HomeMy WebLinkAbout253931 01/26/16 0,,a ur C�q�f
�r �• CITY OF CARMEL, INDIANA VENDOR: 201250
® ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******141.95*
?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 253931
9M�TON FISHERS IN 46038 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 87826 141.95 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT
11020 Allisonville Road Jn7oicp
............ Invoice Number:
Retail#: 001104676-001-0
87826
Fishers, IN 46038
Mt
iam 4ts Invoice Date:
Phone: 317.849.4903 _ 41-
Fax 317.849.6441 www.mid-statetruckcom 1/14/2016
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD,IN 46074
Handfina charge added to Credit Customer P.O. No. Terms
Card orders over$500.00. 2.5%on
Wsm MIC,AMEX&Discover TRUCK 50 NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
TMBP 1/14/2016 2/8/2016
Qty I Item Code Description Price Ea. Extension
1 PARTS 1 87065 BEARING 1.5" 29.95 29.95
1 PARTS 1 176564 COUPLER 48.00 48.00
4 PARTS 1 11052 KEY 1.00, 4.00
1 FREIGHT-01 FREIGHT/SHIPPING 60.00! 60.00
� I
� I
Serial #
Serial #
Subtotal $141.95
Cash Check [ # Sales Tax (7.0%) $0-00
Credit Card [7u . # Total Invoice Amount $141.95
Payment Received $0.00
Receive Date
F(Balance Due $141.95
Thank you for your business!
VOUCHER NO. WARRANT NO.
MID STATE TRUCK EQUIP CORP ALLOWED 20
11020 ALLISONVI LLE RD IN SUM OF$
FISHERS, IN 46038
$141.95
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member
I 87826 I 42-370.00 I $141.95 1 hereby certify that the attached invoice(s), or
2201 201
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, January 21, 2016
V %.Wv '-7 M
Cost distribution ledger classification if i Street Commissioner
claim paid motor 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 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/14/16 87826 $141.95
2201 201
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
20
Clerk-Treasurer