HomeMy WebLinkAbout301074 07/25/16 �"r_CagM
CITY OF CARMEL, INDIANA VENDOR: 201250
ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $****12,212.25*
x3 _� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 301074
9;,�TON FISHERS IN 46038 CHECK DATE: 07/25/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 90251 12,212.25 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
MID STATE TRUCK EQUIP CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
11020 ALLISONVILLE RD IN SUM OF$ 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.
$12,212.25 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
90251 42-370.00 $12,212.25 1 hereby certify that the attached invoice(s),or 7/6/16 90251 $12,212.25
2201 201 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
nd_received except
Tuesday,July 19, 2016
Dave Huffman
Director
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund.. Clerk-Treasurer
MID-STATE TRUCK EQUIPMENTInvoice
.. . .........
.................
11020 Allisonville Road Invoice Number:
Retail#: 001104675-001-0
Fishers, IN 46038 90251
Mid-Stato Tru(k E(Impnitw
Invoice Date:
Phone: 317.849.4903
Fax 317.849.6441 www.mid-statetruck.com 7/6/2016
Bill To Ship To
CARMEL STREET DEPARTMENT Dave Huffman
3400 West 131 Street
WESTFIELD, IN 46074
'-Handiin
a chargeadded t6Credit Customer P.O. No. Terms
, Card orders over$500.00: 2.5% on
' Visa, MIC,AMEX& Discover
NET 25 Days
Sales Rep ID shipping Method Ship Date Due Date
X cust.pick-up 6/28/2016 7/31/2016
Qty Item Code Description Price Ea. Extension
23 EQUIP. SL3 LED-headlight upgrade for all BOSS plows
340.00 7,820.00
22 EQUIP. Upgrade beacons to magnet mount 25.00 550.00
22 -EQUIP. American Signal brand mini light bar upgrade for all 240.00 5,280.00
trucks
DISCOUNT RETURN ALL MAGNET KITS LESS RESTOCK -471.02 -471.02
FEE
DISCOUNT RETURN ALL LOW PROFILE BEACONS LESS -2,140.73 -2,140.73
RESTOCK FEE
I EQUIP. AMERICAN SIGNAL CORP MINI LIGHT BAR FOR 240.00
240.00
SUPER CAB TRUCK
4 9011C ECCO Hide-A-LED Wide Angle-a. Clear 76.66 306.64
--- ---For sup_er_cab_truck____,_____
I LABOR INSTALL MINI LIGHT BAR AND FOUR CORNER 438.36 438.36
STROBE KIT ON SUPER CAB TRUCK
I FREIGHT-01 Freight to send all previously ordered ECCO 189.00 189.00
equipment back
Serial #
Serial #
Subtotal $12,212.25
Cash Check # Sales Tax (7.0%) $0.00
Credit Card Auth. # Total Invoice Amount $12,212.25
lf Payment Received $0.00
Received by ?+--We_JDate_7— 6,
Balance Due $12,212.25
Thank you for your business!