HomeMy WebLinkAbout232855 05/21/14 CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $ ..."563.16'
s. ,r CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 232855
FISHERS IN 46038 CHECK DATE: 05/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 R4359003 26826 78448 165.72 ANNUAL MOBILE MAINTEN
1120 4237000 78480 397.44 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT s,. • Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 " 78480
Fishers, IN 46038 't
Maci-§t tte•Trtatit FgGt�artsett Invoice Date:
ind.BEa:tEa'iSEs
Phone: 317.849.4903
www.mid-statetruck.com 5/13/2014
Fax : 317.849.6441
Bill To Ship To
CARMEL FIRE DEPARTMENT
2 Civic Square
Carmel, IN 46032
N w tj�f_D vND45k
Handling charge added to Credit Customer P.O. No. Terms
mm
Card orders over$500.00: 2.5% on
Visa, MIC, AMEX&Discover ENGINE 45NET 25 Days l
Sales Rep ID Shipping Method Ship Date Due Date
CJS cust. pick-up 5/6/2014 6/7/2014
Qty Item Code Description Price Ea. Extension
81: 1492115 LED Clear Flood Light, Black Housing 49.68 397.44
CUSTOMER CONTACT BOB 664-0958
Serial #
Serial #
Subtotal $397.44
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $397.44
Payment Received $0.00
Received by Date
EBjl:a: e Due $397744
Thank you for your business!
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))
78480 E45 $397.44
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-States Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$397.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 78480 42-370.00 $397.44 I 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
MAY 1 9 2014
J 7 M D 44 4 e I -
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
MID-STATE TRUCK EQUIPMENT .,..,, Invoice
11'4020 Allisonville Road # Invoice Number:
Retail#: 001104675-001-0 `� t 78448
Fishers, IN 46038 .
Mid•Stacc TruckEquipment
Invoice Date:
tnAanapoiis
Phone: 317.849.4903 '-'
www.mid-staletruck.com 5/8/2014
Fax : 317.849.6441
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 2—(f NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
MRR cust. pick-up 5/1/2014 6/2/2014
Qty Item Code Description Price Ea. Extension
1 PARTS 1 1.5ft Section of 31101'xl/4" angle 5.72 5.72
2 LABOR hourly labor/installation fee 80.00 160.00
--MOBILE STAGE "TUNE-UP"
--RUN THROUGH ALL FUNCTIONS OF MOBILE
STAGE AND CHECK FOR ANYTHING THAT
MIGHT NEED REPAIRED
--CHANGE OIL,IF APPLICABLE
--TIME AND MATERIALS WILL BE BILLED FOR
THIS JOB
OL,') pc�,cj
Serial #
Serial #
Subtotal $165.72
Cash [ ] Check [ ) # Sales Tax (7.0%) $0.00
Credit Card [ ) Auth. # Total Invoice Amount $165.72
Payment Received $0.00
Received by Date
-- - - -- — Balance Due— — $165.7-2–
Thank you for your business!
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))
05/08/14 78448 $165.72
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$165.72
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26826 I 78448 I 43-590.03 I $165.72 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
t� Monday, May 19, 2014
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund