HomeMy WebLinkAbout237467 09/23/14 +off.
�� CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******626.83*
9 c�qM_�, CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 237467
.y��TON�, FISHERS IN 46038 CHECK DATE: 09/23/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 R4359003 26826 1751 626.83 ANNUAL MOBILE MAINTEN
njo.=ATE TRUCK RQUMMEt#'T
11020 AWSON"LLE RD
1751 • • e
DATE ORDERED ORDER TAKEN BY
SOLD TjD PANE NO. CUSTOMER ORDER#
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JOB LOCATION
c!YK03 Z_G
Carmel Z&/
JOB PHONE STARTING DATE
TERMS
96 -4t7Axz4r
iMATERIAL DESCRIPTION OF r •
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MISCELLANEOUS CHARGES
TOTAL MISCELLANEOUS
,2,?
TOTAL MATERIALS 37/ IRS TOTAL LABOR
WORK ORDERED
TOTAL LABOR /7/b GCS
DATE ORDERED
TOTAL MATERIALS
DATE COMPLETED
TOTAL MISCELLANEOUS j i 6b
SUBTOTAL
CUSTOMER
APPROVAL SIGNATURE
TAX
AUTHORIZED-SIGNATURE GRAND TOTAL
A-2817-3817/T-3866 10-11
I
VOUCHER NO. WARRANT NO.
ALLOW EID20
Mid-State Truck Equipment
IN SUM OF$
11020 Allisonville Road
Fishers, IN 46038
$626.83
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#rFITH AMOUNT
Board Members
26826 I 1751 I 43-590.03 I $626.83 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
Monday,September 22,2014
Director,Co unity Relations/Economic Development
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))
09/08/14 1751 $626.83
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