HomeMy WebLinkAbout301417 07/28/16 CITY OF CARMEL, INDIANA VENDOR: 201250
CHECK AMOUNT: $"""3,700.00•
ONE CIVIC SQUARE MIDISTATE TRUCK EQUIP CORP
i ,?q CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 301417
9M;. FISHERS IN 46038 CHECK DATE: 07/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 90183 I 3,700.00 OTHER EXPENSES
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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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
201250
MID STATE TRUCK EQUIP CORP Purchase Order No.
11020 ALLISONVILLE RD Terms
FISHERS, IN 46038 Due Date 7/22/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/22/2016 90183 3,700.00
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
Date Officer
VOUCHER # 165763 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
90183 02-2308-00 3,700.00
Depreciation
Voucher Total 3,700.00
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 90183
Fishers, IN 46038
Invoice Date:
Phone: 317.849.4903
Fax : 317.849.6441 www.mid-statetruck.com 6/28/2016
Bill To Ship To
CARMEL UTILITIES Jeff Cooper
3450 W 131ST. ST
Westfield, IN 46074-8267
Handlina charg�ded to—Credit- Customer P.O. No. - _ - - - -I erms ---
Card orders over$500.00: 2.5% on —I— -----
visa. M/C,AMEX&Discover S 16164 NET 25 Days
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Sales Rep ID Shipping Method Ship Date Due Date
JK cust. pick-up 6/3/2016 7/23/2016
Qty Item Code Description Price Ea. Extension
5 127-0-02 WEATHER GUARD ALUMINUM SADDLE BOX 700.00 3,500.00
2.5 LABOR INSTALL TOOL BOX ON NEW PICKUP TRUCKS 80.00 200.00
--1/2HR EACH TRUCK
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Serial #
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Serial #
Subtotal $3,700.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [ ] Auth. # Total Invoice Amount $3,700.00
fPayment Received $0.00
Received by�C� I�vJ ±z' Date
Balance Due $3,700.00
Thank you for your business!