HomeMy WebLinkAbout229114 2/11/2014 f CITY OF CARMEL, INDIANA VENDOR: 201250 Page 1 of 1
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $93.54
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD
FISHERS IN 46038 CHECK NUMBER: 229114
CHECK DATE: 2/11/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 76708 93 . 54 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT - r .,_, , _ Invoice
11020 Allisonville Road Nr Invoice Number:
Retai I#: 001104675-001-0
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76708
Fishers, IN 46038 -ycp
M+a•Sce"aTrt+rk Eq=+�prr,cnc` Invoice Date:
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Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 1/27/2014
Bill To Ship To
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, MIC,AMEX$Discover TRUCK46 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 1/27/2014 2/21/2014
Qty Item Code Description Price Ea. Extension
6 1 MSC04294 '!RELAY, 12V ! 15.59 93.54
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Serial #
Serial # Subtotal $93.54
Sales Tax (7.0%) $0.00
Received by Total Invoice Amount $93.54
Payment Received $0.00
-- -___---- ---.- ----
Check#/Authorization Code: i Balance Due $93.54
Thank youfor your business!
VOUCHER NO. WARRANT NO.
Mid-State Truck Equipment ALLOWED 20
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$93.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 76708 1 42-370.001 $93.54 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
4 -�
r day F b�raac ?, 2014
Stmf6e'PW4R"� 96ner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/27/14 76708 $93.54
1 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
20
Clerk-Treasurer