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!