICS :::::::.�PAl'�F7UGI.:::..:::.::::.......................:....:.::::.:::::::::::.::::::::::::::::::::::::::::::::::::::::::.
10 1 1 100-DP-AL 4.7900 4.79
DUST PLUG DIX EA
20 1 1 150-DP-AL 6.5600 6.56
DUST PLUG DIX EA
30 1 1 150-D-AL 15.5300 15.53
COUPLER DIX EA
G C-150-D-A L
FOLD
COST. NO. ORDER DATE TERR PC ORD Written'By DATE SHIPPED WHSE AMOUNT 26.88
TC125 06/26/18 TC 70 S TJS 06/27/18 70
FRGHT/INS/HNDL .00
Carrier: EMAIL CUST FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX 00
Tracking:
Terms of Payment: NET 30 DAYS INVOICE TOTAL 26.88
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. S18594 Mark No. djarvis@carmel.in.gov
s CARMEL UTILITIES s CARMEL WASTE WATER
0 9609 HAZELDELL PKWY H 9609 HAZEL DELL PARKWAY
T INDIANAPOLIS IN 46280 T INDIANAPOLIS IN 46280
0 0
From: RGA
RGA
2002 LAFAYETTE RD.
INDIANAPOLIS IN 46222
AN EMPLOYEE OWNED COMPANY '
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ORDER DATE SALES ORDER NO. PAGE WRITTEN ORIGIN
06/26/18 122196-002 1 TJS 70
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CURRENT UNIT QUANTITY
LINE PART NUMBER OF
OPEN WEIGHT
DESCRIPTION PRODUCT
NO. QUANTITY MEAS RELEASED SHIPPED
10 400 1145-06400 FT 400
HOSZ
3/8" VALUFLEX RED 30OPSI
QUESTIONS ABOUT YOUR ORDER? CALL 317-634-3976
We hereby certify that these goods were produced in compliance with THE PRODUCTS LISTED ABOVE MEET THE
all applicable requirements of Section 6,7,and 12 of the Fair Labor REQUIREMENTS AND SPECIFICATIONS OF THE
Standards Act,as amended,and of regulations and orders of the STANDARDS UNDER THE OCCUPATIONAL LIST
United States Department of Labor issued uPACKING LIa7nder Section 14 thereof. SAFETY AND HEALTH ACT OF 1970. A
From: RGA
A 2002 LAFAYETTE RD.
INDIANAPOLIS IN 46222
AN EMPLOYEE OWNED COMPANY
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MARK
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L 9609 HAZELDELL PKWY 1 9609 HAZEL DELL PARKWAY
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0 0
ORDER DATE SALES ORDER NO. PAGE WRITTEN ORIGIN
06/26/18 122199-001 1 TJS 70
`' $HIPMENTFRE)M bUR,,, .1NbkANA#'f)61 WAREHQUSE,;;
CURRENTUNIT QUANTITY
LINE OPEN PART NUMBER OF
NO. QUANTITY DESCRIPTION PRODUCT WEIGHT MEAS RELEASED SHIPPED
10 1 100-DP-AL EA 1
DUST PLUG DIX .1200
20 1 150-DP-AL EA 1
DUST PLUG DIX .2600
30 1 150-D-AL EA 1
COUPLER DIX .7400
GC-150-D-AL
1
1
QUESTIONS ABOUT YOUR ORDER? CALL 317-634-3976
We hereby certify that these goods were produced in compliance with THE PRODUCTS LISTED ABOVE MEET THE
all applicable requirements of Section 6,7,and 12 of the Fair Labor REQUIREMENTS AND SPECIFICATIONS OF THE
Standards Act,as amended,and of regulations and orders of the STANDARDS UNDER THE OCCUPATIONAL
United States Department of Labor issued under Section 14 thereof. SAFETY AND HEALTH ACT OF 1970. PACKING LIST
From: RGA
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GA 2002 LAFAYETTE RD.
AN EMPLOYEE OWNED COMPANY INDIANAPOLIS IN 46222
CUST �y
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ORDER DATE SALES ORDER NO. PAGE WRITTEN ORIGIN
06/26/18 122196-001 1 TJS 70
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UNE CURRENT PART NUMBER UNIT QUANTITY
OF
NO. QUANTITY DESCRIPTION PRODUCT WEIGHT MEAS RELEASED SHIPPED
20 15 SKT1000-1/2X6 LF 15
SKIRTBOARD RBR GLBR
30 1 HOSR-RUBBER-HOSE-ASSY-EA EA 1
HOSEENDS HOSR
PARTS AND LABOR TO PUT 3/8"MPT ON HOSE
QUESTIONS ABOUT YOUR ORDER? CALL 317-634-3976
We hereby certify that these goods were produced In compliance with THE PRODUCTS LISTED ABOVE MEET THE
all applicable requirements of Section 6,7,and 12 of the Fair Labor REQUIREMENTS AND SPECIFICATIONS OF THE
Standards Act,as amended,and of regulations and orders of theSTANDARDS UNDER THE OCCUPATIONAL PACKING LIST
United States Department of Labor issued under Section 14 thereof.SAFETY AND HEALTH ACT OF 1970.