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Home My WebLink About206275 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350590 Page 1 of 1 ONE CIVIC SQUARE HOOSIER RUBBER TRANSMISSON INC =i CHECK AMOUNT: $44.08 i• ro. CARMEL, INDIANA 46032 3905 E PROGRESS STREET N `o NORTH LITTLE ROCK AR 72114 CHECK NUMBER: 206275 CHECK DATE: 2/1412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 79903 -001 44.08 OTHER EXPENSES INVOICE MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN HOOSIER RUBBER TRAIN. coDE E79903 -001 DI RGA 2002 LAFAYETTE RD. INVOICE DATE PAGE INDIANAPOLIS IN 46222 01/20/12 1 AN EMPLOYEE OWNED COMPANY 3905 East Progress Street Any different or additional terms that may be embodied in your purchase order are hereby objected to. 11 your order is not an North Little Rock, AR 72114 acceptance of our proposal, this will operate as an acceptance of your order only in the event you agree to the terms hereof. The terms and conditions contained above and attached shall apply. LNO 70TL BA Ki TH[ PART NtfM13EE# 13NET QF AflEA$URE Ukk1T !?I�ICt EXTENCID 00ANVTY DESC�IPTIOPf FHt?DUCT, DkSC0111VT AMOUNT 10 3 3 5JE 11.0800 33.24; WOODS CPLG FITP EA I I i FOLD CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 33.24 1 TC125 01119112 TD 70 S RJL 01/19112 70 FRGHT /INS(HNDL 10.84 Carrier: FOB: SP,FNA,PREPAID ORIGINAL INVOICE SALES TAX 00 Track ing: 11 Terms of Payment: NET 30 DAYS INVOICE TOTAL 44.08 Please Pay This Arnow 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. DAN01 1912 Mark No. S CARMEL UTILITIES s CARMEL WASTE WATER 0 760 3RD AVENUE SW H 9609 HAZEL DELL PARKWAY D SUITE 110 p T CARMEL IN 46032 T INDIANAPOLIS IN 46280 0 0 VOUCHER 113716 WARRANT ALLOWED 350590 IN SUM OF Hoosier Rubber Transmission WATER 3905 EAST PROGRESS ST OPERATI©Ms NORTH LITTLE ROCK, AR 72114 I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 79903 -001 01- 6200 -04 $44.08 Voucher Total $44.08 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 Hoosier Rubber Transmission Purchase Order No. 3905 EAST PROGRESS ST Terms NORTH LITTLE ROCK, AR 72114 Due Date 2/8/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/8/2012 79903 -001 $44.08 I hereby certify that the attached invoice(s), or bill(s) is (are) true and orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 Date Officer