243771 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $********46.69*
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 243771
FISHERS IN 46038 CHECK DATE: 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 83710 46.69 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT ��' Invoice
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0
.� 83710
Fishers, IN 46038 a�
MicsSCICc,PndanapoTruck Egii pmenit
Invoice Date:
ttis
Phone: . 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 3/18/2015
Bill To Ship To R t
CARMEL CLAY PARKS &RECREATION 2A 2015
1411 E. 116TH STREET
Carmel,IN 46032 LMAR
Handling charge-added to Credit CUStO O. No. Terms
Card orders over$500.00: 2.5%on
Visa, MIC,AMEX&Discover XX-1828 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMB P 4/12/2015
Qty Item Code Description Price Ea. Extension
1 PARTS 1 WESTERN 56615 ELBOW 10.63 10.63
1 PARTS WESTERN 56616 HOSE 36.06 36.06
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Serial #
Serial #
Subtotal $46.69
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $46.69
Payment Received $0.00
Received by Date
Balance Due $46.69
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.
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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
3/18/15 83710 Snow plow repair parts XX-1828 $ 46.69
Total Is 46.69
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
1
I
Voucher No. Warrant No.
201250 Mid-State Truck Equipment, Inc. Allowed 20
11020 Alllsonvllle Road
Fishers, IN 46038
} In Sum of$
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$ 46.69
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ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#or INVOICE NO. A.CCT#/TITLE AMOUNT Board Members
Dept#
1125 83710 4237000 $ 46.69 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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March 25, 2015
1P
Signature
$ 46.69 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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