252058 12/02/1 5 '`.�,qw - CITY OF CARMEL, INDIANA VENDOR: 201250
® ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: S'"""365.00'
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 252058
+,,;o��, FISHERS IN 46038 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 86424 317.00 OTHER EXPENSES
651 5023990 86586 48.00 OTHER EXPENSES
MID-STATE TRUCK EQUIPMENT lI1VO1C2
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0 � 86586
...ter.
Fishers, IN 46038
MA•St�cc�Truck Equipmenc Invoice Date:
tn0anapolis
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 11/17/2015
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131 st 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 S15614 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
CJS 11/17/2015 12/12/2015
Qty Item Code Description Price Ea. Extension
4 PARTS 1 MISC HYDRAULIC FITTINGS 4.00 16.00
8 PARTSI 1/4" HYDRAULIC HOSE (PER FOOT) 4.00 32.00
I
i
Serial #
Serial #
Subtotal $48.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $48.00
Payment Received $0.00
Received by Date
Balance Due $48.00
Thank you for your business!
Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
b ACCOUNTS PAYABLE VOUCHER
'{ CITY OF CARMEL
Aninvoice 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
\250
'�00 STATE TRUCK EQUIP CORP Purchase Order No.
.-ro20 ALLISONVILLE RD Terms
\',HERS, IN 46038 Due Date 11/17/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/201,1 86424 $317.00
.p
4
1�
kk
I hereby certify that the attached invoice(s), or bill(s) is (are) true and a
correct and I ha/v/e audited same in accordance/with IC 5-11-10-1.6
Date Officer
VOUCHER # 153613 WARRANT # ALLOWED
201250 IN SUM OF $
MID STATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD
FISHERS, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members I
}
PO# INV# ACCT# AMOUNT Audit Trail Code
86424 01-6500-05 8317.00
r 7'a rE'
;. n ®r
xF=+a
Voucher Total $317.00
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 11/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/23/201! 86586 $48.00
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
VOUCHER # 156721 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 /
86586 01-7202-05 $48.00
l
Voucher Total $48.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
MID-STATE TRUCK EQUIPMENT a , ` 1`I1VO1C@
11020 Allisonville Road
Retail#: 001104675-001-0 ~` - Invoice Number:
^ `«
Fishers, IN 46038 R. „.' ,.v_ 86424
Scicc°Truck >tquipmenc Invoice Date:
ai.Or.:.�t¢rj4:
Phone: 317.849.4903 "
Fax : 317.849.6441 www.mid-statetruck.com 11/9/2015
Bill To Ship To
CARMEL WATER DISTRIBUTION
3450 W. 131 st 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 TRUCK143 NET 25 Days
t Sales Rep ID ! Shipping Method I Ship Date Due Date
AV I 11/9/2015 12/4/2015
Qty ,, Item CodeDescription Price Ea. Extension
1 MSC 15102 CONTROL KIT RT3 08+
317.001 317.00
i
I
Serial #
Serial # �
-J-
Subtotal $317.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ) Aut Total Invoice Amount $317.00
r _ Payment Received $0.00
Received by--,L;F �%�I Date 11/1 �`
FBalance Due $317.00
Thank you for your business!