HomeMy WebLinkAbout239319 11/19/2014 J! �• CITY OF CARMEL, INDIANA VENDOR: 201250
® �� ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******120.99*
r• ?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 239319
9.y��roN��` FISHERS IN 46038 CHECK DATE: 11/19/1'4
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 167742 120.99 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT - GREENFIELD INVOICE
4267 East US 40
Invoice Number:
Greenfield, IN 46140 Remit to: 167742
11020 Allisonville Rd. Invoice Date:
Phone: 317-462-2555 Fishers, IN 46038 10/27/2014
Fag:317-462-2589
www.mid-statetruck.com
Bill To Ship To
Carmel Street Department
3400 w 131th st.
Westfield,IN 46074
2:5%Handling Charge Customer P.O. # Customer Phone Te )
will be added to
Credit ward Sales.over$500.00 765 513 5534 brad ,CNet 25
f
Sales Rep ID Shipping Method Ship/Install Date e
DW 10/27/2014 11/21/2014
Qty Item Code Description Price Ea. Extension
1 623763 Grasshopper SPINDLE ASSY.SUBSTITUTE FOR 623781 120.99 120.99
I
Payment Subtotal $120.99
Method:- Rcvd.By Date
Sales Tax (7.0%) $8.47
Check#/Authorization Code:
Total Invoice Amount $129.46
Payment Received $0.00
Goods Received By: Balance Due $129.46
Thank You for Your Business! .r m
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF$
11020 Allisonville Road
Fishers, IN 46038
$120.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
2201 1 167742 1 42-370.001 $120.99 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
Friday, ve 14, 2014'
c,
Street Commissiciff
Street gnmissloner
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))
10/27/14 167742 $120.99
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