HomeMy WebLinkAbout238450 10/21/2014 1r�.��'Oq/ff
CITY OF CARMEL, INDIANA VENDOR: 201250
® ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $""""1,011.01'
�., ? CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 238450
,;,_rON�` FISHERS IN 46038 CHECK DATE: 10/21/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350000 79890 987.04 EQUIPMENT REPAIRS & M
651 5023990 80090 23.97 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT - Invoice
11020 Allisonville Road `y :":'' ._ Invoice Number:
Retail#: 001104675-001-0 '
79890
Fishers, IN 46038
Mitt-SctCtpTrtrtkgEiiprtient
Invoice Date:
o,n,.ap.ai:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 10/1/2014
Bill To Ship To
CITY OF CARMEL
ONE CIVIC SQUARE
CARMEL, IN 46032
Handling charge added toE2.5% on
Customer P.O. No. Terms i
[Cardorders over$500.00:Visa, M/C, AMEX& DiscovNET 25 Days
Sales Rep ID Shipping Method ' Ship Date Due Date
_...._........._ _. ............... .. .................._... .._ ...._...__..... _..._......... ....._....._......_....._..... .
TMB P 10/1/2014 10/26/2014
Qty Item Code Description Price Ea. Extension
_......... ..... . _...............
2 IIYD08830 CYL, ANGLE,RT3,STB,NITROBAR 148.92 297.84
4 HDWO1706 HHCS, 5/8-11x4, GRS, Y7,N 1.79 7.16
4 HDWO1709 NUT, 5/8-11, TOP L/N,GRB,CAD&WAX, YZN 0.681 2.72
2 HYD07018 FIT,90 DEG SWVL,3/8"MPx3/8"FPS 6.68 13.36
2 HYDOl810 HOSE,3/81lx3411,3/8"MPxl./4"MP 23.97: 47.94
1 STB03191 CONTROL,JOYSTICK (ONLY), STR BLD 208.08 : 208.08
1 MSC03809 CONTROL,JOYSTK (ONLY)V BLADE 214.20 214.20
2 MSC09658 PEDESTAL MOUNT KIT, SMARTTOUCH2 97.87 195.74
Ubmitted To
Building Maintenance
Account # 113S0A40)
Department # 1,71),6 OCT 2 0 2014:
Serial #
Serial #
Subtotal $987.04
Cash [ ] Check [ ] #_ Sales Tax (7.0%) $0.00
Credit Card ( ] Auth. # _ Total Invoice Amount $987.04
Payment Received $0.00
Received by ,. Date �
Balance Due-
E8 .074
Thacnk y®u 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))
10/01/14 79890 $987.04
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$987.04
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 79890 I 43-500.00 I $987.04 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
Monday, October 20, 2014
AE
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
MID-STATE,TRUCK EQUIPMENT ;., ar., _,,.,_„ ;.. nvoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 80090
Fishers, IN 46038 - 1
r�l,sp.Sc:c�.Te rkgtaigas�}fir}d Invoice Date:
Phone: 317.849.4903
www.mid-stntetruck.com 10/14/2014
Fax : 317.849.6441
Bill TO Ship To
CARMEL WASTEWATER UTILITIES
760 THIRD AVENUE S.W.
SUITE 110
CARMEL, IN. 46032
Handling char_pe added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on --- - ------�-- - - �-
Visa, M/C, AMEX& Discover 514447 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CJS cust. pick-up 10/14/2014 11/8/2014
Qtyl Item Code Description Price Ea. Extension
1 HYD01810 HOSE,3/8"x34",3/8"MPx1/4"MP
23.97 23.97
................ ............ .
Serial #
Serial #
Subtotal $23.97
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $23.97
Payment Received $0.00
Received b Date =
y � Balance Due w$23.97
Thank,y®u for y®ur 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 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 10/15/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/15/201, 80090 $23.97
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
VOUCHER # 145766 WARRANT # ALLOWED
201250 IN SUM OF $
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
80090 01-7500-02 $23.97
Voucher Total $23.97
Cost distribution ledger classification if
claim paid under vehicle highway fund i