HomeMy WebLinkAbout253425 01/15/16 SAA.
,+ +,F CITY OF CARMEL, INDIANA VENDOR: 201250
j; ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******795.68*
CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 253425
='M,�TON�o. FISHERS IN 46038 CHECK DATE: 01/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 87565 795.68 REPAIR PARTS
MID-STATE TRUCK EQUIPMENT 1Invoice j
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0
; t 87565
Fishers IN 46038
' P9iQ4c�cc"Track Equi mune Invoice Date:
lndian�pois
Phone: .317.849.4903
www.mid-statetruck.com
1/8/2016
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Fax : 317.849.6441
Bill To Ship To
CARMEL STREET DEPARTMENT
3400 West 131 Street
WESTFIELD,IN 46074
Handling charge added to Credit Customer P.O. No. Terms
Card orders over$500.00: 2.5%on
Visa, MIC,AMEX&Discover shop NET 25 Days
Sales Rep ID Shipping Method Ship Date Due Date
AV 1/8/2016 2/2/2016
Qty Item Code Description Price Ea. Extension
10 PARTSI 1308105 MARKER 37.70 377.00
DISCOUNT QUALIFIED CUSTOMER DISCOUNT -10.00% -37.70
12 1308110 BUYERS GUIDE KIT 36" ORANGE 39.48 473.76
DISCOUNT QUALIFIED CUSTOMER DISCOUNT -10.00% -47.38
FREIGHT-01 FREIGHT/SHIPPING 30.00 30.00
Serial #
Serial #
Subtotal $795.68
Cash [ J Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] uth. # Total Invoice Amount $795.68
Payment Received $0.00
Received by Date
(T U I Balance Due $795.68
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/08/16 87565 $795.68
2201 201
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
. 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO. ALLOWED 20
MIDSTATE TRUCK EQUIP CORP
11020 ALLISONVILLE RD IN SUM OF$
FISHERS, IN 46038
$795.68
ON ACCOUNT OF APPROPRIATION FOR
Street Department
PO#/Dept. INVOICE NO. ACCT#/Fund I AMOUNT Board Membei
87565 42-370.00 j $795.68 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
nday, dnua#, 2016
Street Commissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund