HomeMy WebLinkAbout251656 11/18/15 r Coq -
" CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*****4,750.00*
�. ° CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 251656
9MTpN�° FISHERS IN 46038 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4465001 86365 4,750.00 CARS & TRUCKS
MID-STATE TRUCK EQUIPMENT
`
Invoice
11020 AllisonvilleRoad
Invoice Number:
Retail#: 001104675-001-0 4'=� ., - 'j 86365
Fishers, IN 46038
Msti-Sin(fi7rtrtk F,garprtsrnc Invoice Date:
ntd ai+agora:
Phone: 317.849.4903 .-
Fax : 317.849.6441 www.n id-statetruck.coiZ 11/5/2015
Bill To Ship To
CARMEL STREET DEPARTMENT Dave Huffman
3400 West 131 Street 2015 F-350
WESTFIELD, IN 46074 1FTBF2B67FEC41862
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5% on
Visa, MIC,AMEX&Discover NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
JK cust. pick-up 11/4/2015 11/30/2015
Qty Item CodeDescription Price Ea. Extension
1 BOSS80SU... BOSS RT3 8r 011 SUPER-DUTY SNOWPLOW WITH 4,700.00 4,700.00
SMARTHITCH2
SIN: 264058
1 STB03167 BLADE CRATE,81STR BLD SUPER 0.00 0.00
BC 159660
1 STB15020 BOSS PLOW BOX SUPER STRAIGHT, SH2 RT3 0.00 0.00
'08+
1 STB 15103 BOSS STRAIGHT BLADE CONTROL KIT - 0.00 0.00
SmartTouch2
1 LTA09060B BOSS FORD SD I11+ RT3 U/C 0.00 0.00
1 MSC09993 LIGHT ADPTR,DODGE 06-07 FL SIZE 0.00 0.00
1 ',NISC01565 BOSS'RUB BER SNOW DEFLECTOIR 0.00) 0.00
1 PLOWINST... SNOWPLOW INSTALLATION CHARGE 450.00 450.00
DISCOUNT MUNICIPAL CUSTOMER DISCOUNT -400.00 -400.00
PLOW S/N 264058
BLADE S/N BC159660
Serial #
Serial #
Subtotal $4,750.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $4,750.00
Payment Received $0.00
Received by Date
Balance Due $4,750.00
�
I
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))
11/05/15 86365 $4,750.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Mid-State Truck Equipment ALLOWED 20
IN SUM OF $
11020 Allisonville Road
Fishers, IN 46038
$4,750.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 86365 12201-650.011 $4,750.00 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
" //Thursday Nov/e�ber 1 2015
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SS�tre�et omen iss�on�er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund