246903 06/30/15 MID-STATE TRUCK EQUIPMENT _ Invoice
11020 Allisonville Road `� = Invoice Number:
Retail#: 001104675-001-0
84797
Fishers, IN 46038 i <�
ksd-Statcy ru k i uIpmenc Invoice Date:
nqanapo'en
Phone: 317.849.4903 f
Fax : 317.849.6441 www.mid-statetruck.com 6/22/2015
Bill To Ship To
CARMEL STREET DEPARTMENT Dave Huffinan
3400 West 131 Street
WESTFIELD, IN 46074
I
dling charge added to Credit Customer P.O. No. Terms
d orders over$500.00: 2.5% on
a, MIC,AMEX&Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
X cust. pick-up 7/17/2015
Qty Item Code Description Price Ea. Extension
1 EQUIP. Line-X under the rail spray liner 450.00 450.00
�I
Serial #
Serial #
Subtotal $450.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [j Auth. # Total Invoice Amount $450.00
Payment Received $0.00
Received by Date
FBalance Due $450.00
Thank you for your business!
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))
06/22/15 84797 $450.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mid-State Truck Equipment
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$450.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
2201 I 84797 I 42-370.001 $450.00 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
/ 1/7� 4 //
%
Thursd y, J 25, 2015
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
MID-STATE TRUCK EQUIPMENT �
11020 Allisonville Road Invoice
tfi ` Invoice Number:
Retail#: 001104675-001-0 1MO
M,41 °
�.: 84703
Fishers, IN 46038 ._ — _.�, _
tSac7•St.ItC,Tru<k�.quip�tCrrt Invoice Date:
I ii d.,i n aydi.:
Phone: '317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 6/10/2015
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, MIC, AMEX&Discover NET 25 Da_ys
Sales Rep ID Shipping Method Ship Date
Due Date
KE 6/10/2015 7/5/2015
Qty Item Code Description Price Ea. Extension
1 !PARTS 1 P.T.O. SHAFT SEAL 6.001 6.00
3.5 LABOR REPLACED P.T.O. SHAFT SEAL ! 80.00 280.00
CHECKED LEAK ON CRANE AND CRANE ! 0.00
•FUNCTIONS
VENTURO HT 40KX S/N: 84555
! 1 shop-001 miscellaneous shop supplies 15.00 15.00
i JOB 3034 9137
JEFF 716-5882 i
i
i
i
Serial #
Serial #
Subtotal $301.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $301.00
Payment Received $0.00
Received by Date
Balance Due $301.00
7T hanky®u for your business!
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 6/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/2015 84703 $301.00
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
VOUCHER # 155805 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
84703 01-7502-06 $301.00
Voucher Total $301.00
Cost distribution ledger classification if
claim paid under vehicle highway fund