HomeMy WebLinkAbout230535 03/26/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $********82.34*
CARMEL, INDIANA 46032 11020 ALLISDNVILLE RD CHECK NUMBER: 230535
FISHERS IN 46038 CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 77975 82.34 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT Invo1Ce
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0HE
77975
Fishers, IN 46038 M10-1%C lt0Tr%otk Eq uynice,cInvoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 3/17/2014
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa, MIC, AMEX& Discover TRUCK 8 � NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
.......
CJS cust. pick-up 4/11/2014
._.
Qty Item Code Description Price Ea. Extension
........ ..
2'MSC04744 TOGGLE SWITCH KIT,SNIRTHTC112 41.17 82.34
........ .......... __ ..
Serial #
Serial #
Subtotal $82.34
Cash [ ] Check [ ] #� Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # T otal Invoice Amount $82.34
Payment Received $0.00
Received by Date__
Balance ®h!@ $82.3 4 .
I hank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$82.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 1 77975 1 42-370.001 $82.34 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
p
hur , March 20, 2014
Street Co sioner
Street ommis ?ner
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))
03/17/14 77975 $82.34
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
20
Clerk-Treasurer