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248935 08/26/15 r Coq. CITY OF CARMEL, INDIANA VENDOR: 201250 ® i`I ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*****1,525.00* CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 248935 FISHERS IN 46038 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 85156 305.00 AUTO REPAIR & MAINTEN 1192 4351000 85172 305.00 AUTO REPAIR & MAINTEN 1192 4351000 85178 305.00 AUTO REPAIR & MAINTEN 1192 4351000 85194 305.00 AUTO REPAIR & MAINTEN 1192 4351000 85429 305.00 AUTO REPAIR & MAINTEN MID-STATE TRUCK EQUIPMENT ~-1 -- Invoice 11020 Allisonville Road `'' ` " x f � �` "T '� Invoice Number: Retail#: 001104675-001-0 �` 85429 Fishers, IN 46038 r ,t, _v -S cm Ifruck Fgt7��)111ell( Invoice Date: Lti pr,Ut.1�109ii Phone: 317.849.4903 . r"~' Fax -. 317.849.6441 wwmniid-statetruck.com 8/21/2015 Bill To Ship To CITY OF CARMEL Adam Schriner ONE CIVIC SQUARE Community Development CARMEL, IN 46032 509-9182 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, MIC, AMEX& Discover VEHICLE #2 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date BE cust. pick-up 8/21/2015 9/15/2015 Qty Item Code Description Price Ea. Extension 3.5 LABOR COMPLETE PERP & INSTALLATION OF 80.001 280.00 CUSTOMER'S EXISTING WHELEN LED HIDEAWAY SYSTEM --INC. RED MOMENTARY SWITCH(PATTERN TOGGLE) 1 shop-001 miscellaneous shop supplies 25.00 25.00 Serial # Serial # Subtotal $305.00 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $305.00 Payment Received $0.00 Received by Date Balance Due $305.00 Thank y®u for your business! MID-STATE TRUCK EQUIPMENTInvoice 11020 Allisonville Road " t• Invoice Number: Retail#: 001104675-001-0 `_? 85172 Fishers, IN 46038 ` �' j Mit7•St1C�TruCk F.qk ipjliCnt Invoice Date: Inaan+�oai. Phone: 317.849.4903 Fax -. 317.849.6441 www.mid-statetruck.com 7/28/2015 Bill To Ship To CITY OF CARMEL Adam Schriner ONE CIVIC SQUARE Community Development CARMEL, IN 46032 509-9182 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, MIC, AMEX& Discover VEHI.CL;E=#94�. NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date BE cust. pick-up 7/24/2015 8/22/2015 Qty Item Code Description Price Ea. TExtension 3.5 LABOR COMPLETE PREP & INSTALLATION OF 80.001 280.00 CUSTOMER'S EXISTING WHELEN LED HIDEAWAY SYSTEM --INC. RED MOMENTARY SWITCH(PATTERN TOGGLE) 1 shop-001 miscellaneous shop supplies 25.00 25.00 VIN FH537856 Serial # Serial # Subtotal $305.00 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $305.00 Payment Received $0.00 Received by Date Balance Due $305.00 Thank you for your business! MID-STATE TRUCK EQUIPMENT =� Invoice '� `` 11020 Allisonville Road `�~� s Invoice Number- 85194 001104675-001-0 °-A. 85194 Fishers, IN 46038 `"�" "-' ' _417 tSi1•5t',1R')Trw I_quipill it Invoice Date: itiU.ai3,.w¢ofi: Phone: 317.849.4903 ' Fax : 317.849.6441 www.mid-statetruck.com 7/30/2015 Bill To Ship To CITY OF CARMEL Adam Schriner ONE CIVIC SQUARE Community Development CARMEL, IN 46032 509-9182 d �5 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, MIC, AMEX& Discover TRUCK 43 NET 25 Days Sales Rep ID Shipping Method j Ship Date Due Date -- - - - - -----_-_�BE cust. pick-up-- -- 28/2015 - _ 8/24/201-57/ I Qty Item Code Description Price Ea. ! Extension . . 35 LABOR +COMPLETE PREP & INSTALLATION OF 8000 280.00 I � CUSTOMER'S EXISTING WHELEN LED HIDEAWAY SYSTEM j j --INC. RED MOMENTARY SWITCH(PATTERN TOGGLE) 11 shop-001 i miscellaneous shop supplies 25.001 25.00 �I VIN_EKG35093 j I � � I Serial # Serial # Subtotal $305.00 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $305.00 Payment Received $0.00 Received by Date Balance Due $305.00 Thank you for your business! MID-STATE TRUCK EQUIPMENT 777 Invoice 11020 Allisonville Road Invoice Number: t iA Retail#: 001104675-001-0 f i` J. 3 ,a � 85178 Fishers, IN 46038 `° tiit9.5i rs f;T, it gw(pille"IC Invoice Date: Phone: 317.849.4903 w "v Fax 317.849.6441 wrvw.mid-statetruck.com 7/29/2015 : Bill To Ship To CITY OF CARMEL Adam Schriner ONE CIVIC SQUARE Community Development CARMEL, IN 46032 509-9182 J~ � Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, MIC, AMEX& Discover VEHICLE #90 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date BE cust. pick-up 7/28/2015 8/23/2015 Qty Item Code Description Price Ea. Extension j -L ------- --- --- --- ---- ----- 3.5 LABOR COMPLETE PREP & INSTALLATION OF 80.00 280.00 CUSTOMER'S EXISTING WHELEN LED HIDEAWAY SYSTEM --INC. RED MOMENTARY SWITCH(PATTERN TOGGLE) 1 shop-001 miscellaneous shop supplies 25.00 25.00 VIN_FH524258 I I I Serial # Serial # Subtotal $305.00 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [ ] Auth. # Total Invoice Amount $305.00 Payment Received $0.00 Received by Date Balance Due $305.00 Thank you for your business! MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 'T 85156 Fishers, IN 46038 MIKI-StIc C ruck Equipnitnt Invoice Date: litpi.onapti ii: Phone: 31.7.849.4903 www.mid-statetruck.com 7/24/2015 Fax : 317.849.6441 Bill To Ship To CITY OF CARMEL Adam Schriner ONE CIVIC SQUARE Community development CARMEL, IN 46032 509-9182 7 Handling charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5% on Visa, MIC, AMEX& Discover VEHICLE #91 NET 25 Days Sales Rep ID Shipping 7ethod Ship Date Due Date X Gust. pick-up 7/20/2015 8/18/2015 1 Qty Price Ea.Item Code Description Extension 1 3.5 i LABOR I Install customer provided Whelen strobe lights on all 80.00: 280.00 four corner lenses I shop-001 miscellaneous shop supplies 25.00 25.00 1 VIN 6KA26091 Serial # Serial # Subtotal $305.00 Cash # Sales Tax (7.0%) $0.00 Cash Check Check Credit Card j h. Total Invoice Amount $305.00 Payment Received $0.00 eceived by Date QZZZ Balance Due $305.00 Thank 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)) 07/24/15 85156 $305.00 07/28/15 85172 $305.00 07/29/15 85178 $305.00 07/30/15 85194 $305.00 08/21/15 85429 $305.00 I I I 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Mid-State Truck Equipment IN SUM OF $ 11020 Allisonville Road Fishers, IN 46038 $1,525.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 1192 85156 43-510.00 $305.00 I hereby certify that the attached invoice(s), or bill(s) is(are)true and correct and that the 1192 85172 43-510.00 $305.00 materials or services itemized thereon for 1192 85178 43-510.00 $305.00 which charge is made were ordered and 1192 85194 43-510.00 $305.00 received except 1192 85429 43-510.00 $305.00 Monday, Aug t 24, 2015 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund