HomeMy WebLinkAbout241090 01/13/15 CITY OF CARMEL, INDIANA VENDOR: 201250
CHECKAMOUNT: S*****1,825.19*
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ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORPCARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 241090
FISHERS IN 46038 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 81936 1,825.19 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT 45�� Invoice
11020 Allisonville Road &:
x� Invoice Number:
Retail#: 001104675-001-0 # "`
81936
Fishers, IN 46038 ®`
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Invoice Date:
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Phone: 317.849.4903 <4
Fax : 317.849.6441
www.mid-statetruck.com .1/2/2015
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD,IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa. MIC,AMEX&Discover BOSSSTOCK NET 25*Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 1/2/2015 1/27/2015
Qty Item Code Description Price Ea. Extension
3 HYD07029 VALVE,3P/4W ANGLE FOR HYD 7019, HYD 07045 214.41 643.23
3 HYD07047 VALVE CARTRIDGE, SMRT HTCH 59.46 178.38
10 HYD01638 VALVE,ELECTRIC COIL (12V) 23.4.1 234.10
10 .HYD01637 VALVE, CARTRIDGE LIFT & ANGLE 66.25 662.50
3 HYD07030 VALVE COIL FOR HYD7029 35.66 106.98
I
Serial #
Serial #
Subtotal $1,825.19
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $1,825.19
Payment Received $0.00
Received by Date
Balance Due $1,825.19
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Thank ou our business.
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF$
11020 Allisonville Road
Fishers, IN 46038
$1,825.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 81936 42-370.00 $1,825.19 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
6
January 09, 2015
Street Commissioner
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))
01/02/15 81936 $1,825.19
�I
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