HomeMy WebLinkAbout241557 01/27/15 �Aq*f CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*****1,800.00*
?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 241557
FISHERS IN 46038 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 82491 1,800.00 AUTO REPAIR & MAINTEN
MID-STATE TRUCK EQUIPMENT Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 82491
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441
www.mid-statetruck.com 1/19/2015
BIII To Ship To
CARMEL STREET DEPARTMENT Dave Huffman
3400 West 131 Street 2015 F-250 trucks
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 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
JK cust. pick-up 1/19/2015 2/13/2015
Qty Item Code Description Price Ea. Extension
4 EQUIP. Line-X under the rail spray in bed liner 450.00 1,800.00
Serial #
Serial #
Subtotal $1,800.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $1,800.00
Payment Received $0.00
Received by Date
Balance Due $1,800.00
Thank you for your business!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF$
11020 Allisonville Road
Fishers, IN 46038
$1,800.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 82491 43-510.00 $1,800.00 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
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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))
01/19/15 82491 $1,800.00
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