242573 02/24/15 CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******191.45'
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 242573
FISHERS IN 46038 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4239099 82950 191.45 OTHER MISCELLANOUS
MID-STATE TRUCK EQUIPMENTInvoice
FEB 17 2015
11020 Allisonville Road Invoice Number:
"j-
Retail#: 001104675-001-0
BY:—__.___ 82950
Fishers, IN 46038 M.d-sull.r. Tnic iflpmcn. Invoice Date:
Phone: 317.849.4903 2/9/2015
www.mid-statetruck.com
Fax 317.849.6441
Bill To Ship To
CARMEL CLAY PARKS & RECREATION
1411 E. 116TH STREET
Cannel, IN 46032
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, MIC, AMEX& Discover xx-1713 I NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 2/9/2015 3/6/2015
Item Code Description Price Ean
1 .
Qty Extension
1 i
15.951 111.65
71 PARTS I E TRUCK 5 FT (1903055)
2:PARTS I E CLIP WITH D RING (01080) 3.95 7.90
2 PARTS 1 1 RATCHET STRAP WITH I, CLIP (01075) 15.951 31.90
I i FREIGHT-01 1,FREIGHT/SHIPPING 40.00 i 40.00
Serial #
Serial # Subtotal $191.45
Cash Check # Sales Tax (7.0%) $0.00
Total Invoice Amount $191.45
Credit Card Auth. # Payment Received $0.00
Received by Date $191.45
Thank you for your business!
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
201250 Mid-State Truck Equipment, Inc. Terms
11020 Allisonville Road
Fishers, IN 46038
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
2/9/15 82950 Trailer parts xx1713 $ 191.45
Total $ 191.45
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.
201250 Mid-State Truck Equipment, Inc. Allowed 20
11020 Allisonville Road
Fishers, IN 46038
In Sum of$
$ 191.45
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 82950 4239099 $ 191.45 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
February 19, 2015
Signature
$ 191.45 Accounts Payable Coordinator
Cost distribution ledger classification if ; Title
claim paid motor vehicle highway fund