HomeMy WebLinkAbout240754 01/07/15 �r
'� CITY OF CARMEL, INDIANA VENDOR: 201250
® I ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******736.20*
f'. ?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 240754
'
'�;,��N�o. FISHERS IN 46038 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 81595 736.20 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT (~ Invoice
11020 Allisonville Road Invoice Number.
Retail#: 001104675-001-0
Fishers, IN 46038
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Invoice Date:
Phone: 317.849.4903 csi"
Fax : 317.849.6441 immmid-statetritek.com 12/11/2014
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD, IN 46074
Handling charge added to CreditCustomer P.O. No. Terms
Card orders over$500.00: 2.5% on I
Visa, MIC, AMEX& Discover mdh214 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
12/11/2014 1/5/2015
Qty Item Code Description Price Ea. I Extension
I LTA09823 Dodge UC 1500 2006 & Up 595.00 595.00
1 MSC09993 LIGHT ADPTR,DODGE 06-07 FL SIZE 61.20 61.20
FREIGHT-01 FREIGHT/SHIPPING 80.00 80.00
Serial #
Serial #
Subtotal $736.20
Cash Check [ ] # Sales Tax (7.0%) $0.00
Credit Card Auth. # Total Invoice Amount $736.20
Payment Received $0.00
Received by Date Balance Due $736.20
Thank you 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))
12/31/14 81595 $736.20
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Mid-State Truck Equipment ALLOWED 20
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$736.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 81595 I 42-370.001 $736.20 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
Wi�iesday ece r 24, 2014
5 � mmmis1sloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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