HomeMy WebLinkAbout236944 09/10/14 CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******573.00*
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 236944
FISHERS IN 46038 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 79475 573.00 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT l Invoice
11020 Allisonville Road Invoice Number:
Retail#: 00
x
1104675-001-0 79475
Fishers, IN 46038
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tisde:i?;d,�oei: Invoice Date:
Phone: 317.849.4903h,t`
Fax : 317.849.6441
www.mid-statetruck.com 8/4/2014
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131 st St.
Westfield, IN 46074-8267
Handlinq charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa, MIC,AMEX&Discover #119 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
KE 8/4/2014 8/29/2014
Qty Item Code Description Price Ea. Extension
1 BAR08858 CUTTINGEDGE HALF, FORMED,PS,8'2",V RT3 182.00 182.00
1 BAL08859 CUTTINGEDGE HALF, FORMED,DR,8'2",V RT3 182.00 182.00
3 MSCO1570 SHOE,PLOW,CAST IRON W/HDWR 38.00 114.00
1 LABOR INSTALLED FORM EDGES ON 8'2 V-PLOW 80.00 80.00
S/N: 51063
1 shop-001 miscellaneous shop supplies 15.00 15.00
JOB INV. 91721
Serial #
Serial #
Subtotal $573.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $573.00
Payment Received $0.00
Received by Date
Balance Due $573.00
Thank you for your business!
VOUCHER# 141630 WARRANT# ; ALLOWED
201250 IN SUM OF $
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR {
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
79475 01-6500-04 $573.00
Voucher Total $573.00
Cost distribution ledger classification if
claim paid under 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 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 8/30/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/30/2014 79475 $573.00
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
Date Officer