HomeMy WebLinkAbout235451 7 /30/2014 ♦y ni C�q�f
c/ \ CITY OF CARMEL, INDIANA VENDOR: 201250'
® ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $'"'"""'532.48•
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 235451
FISHERS IN 46038 CHECK DATE: 07/30/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 79098 532.48 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT; t Invo1Ce
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 ' I= 79098
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903 -"
www.mid-statetrack.com 7/22/2014
Fax 317.849.6441
Bill To Ship To
CARMEL WASTEWATER UTILITIES
760 THIRD AVENUE S.W.
SUITE 110
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 S1412-9 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CJS cust. pick-up 7/22/2014 8/16/2014
__...------.......................-.._..........__.._..---....._......................._._............. __.._...----...__....................__ ........................ -- ----
_Qty Item Code Description i Price Ea. Extension
2FARTS 1 97200 25X12X9 TURF BOSS 135.79 271.58
2 PARTS 1 400130 13X6.5X6 RUN FLAT 130.45 260.90
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Serial # By
Serial.#
Subtotal $532.48
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $532.48
Payment Received $0.00
Received by � l4�� Date '�- '� N
- - -- - — - ce-Due-- ---$532.48— -
Thank you for your business!
VOUCHER # 145176 WARRANT # ALLOWED
201250 IN SUM OF $
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
,' II
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV* ACCT# AMOUNT Audit Trail Code
79098 01-7502-06 $532.48
A
Voucher Total $532.48
Cost distribution ledger classification if
claim paid under vehicle highway fund
N1as►y
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
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 7/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/24/2014 79098 $532.48
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