246440 06/1 7/1 5 (9,
CITY OF CARMEL, INDIANA VENDOR: 201250ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORPCHECK AMOUNT: S*******847.97*
CARMEL, INDIANA 46032 11020 FISHRS L 403ILLLE RD CHECK NUMBER: 246440
CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 84467 779.00 OTHER EXPENSES
601 5023990 84499 38.40 OTHER EXPENSES
651 5023990 84545 30.57 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT ����,� �, ��1
Invoice
Invoice Number:
11020 Allisonville Road ``:
tc� Aa t� ra ssJ S 7r'" f
Retail#: 001104676-001-0 f 84499
Fishers, IN 46038 ' -
Met!-SC:atr.- Tr'tot�t F9uijtmCesc Invoice Date:
fiirl�ixtp�9is
Phone: 317.849.4903 5/27/2015
www.mid-statetruck com
Fax : 317.849.6441
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131st St.,
Westfield,IN 46074-8267
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, M/C.AMEX&Discover JA052715A NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 6/21/2015
QItem Code Description j Price Ea. Extension
1 II EX1-633029 BALLJOINT.-SPHERICAL 38.40 38.40
� I
i -
i �
i I
Serial #
Serial #
Subtotal $38.40
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $38.40
Payment Received $0.00
Received bDate �'� Balance DLI@ $38.40
our business.
Thank you foY y
VOUCHER # 152061 WARRANT# ALLOWED
201250 IN SUM OF $
I
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD �.
FISHERS, IN 46038
f.
Carmel Water Utility i.
t
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT I Audit Trail Code
'i
84499 01-6200-04 $38.40
7 I
I
I
I
Voucher Total $38.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 6/6/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/6/2015 84499 $38.40
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
Date Officer
MID-STATE TRUCK EQUIPMENT _` Invoice
11020 Allisonville Road ' Invoice Number:
Retail#: 001104675-001-0i 84467
Fishers, IN 46038 .` f
t'Adtic� 1.
•scaaTlruC Ft�tjfl,ntC. 11 1 Invoice Date:
Phone: 317.849.4903
Fax 317.849.6441
www.mid-statetruck.com 5/22/2015
:
Bill To Ship To
CARMEL UTILITIES DWAYNE
3450 W 131 ST. ST P 317.650.4127
Westfield, IN 46074-8267 WASTE WATER
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa. MIC,AMEX&Discover S15145 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
BE cust. pick-up 5/22/2015 6/16/2015
Qty Item Code Description Price Ea. Extension
1 127-0-02 WEATHER GUARD ALUMINUM SADDLE BOX 779.00 779.00
Serial #
Serial #
Subtotal $779.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $779.00
Payment Received $0.00
Received by Date
Balance Due $779.00
ThankY
for ouour business!
Y
-MID-STATE TRUCK EQUIPMENT 'invoice .
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 _ 84545
Fishers, IN 46038
?Sec1.5caccfi7roe4c Fqupmcnc i+ Invoice Date:
Indisie:ip07i:
Phone: 317.849.4903 "
www mid-statetruckcom 6/1/2015
Fax : 317.849.6441 -
Bill To Ship To
CARMEL UTILITIES
3450 W 131ST. ST
Westfield,IN 46074-8267
Handling charge added to Credit Customer-R.O. No. Terms
Card orders over$500.00: 2.5%on
Visa.MIC,AMEX&Discover DCSP6115 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 6/1/2015 6/26/2015
Qty Item Code Description Price Ea. Extension
I PARTS DIXIE B88 BELT 30.57 30.57
Serial #
Serial #
Subtotal $30.57
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] . Auth. # Total Invoice Amount $30.57
Payment Received $0.00
Received by Date
Balance Due $30.57
Thank you for your business!
VOUCHER # 155651 WARRANT # ALLOWED
201250 IN SUM OF $
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0
c.:
84467 0+4600� $779.00
ySyS o • -750d-06 3a,5`7
i
Voucher Total
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 6/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2015 84467 $779.00
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
Date Officer