HomeMy WebLinkAbout227087 12/11/2013 ±w CITY OF CARMEL, INDIANA VENDOR: 356009 Page 1 of 1
ONE CIVIC SQUARE R G A/HOOSIER RUBBER&TRANSMISSNECK AMOUNT: $79.46
CARMEL, INDIANA 46032 3905 EAST PROGRESS STREET
'w, off io NORTH LITTLE ROCK AR 72114 CHECK NUMBER: 227087
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 F80678-001 79 . 46 MATERIALS & SUPPLIES
INVOICE INVOICE NUMBER TRAN
MAIL REMITTANCE TO: ENTERING OFFICE CODE
N RGA F80678-001 DI I
RGA 2002 LAFAYETTE RD. INVOICE DATE PAGE
INDIANAPOLIS IN 46222 11/22/13 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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ORDERED':-
10 20 20 SHTR-RUBBER-STRIP-FT 3. 1000 62.00
1/8X81N BLK NEO SHTR FT
NEO 1-PIECE
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FOLD
COST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 62.00
TC125 11/20/13 TD 70 S TJS 11/22/13 70
FRGHTIINS/HNDL 17 .46 I
Carrier: UPS FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX 00
Trackinn:_ !,
Terms of Payment: NET 30 DAYS INVOICE TOTAL 79.46
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. S13780 Mark No.
s CARMEL UTILITIES s CARMEL WASTE WATER
D 760 3RD AVENUE SW H 9609 HAZEL DELL PARKWAY
D SUITE 110 p
T .CARMEL IN 46032 T INDIANAPOLIS IN 46280
0 0 - -
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
RGAMOOSIER RUBBER &TRANSMISSON Purchase Order No.
3905 E. Progress Street Terms
North Little Rock, AR 72114 Due Date 12/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2013 F80678-001 $79.46
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
VOUCHER # 136974 WARRANT # ALLOWED
350590 IN SUM OF $
RGA/HOOSIER RUBBER & TRANSMIS:
3905 E. Progress Street
North Little Rock, AR 72114 i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
F80678-001 01-7202-06 $79.46
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Voucher Total $79.46
Cost distribution ledger classification if
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claim paid under vehicle highway fund z
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