HomeMy WebLinkAbout240059 12/09/14 CITY OF.CARMEL, INDIANA VENDOR: 201250
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• ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******875.65*
r •'� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 240059
FISHERS IN 46038 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 81006 875.65 OTHER EXPENSES
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MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road J- _4
Invoice Number.
Retail#: 001104675-001-0 � 81006
Fishers, IN 46038
r�a s� �c Trc�;at�ga,ipmers Invoice Date:
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Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 11/18/2014
Bill TO Ship To
CITY OF CARMEL CARMEL WASTEWATER
ONE CIVIC SQUARE
CARMEL,IN 46032
Handling ci:argre added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa.MIC,AMEX&Discover S14564 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
11/18/2014 12/13/2014
Qty Item Code Description _ Price Ea. Extension
1 PARTS 1 FORD MOUNT ASSEMBLY 493.50 493.50
4 LABOR REMOVE WESTERN UNDER CARRIAGE 80.00 320.00
CHECKED FRAME
FRAME BENT ON P.S. PLOW MOUNT BENT AND
HAS
BROKEN WELD
INSTALED NEW UNDER CARRIAGE
I shop-001 miscellaneous shop supplies 15.00 15.00
I FREIGHT-01 FREIGHT/SHIPPING 47.15 47.15
JOB INV. 1821 #136
Serial #
Serial#
Subtotal $875.65
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $875.65
Payment Received $0.00
Received by Date
Balance Due $875.65
Thank you for your business!
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VOUCHER # 146125 WARRANT # ALLOWED
201250 ' IN SUM OF $
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
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Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
81006 01-7500-02 $875.65
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Voucher Total $875.65
Cost distribution ledger classification if j
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 12/4/2014
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Invoice Invoice Description
Date Number (or note attachedInvoice(s) or bill(s)) Amount
12/4/2014 81006 $875.65
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I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordancewith IC 5-11-10-1.6
Date Officer