HomeMy WebLinkAbout302639 08/31/16 0,{ �4q"^' CITY OF CARMEL, INDIANA VENDOR: 201250
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ONE CIVIC SQUARE MID STATE TRUCK EQUIP CORP CHECK AMOUNT: $*******635.00*
s. ?� CARMEL, INDIANA 46032 11020 ALLISONVILLE RD CHECK NUMBER: 302639
9.y�ioN � FISHERS IN 46038 CHECK DATE: 08/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 90653 635.00 OTHER EXPENSES
VOUCHER # 165964 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
90653 01-7500-02 635.00
Voucher Total 635.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 ALLISONVI LLE RD Terms
FISHERS, IN 46038 Due Date 8/17/2016
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/17/2016 90653 635.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
-orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
Ll014
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MID-STATE TRUCK EQUIPMENT Invoice.,
11020 Allisonville Road W,Y Invoice Number:
Retail#: 001104675-001-0 -
90653
Fishers, IN 46038 �eaa S[YCCa7raltk EaZ+t`pytcisc
Invoice Date:
Phone: 317.849.4903 ;
Fax : 317.849.6441
www.mid-Ntatetruck.com 8/16/2016
Bill TO Ship To
CARMEL UTILITIES Jeff Cooper
3450 W 131 ST. ST
Westfield, IN 46074-8267
Handlina charge added to Credit 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 j 7/6/2016 9/10/2016
Qty Item Code Description I Price Ea. I Extension
1 EQUIP. Hardox floor upgrade for 9' Dump body package 635.00 i . 635.00
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Serial #
Serial #
Subtotal $635.00
Cash [ ] Check [ ] # Sales Tax (7.0%) $0.00
Credit Card [] Auth. # Total Invoice Amount $635.00
Payment Received $0.00
Received by Date
FBalance Due $635.00
Thank you for your business!