HomeMy WebLinkAbout333919 12/27/18 CITY OF CARMEL, INDIANA VENDOR: 356009
• ONE CIVIC SQUARE R G A/HOOSIER RUBBER&TRANSMISSRhtFkCK AMOUNT: $********65.70*
CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET CHECK NUMBER: 333919
yroN�, NORTH LITTLE ROCK AR 72114 CHECK DATE: 12/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 I46861-001 65.70 OTHER EXPENSES
VOUCHER NO. 187091 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 356009 IN SUM of$ ACCOUNTS PAYABLE VOUCHER
RGA/ HOOSIER RUBBER AND TRANSMISSION CITY OF CARMEL
3905 E. PROGRESS STREET 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
65.70 356009 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR RGA/ HOOSIER RUBBER AND TRANSMISSION Terms
Carmel Wasterwater Utility 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
I46861-001 01-7202-06 $65.70 and received except 12/19/2018 I46861-001 $65.70
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
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
CODE
MRGA 146861-001 DI
RGA2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 12/12/18 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 721 14 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 6 6 BLTR-HD-RUBBER-BELT-FT 10.9500 65.70 i
24"2PLY BLTR FT
Rece ved by :
Date: PO #: 5 5
cct •
Use:
I
I
FOLD
CUST. NO. ORDER DATE TERRPC ORD Written By DATE SHIPPED WHSE AMOUNT 65.70
TC125 12/12/18 TC 70 S JTD 12/12/18 70
FRGHT/INS/HNDL .00
Carrier: W/C FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX 00
Tracking:
Terms of Payment: NET 30 DAYS INVOICE TOTAL _ 65.70
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. S19195 BRAD 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
0 0
From: RGA
RGA 2002 LAFAYETTE RD.
AN EMPLOYEE OWNED COMPANY INDIANAPOLIS IN 46222
C
UST
P.O.
MARK
MARK
...........................................................
.............................
NO. ...................... ::'>: NO. S19195 BRAD
O CARMEL UTILITIES H CARMEL WASTE WATER
L 9609 HAZELDELL PKWY 1 9609 HAZEL DELL PARKWAY
D P
T INDIANAPOLIS IN 46280 T INDIANAPOLIS IN 46280
0 0
ORDER DATE SALES ORDER NO. PAGE WRITTEN ORIGIN
12/12/18 146861-001 1 JTD 70
i:...S T..F.RO OUfE W�I'ANAP.bLIS'z<'':i;:%1ii2":WAREHaUSE.:`.
UNE CURRENT PART NUMBER UNIT QUANTITY
OF
NO. QUANTITY DESCRIPTION PRODUCT WEIGHT MEAS RELEASED SHIPPED 10
10 6 BLTR-HD-RUBBER-BELT-FT FT 6 Q FD
24"2PLY BLTR v
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 V �+T Q I"1��V/± LIS 1