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259634 06/14/16 y u�.c�xM CITY OF CARMEL, INDIANA VENDOR: 201250 3 ;I ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******498.01* CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 259634 ��''�iori�° FISHERS IN 46038 CHECK DATE: 06/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1203 4359003 89758 382.55 FESTIVAL COMMUNITY EV 1203 R4359003 26826 89758 62.45 ANNUAL MOBILE MAINTEN 651 5023990 89846 53.01 OTHER EXPENSES VOUCHER # 165425 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 89846 01-7502-06 $53.01 /-7 b dr Vw�--'� Voucher Total $53.01 Cost distribution ledger classification if claim paid under vehicle highway fund MID-STATE TRUCK EQUIPMENT Invoice 11020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 - 89846 Fishers, IN 46038 M d-sc,cc?Tr«ckEquipmenc 'fndiaPohs Invoice Date: Phone: 317.849.4903 ,. Fax : 317.849.6441 www mid-statetruck.com 6/3/2016 Bill To Ship To CARMEL UTILITIES 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 S16164 NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date 6/3/2016 6/28/2016 Qty Item Code Description Price Ea. Extension 3 30227-60N Blade- 60 Heavy Wide 20-1 17.67 53.01 JARVIS Serial # Serial # Subtotal $53.01 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [] Auth. # Total Invoice Amount $53.01 Payment Received $0.00 Received by Date Balance Due $53.01 Thank you for your business! VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) MID STATE TRUCK EQUIP CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 11020 ALLISONVILLE RD IN SUM oF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $62.45 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Community Relations Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 26826 89758 43-590.03 $62.45 1 hereby certify that the attached invoice(s),or 5/25/16 89758 $62.45 1203 Encumbered 101 1203 101 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 Wednesday,June 08,2016 U 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer MID-STATE TRUCK EQUIPMENT. Invoic@ 11.026 Allisonville Road 1: _ Invoice Number: :Retail#: :001104675-001-011 : 89758 Fishers, IN_46038 Mee�S[ace3TrcicK Eq►iipnui��. Inv01Ce Date. andrn�ppais Phone:- 317.849.4903 f� . www.mi .d-st ate&*k.com S/2 5/20.16 . Fax : 317:849:6441 Bill To Ship To CITY-OF.CARMEL. . MEGAN MWICKER, ONE CIVIC SQUARE 317:571.2791. CARMEL, IN 46032 1VIOBII;E STAGE . Handling char_ae added to.Credit . :.CuMomer'P..O:.No. . , Terms Card orders over$500.00. 2.5/on Asa:WC:AMEX&Discover. NET.25 Days Sales Rep ID Sli.ipping Method . . . Ship Date Due Date MRR. .cust:.pick-up 5/25/20.16. 6/19/20.16. Qty: Item Code : Description PriceEa.: Extension: '1 PARTSI. CUSTOM HYDRAULIC COMPONENTS. 205.00 205.00 -SEAL HIT --PRICE:INCLUDES':MANUFACTURING' TABOR 3' LABOR REPLACE SEAL KIT-WITH CUSTOM SEAL.KIT 80.00 240.00 RUN THROUGH ALL.°FUNC.TIONS:OF. OPERATION. ENSURE NO FURTHER LEAKS L1. �a.qpc d. � 3�a.aS' - FtYhva,1. � LDwirrw►( C�� - 43S�oo� Serial.#' Serial:# Subtotal $445.00. . Cash [ ]'. Check [ ];# 'S.ales Tax. Credit.Card [ ] Auth: Total.lnvoice Amount $445.00 Payment Received: $0:0.0. Received by . Date . . ��al�nco,Dlle $445:00. . Thank you foot your.business! VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) MID STATE TRUCK EQUIP CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 11020 ALLISONVILLE RD IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $382.55 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Community Relations Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 89758 43-590.03 $382.55 1 hereby certify that the attached invoice(s),or 5/25/16 89758 $382.55 1203 101 1203 101 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 Wednesday,June 08,2016 Iktc,C3 S�� 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer MID-STATE TRUCK EQUIPMENT ` Invoice: 11.020 Allisonville Road Invoice Number: Retail#: 001104675-001-0 89758. Fishers, IN 46038 P9id+5.C1cC,:True ml%6pnienE Invoice Date: �tidiats� Phone: 317.849.4903 :_.�W- _Ppls Fax : 317.849.6441 www.mid-statetruc%com 5/25/2016 Bill TO Ship To CITY OF CARMEL MEGAN McVICKER ONE CIVIC SQUARE 317.571.2791 CARMEL,IN 46032 MOBILE STAGE Handlina charge added to Credit Customer P.O. No. Terms Card orders over$500.00: 2.5015 on Visa.MIC,AMEX&Discover NET 25 Days Sales Rep ID Shipping Method Ship Date Due Date MRR cust.pick-up 5/25/2016 6/19/20.16 Qty Item Code Description Price Ea. Extension 1 PARTS CUSTOM HYDRAULIC COMPONENTS 205.00 205.00 —SEAL KIT —PRICE INCLUDES MANUFACTURING LABOR 3 LABOR REPLACE SEAL KIT WITH CUSTOM SEAL KIT 80.00 240.00 RUN THROUGH ALL FUNCTIONS OF OPERATION ENSURE NO FURTHER LEAKS k -ro P cid s (Oa.U5 - Po #'�(g$gu -14 5 90.S5" - F6hvcd 4 Czrnrn un iCwnb 43s01oo Serial# Serial# Subtotal $445.00 Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00 Credit Card [] Auth. # Total Invoice Amount $445.00 Payment Received $0.00 Received by Date Balance Due $445.00 Thank you for your business!